HomeMy WebLinkAbout233554 6 /11/2014 ,+ cep'' CITY OF CARMEL, INDIANA VENDOR: 226500
j; ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******122.82*
a° CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 233554
+"�iroN co'� UTICA NY 13504 CHECK DATE: 06/11114
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 900912221 122.82 GENERAL PROGRAM SUPPL
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")
PLEASE REFER TO YOUR CUSTOMER • OUR • AND YOUR CUSTOMER ID F Carmel Clay Parks&Recreation
ORDER NO.IN ALL COMMUNICATIONS REGARDING THISINVOICE 4816021 Joshua
1235 CENTRAL PARK DRIVE EAST
SOLD Carmel Clay Parks&Recreation CARMEL IN 46032-4421
TO: USA
1411 E 1 16th St REF,
Cly ham.,�.,�T�F L
CARMEL IN 46032-3455 [tom s� m
USA JUN -' 2 2014
XX-661 05/28/2014
L BY: YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY `"06/27/2014
INVOICE NO./ORDER NO.
00912221 /980294430 05/28/2014 FEDEX GROUND 05/28/2014 IF PAID BY 06/17/2014 PAY $ 120.75
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 1602 BX KNUCKLE BANDAGE 1 1/2 X 3 100BX 8.67 8.67
2 2 1580 BX FABRIC STRIPS 3/4 X 3 100BX 1580033 4.49 8.98
1 1 4646 BX HYDROCORTISONE CREAM 1% 144/BX 18.75 18.75
8 8 24778 EA 1 st AID SPRAY HYDROGEN PEROXIDE HP2-24 2.90 23.20
6 6 2036 EA WATRPRF ADHES TAPE VX 5 YD 2040033 1.99 11.94
8 8 30882 EA ACTIVGEL 4 OZ.HAND SANITIZER/CLEANER 2.00 16.00
4 4 30884 EA ACTIVGEL 120Z PUMP HAND SANITIZER/CLEANR 4.00 16.00
Ib� l -II
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 $ Q,OO $ 19.28 $ 122.82
UNPAID BALANCE.
- -Payments must-be payable in US dollars only `-
•=2%discount does not apply to credit card payments Thank You for Your Order!
FEDERAL ID#16-1214814
ACCOUNTS PAYABLE VOUCHER -N
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
5/28/14 900912221 First aid supplies xx661 $ 122.82
Total $ 122.82
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
I
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
In Sum of$
$ 122.82 +
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept#
1081-11 900912221 4239039 $ 122.82 t 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
5-Jun 2014
I
Signature
$ 122.82 Accounts Payable Coordinator
i Cost distribution ledger classification if Title
r claim paid motor vehicle highway fund
I