HomeMy WebLinkAbout236958 09/10/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******188.27*
CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 236958
UTICA NY 13504 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 901045850 188.27 GENERAL PROGRAM SUPPL
NORTHERN Remember.. We Always OfferINVOICE
- ' Our Lowest Price When You Order.
PLEASE REMIT TO:
PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! NORTHERN SAFETY CO.,INC.
Phone: 800.631.1246 1 Fax: 800.635.1591
northernsafety.com P.O. Box
Utica, NY 13504-404-4
250
I�SHIP TO(IF OTHER THAN"SOLD TO")
PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND YOUR CUSTOMER ID I Carmel Clay Parks&Recreation
ORDER NO.
IN ALL COMMUNICATIONS . INVOICE
4816021 Nikesha
4311 E. 116th Street
SOLD CARMEL IN 46033-3353
TO: Carmel Clay Parks&Recreation
USA
1411E116th St �in•• � - 4.
CARMEL IN 46032-3455 1R-1
USA AUG 2 5 2014
XX-1042 08/21/2014
sy: YOUR PURCHASE ORDER NUMBER AND DATE
- -- ----------- -- - --- ----
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 09/20/2014
INVOICE NO./ORDER NO.
901045850 1980331995 08/21/2014 FEDEX GROUND 08/21%2014 IF PAID BY 09/10/2014 PAY$ 184.83
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 4351 BX TRIPLE ANTIBIOTIC OINTMENT 144/BX 28.17 28.17
8 8 2110 EA CPROTECOR 2000 POLY BG 5.07 40.56
8 8 7975 RL CO-LASTIC ELAST BANDAGE 3'X5YD 4530 3.29 26.32
1 1 7270 BX STERILE PADS 3'X 3' 100BX 7270033 12.51 12.51
1 1 7280 BX STERILE PADS 4'X 4' 1 OOBX 7280033 18.35 18.35
8 8 31963 EA NS TRIANGULAR BANDAGE 1.94 15.52
8 8 1755 EA .SPLINTER FORCEPS 3.5' 15-104 1.85 14.80
1 1 4648 BX 1 st AID CREAM W/ALOE VERA 144BX 15.80 '15.80
)3c,
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF iVz%PER SALES TAX SHIPPING&HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE
UNPAID BALANCE. $ 0.00 $ 16.24 $ 188.27
"--Payments must be payable'in US dollars only
T
"2%discount does not apply to credit card payments ,y� =I hank You for Your Order!_ _
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
8/21/14 901045850 First Aid supplies xx1042 $ 188.27
Total $ 188.27
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
i
, 20_
Clerk-Treasurer
Voucher No. Warrant No. I
I
226500 Northern Safety Co., Inc. Allowed 20 .
P.O. Box 4250
Utica, NY 13504-4250
In Sum of$
$ 188.27
I,
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
i
1
i
PO#or INVOICE NO. ACCT#/TITL AMOUNT f Board Members
Dept# i
1081-11 901045850 4239039 $ 188.27 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
jwhich charge is made were ordered and
received except
4-Sep 2014
i
W.
Signature
$ 188.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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