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Home My WebLink About235965 08/13/14 ^., t• CITY OF CARMEL, INDIANA VENDOR: 226500 ® ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $ '"""'503.48" a° CARMEL, INDIANA 46032 PO BOX 4250 CHECK NUMBER: 235965 UTICA NY 13504 CHECK DATE: 08/13/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4239012 900999595 120.25 SAFETY SUPPLIES 1082 4239039 901003987 383.23 GENERAL PROGRAM SUPPL ®RTHERN R r... We Always Offer ' Ou der. PLEASE REMIT TO: PO Box 4250 • Utica, NY 13504-4250 100%S.. fi fa n Guarante d! NORTHERN SAFETY CO.,INC. Phone: 800.631.1246• Fax: 800.635.1591 —" 2 8 2014 P.O. Box 4250 northernsafety.com Utica, NY 13504-4250 SHIP TO(IF OTHER THAN"SOLD TO") YOUR CUSTOMER ID Carmel Clay Parks&Recreation TO YOUR CUSTOMER • • REGARDING" 4816021 Courtney 1427 E. 116TH STREET TOLD Carmel Clay Parks&Recreation CARMEL IN 4603/2�� 1411 E 116th St USA CARMEL IN 46032-3455 USA XX-915 07/23/2014 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 08/22/2014 INVOICE NO./ORDER NO. 900999595/980319282 07/23/2014` FEDEX GROUND 07/23/2014 IF PAID BY 08/12/2014 PAY $ 118.21 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 1 1 EAR200 BX CLASSIC EAR PLUGS UNCORDED PILLOW PK 31.49 31.49 8 8 14596 EA BUG BARRIER 2 120Z INSECT REPELLENT 12CS 8.84 70.72 I 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 $ 18.04 $ 120.25 UNPAID BALANCE. Payments must be payable in US dollars only PJORTHERN Remember... We Always Offer • • Our Lowest Price When You Order. PEASE 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 Carmel Clay Parks&Recreation • • • . OUR ''' REGARDING" 4816021 Cyndi 4242 E. 126th Street SOLD CARMEL IN 46033-2450 TO: Carmel Clay Parks&Recreation USA IN 1411E 6th St C�Tq '�T CARMEL IN 46032-3455 q� j �4// 3J USA JUL ®.1 2914 37388 07/25/2014 --- YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 08/24/2014 INVOICE NOJORDER NO. 01003987/980320169 07/25/2014 FEDEX GROUND 07/25/2014 IF PAID BY 08/14/2014 PAY $ 376.24 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 4 4 1070 BX EX.LG PLSTC STRIPS 2 X 4 1/2 1070033 4.42 17.68 8 8 6405 BX PREM FABRIC BANDAGES 1'X3' 100BX 6.29 50.32 4 4 6404 BX PREM FABRIC BANDAGES 2X3XL.PATCH 50BX 8.89 35.56 2 2 4351 BX TRIPLE ANTIBIOTIC OINTMENT 144/BX 28.17 56.34 10 10 31964 BX NS STING RELIEF WIPES 1 O/BX 1.70 17.00 6 6 30918 BX BZK ANTISEPTIC WIPES 100BX 1303 2.80 16.80 6 6 22078 M BX FLEXSHIELD PF PREM VINYL GLV 100BX M 6.09 36.54 12 12 1064 EA COLD COMFRT RESUSABLE COLD PK 4"X1 O" 7.36 88.32 4 4 7565 BX NON-ADHERA STERILE PAD 2'X 3'-100BX 7.77 31.08 3-7395 SALES TAX SHIPPING&HANDLING ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'/z%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 33.59 $ 383.23 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#1 6-1 21 481 4 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 7/23/14 900999595 Safety supplies xx915 $ 120.25 7/25/14 901003987 Program supplies 37388 $ 383.23 Total $ 503.48 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 226500 Northern Safety Co., Inc. Allowed 20 P.O. Box 4250 Utica, NY 13504-4250 In Sum of$ $ 503.48 ON ACCOUNT OF APPROPRIATION FOR 101 General Fundj108 ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 900999595 4239012 $ 120.25 1 hereby certify that the attached invoice(s), or 1082-12 901003987 4239039 $ 383.23 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 7-Aug 2014 Signature $ 503.48 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund