HomeMy WebLinkAbout236478 08/27/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INCCHECK AMOUNT: $*******203.16*
CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 236478
UTICA NY 13504 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 901034950 203.16 OTHER EXPENSES
N®�T/- ERN Remember... We Always OfferINVOICE
,, - - 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 YOUR CUSTOMER ID
REFER -CUSTOMER - . ACarmel Water Distribution
ORDER NO.IN ALL COMMUNICATIONS
3217619 3450 W 131st St
CARMEL IN 46074-8267
SOLD F USA
TO: Carmel Water Distribution
3450 W 131 st St L
CARMEL IN 46074-8267
USA
81114PW 08/11/2014
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 09/13/2014
INVOICE NO./ORDER NO.
901034950/100581108 08/14/2014 IF PAID BY 09/03/2014 PAY $ 199.92
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
10 10 22361 CL FT BRUSH STEP POLYPRO CUSTOM LGTH.3' CHAR 8.10 81.00
10 10 22361 CL FT BRUSH STEP POLYPRO CUSTOM LGTH.3' CHAR 8.10 81.00
SALES TAX SHIPPING&HANDLING •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'h%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE
UNPAID BALANCE. $ 0.00 $ 41.16 $ 203.16
Payments must be payable in US dollars only
" 2%discount does not apply to credit-card payments Thank YOl1 f®r Your OFede !
IFEDERAL ID#16-1214814
VOUCHER # 141537 WARRANT# ALLOWED
226500 IN SUM OF $
NORTHERN SAFETY CO, INC
PO BOX 4250
UTICA, NY 13504
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
901034950 01-6200-06 $203.16
r
i
Voucher Total $203.16
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 8/19/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/19/2014 901034950 $203.16
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 Wcer