51450 GRAINGER INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
: t Io `a r ' PURCHASE ORDER NUMBER
�/ V4 3. FEDERAL EXCISE TAX EXEMPT 51450
35-60000972
n ONE CIVIC SQUARE
CARMEL,IIIOL JIA 45032-2=S z THIS NUMBER MUST APPEAR ON INVOICES,NP
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
5/30/2018 06/03/18 16548 370440 Replacement Baby Changing Stations(ADA)
Grainger Inc MCC-West
Dept 847517521 1235 Central Park Drive East
VENDOR Palatine, IL 60038-0001 So P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Model#KB200-00(Cream)KOALA KARE ADA model (West $215.5900 $215.59
Park fire incident 5/24/18)
GLAccount#1125404-4235000
2.000 each Model#KB200-00(Cream)KOALA KARE ADA model(West $215.5900 $431.18
Commons vandalism 5/29/18)
GLAccount#1125419-4235000
Send Invoice To:
$646.77
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER `n
DOCUMENT CONTROL NO. 51450 VENDOR COPY W