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Home My WebLink About236660 09/03/14 �/ CITY OF CARMEL, INDIANA VENDOR: 226500 �• ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*****""117.35` :9� ;� CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 236660 M�roN�. UTICA NY 13504 CHECK DATE: 09/03/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 901043543 73.34 OTHER EXPENSES 651 5023990 901043543 44.01 OTHER EXPENSES NORTHERN Remember... We Always Offer&vyn- 0 • • Our Lowest Price When You Order. PLEASE REMIT TO: PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! NORTHERN SAFETY CO.,INC. Phone: 800.631.1246' Fax: 800.635.1591 250 northernsafety.com P.O. Box Utica, NY 13504-404-4 250 SHIP TO(IF OTHER THAN"SOLD TO") PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND YOUR CUSTOMER ID F— Carmel Water Distribution ORDER NO. COMMUNICATIONS ' 3217619 3450 W 131st St CARMEL IN 46074-8267 SOLD USA TO: Carmel Water.Distribution 3450 W 131stSt CARMEL IN 46074-8267 USA pw81814 08/18/2014 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 09/19/2014 INVOICE NO./ORDER NO. 9010435431100587262 08/20/2014 IF PAID BY 09/09/2014 PAY$ 115.81 Y ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 1 1 22356 CL EA BRUSH STEP POLYPRO RUNNER 4'x8' CHARCOAL 76.81 76.81 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 $ 40.54 $ 117.35 UNPAID BALANCE. Payments must be payable in US dollars only - -•'2`Y discount-does-nom+-r .,k - __-r:. -__-J.-- _ TL. ..� V...■ �.. ...,■. �'1.. w:..1 VOUCHER # 145411 WARRANT# ALLOWED 226500 IN SUM OF $ NORTHERN SAFETY CO, INC PO BOX 4250 UTICA, NY 13504 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 901043543 01-7200-07 $44.01 4 "1 Voucher Total $44.01 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 8/28/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/28/2014 901043543 $44.01 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 #23'�1,YV,0 R, � T Remember... We Always Offer �� rim 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 C Fax: 800.635.1591 P.O. Box 4250 nor-therr?safety.com Utica; NY 13504-4250 SHIP TO(IF OTHER THAN"SOLD TO") YOUR CUSTOMER ID F Carmel Water Distribution PL ASE REFER • . . • . • ''' ' ' "' ' 3217619 3450 W 131st St CARMEL IN 46074-8267 SOLD Carmel Water Distribution USA TO: 3450 W 131 st St CARMEL IN 46074-8267 USA pw81814 08/18/2014 YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 09/19/2014 INVOICE NO./ORDER NO. 901043543/100587262 08/20/2014 : IF PAID BY 09/09/2014 PAY $ 115.81 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 1 ' 1.' 22356 CL EA BRUSH STEP POLYPRO RUNNER 4'x8'CHARCOAL 76.81 .76.81 �L - SALES TAX SHIPPING&HANDLING ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11h%PER MOUTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 40.54 $ 117.35 UNPAID BALANCE. Payments must be payable in US dollars only �`an g "2%discount does not apply to credit cord payments g.)` You for Your Order! FEDERAL ID#16-1214814 Please return bottom portion with payment: SOLD Carmel Water Distribution- YOUR CUSTOMERIDF—Carmel Water Distribution TO: 3450 W 131 st St 3217619 3450 W 131 st St CARMEL IN 46074-8267 CARMEL IN 46074-8267 USA SHIP USA TO: L L OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 09/19/2014 INVOICE NO./ORDER NO. 901043543/100587262 I 08/20/2014 IF PAID BY 09/09/2014 PAY $ 115.81 SALES TAX SHIPPING&HANDLING x [ Page 1 of 1 $ 0.00 $ 40.54 $ 117.35 1 III 1111 I I II 11111111 II I I II III. --- - -- Northern Safety Co, Inc. - -P-.0--Box-42,50 - -W.,carNY 135--4-4�- - See Reverse Side for Name%4ddress Correction accountinq@no!thernsafetv.com Fey-.0511 VOUCHER # 141591 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 a PO# INV# ACCT# AMOUNT ! Audit Trail Code 901043543 01-6200-07 $73.34 i i n � i Voucher Total $73.34 Cost distribution ledger classification if claim paid under vehicle highway fund i 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, j price per unit, etc. ` Payee 226500 NORTHERN SAFETY CO, INC Purchase Order No. PO BOX 4250 Terms UTICA, NY 13504 Due Date 8/28/2014 0 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/28/2014 901043543 $73.34 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