HomeMy WebLinkAbout41595 NORTHERN SAFETY CO. INC. City
INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE N0.003120155 002 0 ofPURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 41595
ONE CIVIC SQL'ARE
CAMEL.1:7r4,1A 146-'Z-a°.z THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER.DELIVERY MEMO,PACKING SUPS.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/19/2017 05/23/17 12667 226500 Outdoor personal safety supplies
Northern Safety Co.Inc. Parks Maintenance
P.O.Box 4250 SHIP 1427 E.116th Street ATTN:Courtney
VENDOR Utica,NY 13504-4250 TO Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY 1 UNIT OF MEASURE DESCRIPTION UNIT PRICE ' EXTENSION
8.000 each 4534-Tecnu 12oz poison ivy wash $10.9300 $87.44
8.000 each 24711 -Off!Deep Woods 6oz $7.6900 $61.52
6.000 each 1995-Croc Bloc Spray Sunscreen 6oz $10.5900 $63.54
4.000 each 1993-Croc Bloc SPF30 cream sunscreen 6 oz $9.7900 $39.16
1.000 each Shipping Charge $21.2100 $21.21
GLAccount#1125401-4239012
Send Invoice To:
$272.87
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT ' PROJECT ACCOUNT I AMOUNT
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMLRR IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER EWMDRN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
- I HEREBY CERTIFY THAT THERE IS AN UNOBUOATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CARROT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ONNALL SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THB ORDER ISSUED IN CCWLNNCE WITH CHAPTER 00.ACTS 1040
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE `�
CLERK-TREASURER (7\ `
DOCUMENT CONTROL NO. 41595 '.'ENDOR COPY {x'�/