HomeMy WebLinkAbout237481 09/23/14 y or_4QNy
CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******261.27*
s =a CARMEL, INDIANA 46032 PO BOX 4250 CHECK NUMBER: 237481
��TON�� UTICA NY 13504 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER _ INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 37586 901075833 261.27 SAFETY & CLEANING SUP
AIORTHERN ,-. 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
nor'thernsafety.com Utica, NY 13504-4250
SHIP TO(IF OTHER THAN"SOLD TO")
. . CUSTOMERUR YOUR CUSTOMER ID F Carmel Clay Parks&Recreation
PLEASE REFER TIDj OUR INVOICE AND
ORDER NO. ' ' 4816021 Courtney
1427 E. 116TH STREET
-:- __ ___ CARMEL IN 46032
TOLD Carmel Clay Parks&Recreation '': "''" > ..,h,.= USA
1411 E 1 16th St L
CARMEL IN 46032-3455 SCP 5 2014
USA
37586 09/11/2014
` YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 10/11/2014
INVOICE NO./ORDER NO.
901075833/980340433 09/11/2014 FEDEX GROUND 09/11/2014 IF PAID BY 10/01/2014 PAY $ 256.48
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
16 16 17295 EA 320Z PLAIN BOT 120125 0.97 15.52
16 16 17286 EA TRIGGER SPRAYER MODEL 320 9 1/4' 11050 0.91 14.56
8 8 4164 EA TYCHEM QC APRON 28'X 36' 2.31 18.48
4 4 4534 EA POISON OAK-N-IVY CLEANSER 12 OZ 10.19 40.76
10 10 26523 EA ZTEK EYEWR GY LENS s252Os 2.80 28.00
5 5 22888 EA LEIGHTNING L3 NRR 30 EAR MUFFS 1010924 24.47 122.35
Sa�e j drill SUJ�)L-i(v-5
TOTALDUE
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 $ 21.60 $ 261.27
UNPAID BALANCE.
Payments must be payable in US dollars only
"2%discount-does-not apply to credit card payments- Thank You-for-Your-Orderl----
FEDERAL ID#16-1214814
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
9/11/14 901075833 Safety&cleaning supplies 37586 $ 261.27
Total $ 261.27
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
20_
Clerk-Treasurer
i
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
In Sum of$
$ 261.27
ON ACCOUNT OF APPROPRIATION FOR
101 General
A
Dept
INVOICE NO. ACCT#/TITLE AMOUNT I Board Members
Deept#
37586 F 901075833 4238900 $ 261.27 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
which charge is made were ordered and
received except
18-Sep 2014
Signature
$ 261.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund