HomeMy WebLinkAbout238894 11/05/14 `��.�,,M° CITY OF CARMEL, INDIANA VENDOR: 226500
® 31 ONE CIVIC SQUARE NORTHERN SAFETY CO. INC CHECK AMOUNT: $*****1,452.42*
:° CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 238894
�M�TaN UTICA NY 13504 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 901124743 1,452.42 OTHER EXPENSES
JkIORTHERN Remember.. We Always Offer •
• 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")
TO
•UR ■ ■ • • YOUR CUSTOMER ID F City Of Carmel
STMERI , UR INVICE AND
ORDER NO.IN ALL COMMUNICATIONSREGARDING
2411866 4915E 106th St
CARMEL IN 46033-3800
SOLD F USA
TO: City Of Carmel
Utilities Dept
3450 W 131 st St
CARMEL IN 46074-8267
USA KR92214 10/08/2014
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 11/13/2014
INVOICE NOJORDER NO.
901124743 1100630107 10/14/2014 IF PAID BY 11/03/2014 PAY $ 1429.00
ORDERED SHIPPED - ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 25194 EA IBC SPL PAL W/DRAIN 62"X 62"X 28" 1,085.45 1,085.45
1 1 25195 EA IBC BUCKET SHLF 1160 85.41 85.41
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
UNPAID BALANCE. $ 0.00 $ 281.56 $ 1452.42
Payments must be payable in US dollars only
---"20/cdiscount does roof apply to credit-card p6yments— - —---- - —Thank You or Your Order!---
FEDERAL
rder---
FEDERAL ID#16-1214814
VOUCHER # 142172 WARRANT# ALLOWED
226500 IN SUM OF $
NORTHERN SAFETY CO, INC
PO BOX 4250
UTICA, NY 13504
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
901124743 07-1052-14 $1,452.42
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Voucher Total $1,452.42
Cost distribution ledger classification if
claim paid under vehicle highway fund 1
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 10/28/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/28/201, 901124743 $1,452.42
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 MffUr