HomeMy WebLinkAbout235458 07/30/14 CITY OF CARMEL, INDIANA VENDOR: 226500
.� ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******225.07*
CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 235458
UTICA NY 13504 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 900985781 225.07 OTHER EXPENSES
�ORTHERN Remember... We Always OfferINVOICE_
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 CiPLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND .ty Of Carmel
COMMUNICATIONSORDER NO.IN ALL ' INVOICE2411866 4915 E 106th St
CARMEL IN 46033-3800
SOLD FCit Of Carmel USA
TO: Y
Utilities Dept
3450 W 131 st St
CARMEL IN 46074-8267
USA Plant 1 07/15/2014
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR — " INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 08/14/2014
INVOICE NO./ORDER NO.
900985781/100557567 07/15/2014 FEDEX GROUND 07/15/2014 IF PAID BY 08/04/2014 PAY$221.09
ORDERED SHIPPED ITEM-NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
24 24 32332 EA NS RIVAL GT EYEWEAR GRAY LENS 1.69 40.56
2 2 22927 EA SCRUSHER DELUXE BOOT CLEANING BRUSHES 14 62.78 125.56
2 2 23272 EA SCRUSHER REPL BRUSH FOR DELUXE 14 MODEL 16.52 33.04
SALES TAX SHIPPING&HANDLING TOTAL DUE
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
UNPAID BALANCE. $ 0.00 $ 25.97 $ 225.07
Payments must be payable in US dollars.only
2%discount-d6es not'apply to credit card payments - - -- - - — Thank ou for YOUY Ond6r!
FEDERAL ID#16-1214814
VOUCHER # 141175 WARRANT# ALLOWED
i
IN SUM OF $
226500
NORTHERN SAFETY CO, INC ;
PO BOX 4250
UTICA, NY 13504 l
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
'1
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
900985781 01-6200-03 $225.07
'i
Voucher Total $225.07
Cost distribution ledger classification if
claim paid under vehicle highway fund
il,
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
226500
NORTHERN SAFETY CO, INC Purchase Order No.
PO BOX 4250 Terms
UTICA, NY 13504 Due Date 7/21/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/21/2014 900985781 $225.07
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
-
Date Officer