30457 Grainger INDIANA RETAIL TAX EXEMPT
Carmel Clay CERTIFICATE PAGE
RTIFICATE NO. D03120155 002 0 PURCHASE ORDER NUMBER
Parks &Recreation FEDERAL EXCISE TAX EXEMPT 30457
35-60000972
1411 E 116 Street THIS NUMBER MUST APPEAR ON INVOICES, NP
Carmel, IN 46032 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
02/10/12 M000656 39510 0 Dog Pot Disposal Bags
Grainger Maint S I
541 5175
PePts TO FEB I 0 2012 1)
VENDOR
f awodbt, I L &003g
ray.
COWIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
11 CS #8ZCE8 Dogipot Liter Bags $195.51
Send Invoice To:
$782.04
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT I PROJECT ACCOUNT 1 AMOUNT
1125 -4 -01- 4238900 -Other Maint Supplies PAYMENT.
PP ATP VOUCHER CANNOT BE APPROViO FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A FART OF THE VJUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS IN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT A PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Todd Sn der DK -1 z I li.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED 111 COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 30457 VENDOR COPY