HomeMy WebLinkAbout240388 12/16/14 CITY OF CARMEL, INDIANA VENDOR: 226500
(9,
ONE CIVIC SQUARE NORTHERN SAFETY CO, INCCHECKAMOUNT: $*******552.98*
CARMEL, INDIANA 46032 PO BOX 4250 CHECK NUMBER: 240388
UTICA NY 13504 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 901185835 274.95' GENERAL PROGRAM SUPPL
1092 4239039 901197227 278.03 GENERAL PROGRAM SUPPL
NORTHERN Remembera.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")
REFERPLEASE TO YOUR CUSTOMER • OUR • YOUR CUSTOMER ID .Cherry Tree Elementary
ORDER NO.IN ALL COMMUNICATIONS REGARDING THIS INVOICE 4816021. Tiffany
13989'Hazel Dell Parkway
SOLD . � CARMEL IN 46033-8748
TO: Carmel Clay Parks&Recreation - --
1411 E 116th Sty r USA
CARMEL IN 46032-3455
USA DEC = 1 2014 ugl
B : 3783 11/21/2014
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE-DATE SHIPPED VIA DATE SHIPPED- = PAYMENT DUE BY---1-2/21/2014
INVOICE NWORDER NO. -
011858351980372281 - 11/21/2014' -F,EDEX"GROUND - -11/2112014 IF PAID BY 12/11/2014 PAY.$269.83
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
11 11 3904 EA MICROKEY CPR PROTECOR BK 8.96 98.56
11 11 8808 EA STERILE FILED GAUZE BANDAGE 3 X 2 YD 3.32 36.52
11 11 8809 EA STERILE FILED GAUZE BANDAGE 4 X 2 YD 4.28 47.08
1 1' 4646' BX HYDROCORTISONE CREAM 1% 144/BX 18.75 18.75
1 1 26975 BX DYNAREX POROUS TAPE 1" 12/BX 13.49 13.49
11 11 24615 EA TRAUMA DRESSING 1030TD 3.01 33.11
15 15 7356 PK SPLINTER OUT 2-PK(500 2-PKS PER CS) 0.58 8.70
SALES TAX 1 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 $ 18.74 $ 274.95
UNPAID BALANCE.
in US dollars only
- dit card payments Thank You for Your Order!
FEDERAL ID#16-1214814
NORTHERN Rememmc;r...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")
YOUR CUSTOMER ID
PLEASE REFER TO -CUSTOMER ID,.OUR INVOICE AND Carmel Clay Parks&'Recreation
ORDER NO.
4816021 Mike
1235 CENTRAL PARK DRIVE EAST
SOLD CARMEL IN 46032-4421
TO: Carmel Clay Parks&Recreation =—g
1411 E 116th St USA
CARMEL IN 46032-3455
L
USA Dawn 12/03/2014
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 01/02/2015
INVOICE NO./ORDER NO.
01 1 97227 1 980375619_ _ 12/03/2014 FEDEX GROUND 12/03/2014 IF PAID BY 12/23/2014_PAY$_273.00
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
2 2 1315 CS SHEER STRIPS 1 X 3 1500CS 131 4000 52.35 104.70
3 3 7270 BX STERILE PADS 3'X 3' 100BX 7270033 12.51 37.53
3 3 7280 BX STERILE PADS 4'X 4' 100BX 7280033 18.35 55.05
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
. 31g5�
SALES TAX SHIPPING&HANDLING • •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2P/ PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 26.40 $ 278.03
UNPAIDMCE.
S dollars only - - - --- - - — -_
Ord 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 901185835 Program supplies 37830_ $ 274.95
12/3/14 901197227 Front desk first aid supplies 37856 $ 278.03
Total $ 552.98
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
120
Clerk-Treasurer
i
Voucher No. Warrant No.
.226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 135044250
In Sum of$
i
$ 552.98 i
I'ON ACCOUNT OF APPROPRIATION FOR )f
108 ESE/109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-2 901185835 4239039 $ 274.95 ++ 1 hereby certify that the attached invoice(s), or
1092 901197227 4239039 $ 278.03 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
I4,
I 11-Dec 2014
I
Signature
$ 552.98 1 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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