101650 GRAINGER INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101650
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/8/2018 362620
GRAINGER Carmel Police Department
VENDOR DEPT 804491322 SHIP 3 Civic Square
TO Carmel, IN 46032-
PALATINE, IL 60038- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25782
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-390.11
1 Each 12x10"clear Zippit bag 500pk $66.55 $66.55
200 Each 3M disposable respirator mask $12.09 $2,418.00
200 Each chemical splashgoggles clear $1.46 $292.00
10 Each powder free nitrile disposable gloves 100pk $7.49 $74.90
1 Each Tyvek disposable sleeves 200pk $97.08 $97.08
1 Each warning labels 500pk $75.51 $75.51
1 Each Zippit bag,standard 1000 pk $46.53 $46.53
Sub Total $3,070.57
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Send Invoice To: ` ` '�
Carmel Police DepartmentPE Kits
Accounts Payable mo w. e
3 Civic Square `" q,
Carmel, IN 46032-
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $3,070.57
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ! U k
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ^^6l
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ��
Jim Barlow
TITLE Chief \�
CONTROL NO. 101650 CLERK-TREASURER