l branch for details on Emergency Express Financing.

Credit Card Number:
_____________________________
Expiration Date:
____________
Fax Number:
Credit Card Type:
_______________________
Manufacturer
Grainger
Description
Case Order
Cat. Unit Unit of
Manufacturer
Grainger
Description
Case
Order
Cat. Unit
Unit of
Stk #
Stock #
Qnty.
Qty
Price**
Meas.
Stk #
Stock #
Qnty.
Qty
Price**
Meas.
BATTERIES
OUTDOOR TOOLS AND EQUIPMENT
Rayovac ALAA-24
4WT09
AA ALKALINE 24-PACK
BEST BUY
-
$12.99
PACK
POULAN
3450-20
4VN29
20" POULAN GAS POWERED
CHAIN SAW
-
$305.00
EACH
Rayovac ALAAA-18
6XT34
AAA ALKALINE 18-PACK
BEST BUY
-
$11.75
PACK
OREGON
72SG-70C
1R335
REPLACEMENT CHAIN FOR
4VN29 20" SAW
-
$21.27
EACH
Rayovac AL-C
4WT08
C ALKALINE 12-PACK
BEST BUY
-
$11.30
PACK
WOOD/VERO
1126400
5ML22
MICHIGAN AX, 36" HANDLE
-
$16.96
EACH
Rayovac ALD-12
4WT07
D ALKALINE 12-PACK
BEST BUY
-
$11.30
PACK
WALLACE
9235
4W492
POLE TREE PRUNER
-
$53.05
EACH
Rayovac 6V-HDM
2V553
6 VOLT HEAVY DUTY
LANTERN WITH SPRINGS
12
$4.87
EACH
WALLACE
7029
3ZF02
21" BOW SAW
-
$9.01
EACH
TOOLS
AMES TT
1309800
3W497
KODIAK STRAIGHT, ROUND
POINT SHOVEL
-
$21.73
EACH
BOSCH 13624
3HY71
24V CORDLESS HAMMER
/DRIVER DRILL
-
$399.00
EACH
GENERATORS & GENERATOR SUPPLIES
MILWAUKEE 6514-21
6MR84
CORDLESS RECIP SAW,
2700 RPM, 3/4 IN CAP
-
$269.00
EACH
DEVILBISS
EXGB5010
3MK73
5000 WATT PORTABLE
GENERATOR BEST BUY
-
$572.00
EACH
STANLEY 51-507
3PY36
HAMMER - JACKETED
GRAPHITE ANTIVIBE
-
$20.09
EACH
EXXON
XD-3 98938D
4ZF20
1 QUART OIL FOR ABOVE
GENERATORS (ORDER 2)
12
$2.75
EACH
FLASHLIGHTS, LANTERNS, & LIGHTING
HUBBELL
HBL5266C
4A250
MALE PLUG 120 VOLT
-
$10.80
EACH
Rayovac L295-B
2V556
6 VOLT FLOATING
LANTERN W/O BATTERY
-
$5.23
EACH
HUBBELL
HBL5269C
4A251
FEMALE PLUG 120 VOLT
-
$18.61
EACH
Rayovac N2
2V542
STANDARD INDUSTRIAL
FLASHLIGHT 2-D CELLS
6
$5.61
EACH
HUBBELL
HBL2311
4A259
L5-20P TWIST LOCK 120 VOLT
-
$17.87
EACH
Rayovac W8B
4V376
RED HAND-HELD SAFETY
WAND
36
$2.57
EACH
MASONRY SCREWS/ANCHORS (NO INSERTS REQUIRED)
Rayovac WH8
2F125 FLUORESCENT LANTERN
4
$36.10
EACH
TAPCON
HW4-214
4AK88
2 1/4" X 1/4" HEX HEAD (100
Per Box)
3
$30.90
BOX
LUMAPRO
4VM75
PORTABLE WORK LIGHT,
1000 W, TRIPOD
-
$142.15
EACH
TAPCON
PF4-214
4AL00
2 1/4" X 1/4" PHILLIPS (100 Per
Box)
3
$30.90
BOX
