HomeMy WebLinkAbout234080 06/25/14 �,q,Tf CITY OF CARMEL, INDIANA VENDOR: 226500
43 i
�/ ,• ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $**"****466.07*
9 ` ,�, CARMEL, INDIANA 46032 UTIBOX CA 4250 CHECK NUMBER: 234080
,TON CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239012 900932297 466.07 SAFETY SUPPLIES
NORTHERN Remember... We Always Offer
•M74 P. 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 ID
PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND Carmel Clay Parks&Recreation
ORDER NO.IN ALL,COMMUNICATIONS
4816021 Courtney
1427 E. 1 16TH STREET
SOLD CARMEL IN 46032
TO: Carmel Clay Parks&Recreation USA
1411 E116th St �!:(i�°1;t �(�f
CARMEL IN 46032-3455 �J
USA JUN 16 2014
37163 06/10/2014
[BY: YOUR PURCHASE ORDER NUMBER AND DATE
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NO./ORDER NO.OUR
INVOICE - INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 07/10/2014
00932297/980300336 06/10/2014 FEDEX GROUND 06/10/2014 IF PAID BY 06/30/2014 PAY$457.29
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 22851 BK EA NS BREAKAWAY EYEWR RETAINER BK 12BG 2.87 2.87
5 5 21543 EA SPLASH GOGGLES 4401-400 2.75 13.75
6 6 4534 EA POISON OAK-N-IVY CLEANSER 12 OZ 10.55 63.30
2 2 23259 OE L EA NS HIVIS ECON CLS 2 OE L 13.99 27.98
2 2 20095 BX NS7000 NUISANCE DUST MASK 50/BX SH605A 9.45 18.90
4 4 7019 EA RESPIR STORG BG 14'X16'W/ZIPPPER 4.42 17.68
4 4 7700 L EA HALF MASK SILICONE RESPIR 7700-30 L 28.08 112.32
4 4 3951 PK NORTH ACID GAS CART 2PK N75002 12.58 50.32
4 4 3959 PR NORTH P100 PARTIC CART 758OP100 9.01 36.04
4 4 3884 PR NORTH MULTIGAS/VAPOR P100 CART.75SCP100 23.98 95.92
cj�F�ty �JUPP��S MO
112, —t-4-D1--�239�1Z
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ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2%PER SALES TAX SHIPPING&HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 26.99 $ 466.07
UNPAID BALANCE.
Payments Tust be payable in US dollars only _
"2q discount does not apply to credit card payments Thank You for Your Order!
FEDERAL ID#16-1214814
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
6/10/14 900932297 Safety Supplies MO 37163 $ 466.07
Total $ 466.07
I 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
120
Clerk-Treasurer
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Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250 i
In Sum of$
$ 466.07
ON ACCOUNT OF APPROPRIATION FOR f
101 General Fund
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PO#or Board Members
Dept# INVOICE NO. ACCT WTITLE AMOUNT
37163 F 900932297 4239012 $ 466.07 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
II�
received except
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19-Jun 2014
r
i.
Signature
$ 466.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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