HomeMy WebLinkAbout240070 12/09/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECKAMOUNT: $*******249.41*
CARMEL, INDIANA 46032 PO Box 4250 CHECK NUMBER: 240070
UTICA NY 13504 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 901185836 249.41 SAFETY SUPPLIES
NORTHERN ReEmemb,.Ir..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")
PLEASE REFER TO
YOUR CUSTOMER •UR INVOICE YOUR CUSTOMER ID Carmel Clay'Parks&Recreation
.•. .
481602'1 Eric
1235 CENTRAL PARK DRIVE EAST
TOLD Carmel Clay Parks&Recreation CARMEL IN 46032-4421
1411 E 116th St
=BY:
USA
CARMEL IN 46032-3455L
USA XX-1418 11/21/2014
YOUR PURCHASE ORDER NUMBER AND DATE
OURINVOICE--DATE —-SHIPPED VIA DATE SHIPPED PAYMENT-DUE BY 12/21/2014- -
INVOICE NO./ORDER NO.
01185836/980372554 11/21/2014 FEDEX GROUND 11/21/2014 IF PATO BY 12/11/2014-PAY$244.93_ -
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 1315 CS SHEER STRIPS 1 X 3 1500CS 131 4000 52.35 52.35
4 4 7270 BX STERILE PADS 3'X 3' 100BX 7270033 11.88 47.52
4 4 7280 BX STERILE PADS 4'X 4' 100BX 7280033 17.43 69.72
15 15 6115 EA STRETCH GAUZE BANDAGE 2'X 2 YD 1.92 28.80
10 10 2035 EA WATRPRF ADHES TAPE.5'X 5 YD 2035033 1.86 18.60
5 5 1728 EA HYDROGEN PEROXIDE 16 OZ BOT 1.39 6.95
• •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2%PER SALES TAX' SHIPPING&HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 25.47 $ 249.41
UNPAID BALANCE.
Payments must be payable in US dollars only
"2%discount does not apply to credit card payments Thank You for Your Order!
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
11/21/14 901185836 Safety supplies xx1418 $ 249.41
Total $ 249.41
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
;In Sum of$
249.41
ON ACCOUNT OF APPROPRIATION FOR _-
109 Monon Center I;
I:
PO#orBoard Members
Dept#
INVOICE NO. ACCT#/Tll'L AMOUNT
1094 9011-85836 .4239012. .$ 249.4.1 I 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
4 received except.
I
{ 3-Dec 2014
I;
I
Signature
$ 249.41 Accounts_Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I