SPILL CONTROL
TARPS
3M C-SKFL31
5F835
31 GLN SPILL KIT - DRUM,
SORBENTS
-
$188.25
EACH
GGS
2W693-A
2W693
8 X 10 POLYETHYLENE
TARP BLUE COLOR
-
$6.58
EACH
SPC SKH-55
5UZ67
55 GLN HAZ SPILL KIT - 50
PDS,4 SOCS,8 PLWS,5 BGS
-
$380.25
EACH
GGS
2W696-A
2W696
15 X 20 POLYETHYLENE
TARP BLUE COLOR
-
$24.51
EACH
SPC SKH-95
5UZ65
95 GLN HAZ SPILL KIT - 100
PDS,12 SOCS,8 PLWS,10 BGS
-
$662.50
EACH
GGS
5W119-A
5W119
20 X 30 POLYETHYLENE
TARP BLUE COLOR
-
$49.65
EACH
GLOW STICKS
GGS
4VZ56
4VZ56
10' X 12' HEAVY DUTY POLY
SILVER TARP
-
$24.52
EACH
OMNIGLOW
9-27720221
5HM92 8 HOUR BLUE
10
$1.58
EACH
FIRST AID
OMNIGLOW
9-27053221
5HM89 12 HOUR GREEN
10
$1.58
EACH
NORTH 011562-
4334L
3BB48
EMERGENCY
PREPAREDNESS FIRST AID
KIT
-
$74.95
EACH
OMNIGLOW
9-27719221
5HM91 12 HOUR RED
10
$1.58
EACH
NORTH 01-21-
03
4A421
MOBILE FIRST AID KIT (FOR 75
TO 100 PEOPLE)
-
$180.50
EACH
OMNIGLOW
9-27721221
5HM93 12 HOUR YELLOW
10
$1.58
EACH
STEINER
BTPCO
4T178
FIRST AID BLANKET - FLAME
RETARDANT WOOL
-
$56.85
EACH
FIRE EXTINGUISHERS
GATORADE
03969
5T405
2.5 GLN POWDER
GATORADE - FOR
REHYDRATION
32
$3.96
EACH
KIDDE PROPLUS5MP 4XP88
5 GLN CLASS A, DRY CHEM
FIRE EXTINGUISHER
-
$35.70
EACH
NORTH 01-15-
00
5M581
CPR MICROSHIELD RESCUE
BREATHER KIT
-
$30.45
EACH
FIREWAY
5X662
2 GLN CLASS B, DRY CHEM
FIRE EXTINGUISHER
-
$13.01
EACH
SELLSTROM
97450
1N783
EMERGENCY FIRE BLANKET
-
$68.50
EACH
KIDDE PRO5CD
5T900
5 GLN CLASS C, CO FIRE
EXTINGUISHER
-
$129.25
EACH
NORTH 01-18-
02
4RL62
EMERGENCY BURN KIT
-
$38.00
EACH
Grainger Account #:
N0
YES
CHECK BOX FOR CALL BACK
N0
YES
CHECK BOX FOR CALL BACK
N0
YES
CHECK BOX FOR CALL BACK
N0
YES
CHECK BOX FOR CALL BACK
** For you specifc account price, please contact your local Grainger branch or go to Grainger.com. EMERGENCY MANAGEMENT SUPPLIES ORDER FORM
Fax your orders to your local Grainger branch! If you need assistance, please contact your local branch or 1-800-CALL WWG (800-225-5994)
Ship to:
Contact Name:
Order Date:
/ /
Agency Name:
Delivery Date Required:
Special Requirments?:
*Write "WILL-CALL" in Ship to location if picking up order at your local branch
/ /
Local Telephone Number:
For Further Information, Contact:
Purchase Order Number:
List credit card number or check box to have Grainger call for credit card number.
Backorder out-of-stock items?:
Call your local branch for details on Emergency Express Financing.

Credit Card Number:
_____________________________
Expiration Date:
____________
Fax Number:
Credit Card Type:
_______________________
Manufacturer
Grainger
Description
Case Order
Cat. Unit
Unit of
Manufacturer
Grainger
Description
Case
Order
Cat. Unit
Unit of
Stk #
Stock #
Qnty.
Qty
Price**
Meas.
Stk #
Stock #
Qnty.
Qty
Price**
Meas.
OUTDOOR EXTENSION CORDS & JUMPER CABLES
TAPE
LUMAPRO 3EA98
3EA98
MEDIUM DUTY 16 GAUGE
25
-
$7.99
EACH
NASHUA 398
2W504
INDUSTRIAL GRADE 2 INCH
SILVER DUCT TAPE
24
$8.20
EACH
POWER FIRST
1FD55
1FD55
GENERAL PURPOSE 14
GAUGE 50
-
$19.29
EACH
SCOTCH 2308
2A234
1" MASKING TAPE
36
$2.57
EACH
POWER FIRST
1FD56
1FD56
HEAVY DUTY 14 GAUGE
100
-
$40.00
EACH
SCOTCH 2308
2A235
2" MASKING TAPE
24
$7.11
EACH
POWER FIRST
1FD74
1FD74
3 OUTLET PWR CNTR 3
LENGTH
-
$7.73
EACH
HANSON 14995
4A416
YELLOW CAUTION BARRIER
TAPE 3" X 1000'
-
$13.15
EACH
COMMUNICATION
MISCELLANEOUS
DYNAVOX
4H973
MEGAPHONE - 25 WT,
1000 YD RANGE
-
$133.35
EACH
BLITZ USA
50833
3BE11
5 GALLON POLY GAS CANS
RED COLOR
4
$8.31
EACH
MAXON 49-SX
5H598
2-WAY RADIO, HANDS-
FREE, VOICE-ACTIVATED
-
$41.75
EACH
IGLOO 1402
4GL76
6 GALLON WATER
CONTAINERS
5
$15.73
EACH
MOTOROLA
P24SSF03B2
1WC90
2-WAY RADIO, 6 CHNL,
UHF, 6 MILE RANGE
-
$309.00
EACH
WELLINGTON
87066
2W737
ROPE--100 NYLON 1/4"
COILETTE
-
$25.90
EACH
PERSONAL PROTECTIVE EQUIPMENT & RAIN GEAR
DAYTON
3VE19
3VE19
WET/DRY SHOP VACUUM - 8
GALLON
-
$70.70
EACH
Condor 5JH03
5JH03
ECON LEATHER PALM
MEN'S L GAUNTLET GLVS
-
$1.93
PAIR
POLAR
PLASTICS C8415
4JX91
PLASTIC SHEETING FILM 8'
4" X 200' CLEAR - 1.5 MILS
-
$18.01
EACH
Condor 2AP24
2AP24
HD LEATHER PALM SFTY
CUFF MEN'S L GLOVES
-
$4.35
PAIR
TEEL 1P580
1P580
PORTABLE UTILITY PUMPS FOR NON-
FLAMMABLE SEWAGE WTR
-
$63.30
EACH
UVEX S1359C
6T270
UVEX PROTECTIVE
EYEWEAR
10
$6.87
EACH
AIR SYSTEM
SVB-E8XCUP
4YG63
CONFINED SPACE VENTILATOR -
EXPLOSIVE PROOF, 3/4 HP
-
$2,013.00
EACH
CONDOR 1VT67
1VT67 SAFETY GOGGLES
12
$1.71
EACH
DAYTON 3VE50
3VE50
HEATER - PORTABLE OIL,
120,000 BTU, THERMOSTAT
-
$315.00
EACH
CONDOR 5AM96-A
5AM96
3 PIECE PVC RAINWEAR -
LARGE
6
$9.86
EACH
MOVINCOOL
CLASSIC 10
6E868
PORTABLE AIR
CONDITIONER
-
$2,495.00
EACH
LACROSSE/RAINFAIR
2400-9085(10)
4T271
OVER THE SHOE BOOTS -
YELLOW / SIZE 10
4
$20.22
PAIR
AGRI-FAB 45-
01841
5Z096
HEAVY-DUTY UTILITY DUMP
CART/TRAILER
-
$264.50
EACH
LACROSSE/RAINFAIR
87546(10)
4ML55 SIZE 10 BOOTS 16" HIGH
6
$14.30
PAIR
HAZMAT EQUIPMENT & GEAR
NORTH
4X637 YELLOW HARDHAT
-
$5.72
EACH
FINDMRO
LSS 86279 M-8 DETECTION PAPER
-
CALL
EACH
HOWARD LEIGHT
MAX-30
5FV17
MAX PRE-SHAPED FOAM
W/ CORD
100/
BX
$31.30
BOX
IS TMX412 KIT-
1080
5HP52
MULTI-GAS METER - LEL, O2,
CO, H2S
-
$2,954.00
EACH
SMC 2212093
5ZM70
FLASHING VEST - REQ 2
AA BATTERIES
-
$40.35
EACH
MARMAC
TK10XRB
5HH23
LEVEL A SUIT/REAR ENTRY
/TYCHEM TK/L-XL
-
$838.50
EACH
3M 8000
1FC30
N95 LIGHT-DUTY
RESPIRATOR
30
$16.95
BOX
MARMAC
42122
5HH71
LEVEL B SUIT/HOODED
CVRALLS W/ BOOTS-XL (3)
-
$68.90
EACH
SECURITY
BULLARD 1S02
4XR29
ISOTHERM COOLING VEST
-
$217.25
EACH
MASTERLOCK 15
1D574
PADLOCK - HIGH SECURITY, 5-
PIN TUMBLER CYLINDER
-
$18.32
EACH
LACROSSE
RAINFAIR
4T266
OVER THE SHOE HAZMAT
BOOTS - L
-
$3.66
PAIR
RANGER M1000
6KG16
METAL DETECTOR - HAND-
HELD SCANNER
-
$178.50
EACH
PERFECT FIT F-
446-10
1RL76
COBRA FLUOROsOLV CHEM
GLOVES
-
$37.45
EACH
SMC 2057679
1EC62
WARNING BARRIER
FENCE 4' X 100'
-
$74.35
EACH
UNDERX 92626
92628L
CARBONX FLAME/CHEM
RESISTANT PANTS
-
CALL
EACH
DECONTAMINATION
3M FR-57L68
4DA72
PAPR RAPID RESP HOOD W/
LITHIUM BATT, CARTRIDGE
-
CALL
EACH
FINDMRO/ ZUMRO
150-7700 DECONTAMINATION TENT
-
CALL
EACH
3M FR-M40-10
4DA64
MILITARY-TYPE FULL FACE
RESPIRATOR W/ FR-64 CTRG
-
CALL
EACH
FINDMRO/ DQE
CORP
HM4000
SHOWER, SHOWER BAG, POOL,
BAG, DRENCH HOSE
-
CALL
EACH
MSA 10026265
4DA83
COMMUNICATION SYSTEM
FOR FULL FACE RESP.
-
CALL
EACH
FINDMRO
LSS
18653
DECONTAMINATION KIT
-
CALL
EACH
NORTH ER1000
4CY16
ESCAPE HOOD
-
CALL
EACH
Grainger Account #:
N0
YES
CHECK BOX FOR CALL BACK
N0
YES
CHECK BOX FOR CALL BACK
N0
YES
CHECK BOX FOR CALL BACK
N0
YES
CHECK BOX FOR CALL BACK
N0
YES
CHECK BOX FOR CALL BACK
N0
YES
CHECK BOX FOR CALL BACK
N0
YES
CHECK BOX FOR CALL BACK
** For your account specific