HomeMy WebLinkAbout233093 05/28/14 ,4�q
CITY OF CARMEL, INDIANA VENDOR: 226500
s 3t ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $'•.**'*541.04"
x• ��' CARMEL, INDIANA 46032 PO BOX 4250 CHECK NUMBER: 233093
'y�loN. UTICA NY 13504 CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 900882772 541.04 SAFETY SUPPLIES
NORTHERN Remember... We Always Offer
• Our Lowest Price When You Order. PLEASE REMIT TO.
PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! NORTHERN SAFETY CO., INC.
Phone: 800.631.1246• Fax: 800.635.1591 P.O. Box 4250
northernsafety.com Utica, NY 13504-4250
SHIP TO(IF OTHER THAN"SOLD TO")
YOUR CUSTOMER IDPLEASE REFER TO YOUR • OUR INVOICE AND Carmel Clay Parks&Recreation
ORDER NO.IWALL COMMUNICATIONS REGARDING THIS INVOICE 4816021 Courtney
1427 E. 116TH STREET
SOLD CARMEL IN 46032
TO: Carmel Clay Parks&Recreation �-yEI ED USA
1411 E 116th St °��=s �S/ �sL
CARMEL IN 46032-3455 MAY 12 2014 L
USA
"A!. 36965 05/06/2014
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 06/05/2014
INVOICE NO./ORDER NO.
00882772/980284936 05/06/2014 FEDEX GROUND 05/06/2014 IF PAID BY 05/26/2014 PAY $ 530.91
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
10 10 4444 BX BAND-AID FABRIC STRIPS 1 X3 100BX 6.99 69.90
5 5 7280 BX STERILE PADS 4'X 4' 100BX 7280033 17.43 87.15
10 10 2036 EA WATRPRF ADHES TAPE VX 5 YD 2040033 1.99 19.90
6 6 19818 EA IRRIGATE EYE WASH 4 OZ BOT SNGL USE 3.17 19.02
4 4 1728 EA HYDROGEN PEROXIDE 16 OZ BOT 1.39 5.56
4 4 7700 M EA HALF MASK SILICONE RESPIR 7700-30 M 26.68 106.72
2 2 7700 L EA HALF MASK SILICONE RESPIR 7700-30 L 26.68 53.36
6 6 3959 PR NORTH P100 PARTIC CART 7580P100 9.01 54.06
4 4 3952 PK NORTH ORGANIC VAPOR/ACID GAS CART 2PK 12.27 49.08
10 10 7019 EA RESPIR STORG BG 14'X16'W/ZIPPPER 4.20 42.00
j_-_j QST A I r.J 5 pPwc5
SALES TAX SHIPPING&HANDLING
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 34.2976541.04
UNPAID BALANCE. _-
Payments must be
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
226500 Northern Safety Co., Inc. Terms
P.O. Box 4250
Utica, NY 13504-4250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/6/14 900882772 First aid supplies 36966 $ 541.04
Total $ 541.04
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20—
Clerk-Treasurer
Voucher No. Warrant No.
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226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
In Sum of$
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$ 541.04
i
i
ON ACCOUNT OF APPROPRIATION FOR
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109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Deptept#
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1094 900882772 4239012 $ 541.04 i 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
` materials or services itemized thereon for
which charge is made were ordered and
received except
I
22-May 2014
Signature
$ 541.04 Accounts Payable Coordinator
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund