243024 03/11/15 CITY OF CARMEL, INDIANA VENDOR: 226500
® .I ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******585.14*
CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 243024
9y TON , UTICA NY 13504 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239012 38119 901305157 585.14 FIRST AID SAFETY ITEM
ORTHERN Remember...We Always Offer •
, § V, - -ty& Industrial Our Lowest Price When You Order.
.PLEASE REMIT TO:
PO Box 4250 • Utica, NY 13504 2-5•`r—�+��� tisfaction Guaranteed! NORTHERN SAFETY CO. INC.
Phone:800.631.124e • Fax: 800.6 5 1'5 1` e P.O. Box 4250
northernsafety.com Utica, NY 13504-4250
MAR 0.2 2015
BY: SHIP TO(IF OTHER THAN"SOLD TO")
YOUR CUSTOMER IDPLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND Carmel Clay Parks&Recreation
ORDER NO.
NS REGARDING THIS INVOICE4816021 Courtney
1427 E. 116TH STREET
SOLD � CARMEL IN 46032
TO: Carmel Clay Parks&Recreation
USA
.1411 E 1 16th St
CARMEL IN 46032-3455
USA
38119 02/24/2015
L YOUR PURCHASE ORDER NUMBER AND DATE
INVOICE OJORDEFI NO. INVOICE-IDATE -------SHIPPED VIA` DATE=SHIPPED=-- -PAY-MEN DUE-BY— 03/26/2015 ---- - - -
01305157/980407192 02/24/2015 FEDEX GROUND 02/24/2015 IF PAID BY 03/16/2015 PAY$573.98
ORDERED "SHIPPED, ITEM NO..- UOM - --- - ---'DESCRIPTION__- u UNIT PRICE EXTENDED AMOUNT
2 2 1580 BX FABRIC STRIPS 3/4 X 3 100BX 1580033 4.49 8.98
16 16 24799 EA IRRIGATE EYEWASH 1 OZ 19828 2.29 36.64
12 12 31014 EA VEHICLE FIRST AID KIT FAO-532-NS 9.49 113.88
1 1 BC152 EA 2015 CATALOG KIT 0.00 0.00
SALES TAX SHIPPING&HANDLING
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF P/x%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 27.07 $ 585.14
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
.�®RTHERN Remember... We Always Offer
MI • Our Lowest Price When You Order. PLEASE REMIT TO:
PO Box 4250 • Utica, NY 13504-4250EMAIR
-0�pc Satl action_guaranteed! NORTHERN SAFETY CO., INC.
Phone: 800.631.1246 • Fax:800.635.1591 l P.O. Box 4250
northernsafety.com ®; 2015 ! Utica, NY 13504-4250
i
SHIP TO(IF OTHER THAN"SOLD TO")
PLEASE'REFER TO YOUR CUSTOMER ID,OUR INVOICE AND _—POUR CUSTOMER ID Carmel Clay Parks&Recreation
ORDER NO.
IN ALL COMMUNICATIONS
4816021 Courtney
1427 E. 116TH STREET
SOLD � CARMEL IN 46032
TO: Carmel Clay Parks&Recreation
USA
1411 E 1 16th St
CARMEL IN 46032-3455
USA
38119 02/24/2015
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR , INVOICE DATE -SHIPPED VIA DATE SHIPPED PAYMENT-DUE-BY" 03/26/2015
INVOICE NO./ORDER NO.
01305157/980407192 02/24/2015 FEDEX GROUND 02/24/2015 IF PAID BY 03/16/2015 PAY $ 573.98
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
2 2 26019 M PR MECHANIX UTIL GLV M UTIL GLV CG- 21.96 43.92
3 3 26019 L PR MECHANIX UTIL GLV L 21.96 65.88
3 3 26019 XL PR MECHANIX UTIL GLV XTRA L 21.96 65.88
2 2 23259 OE M EA NS HIVIS ECON CLS 2 OE M 13.99 27.98
2 2 23259 OE L EA NS HIVIS ECON CLS 2 OE L 13.99 27.98
2 2 23259 OE XL EA NS HIVIS ECON CLS 2 OE XL 13.99 27.98
2 2 23259 OE 2XL EA NS HIVIS ECON CLS 2 OE 2XL 13.99 27.98
1 1 26490 EA OTS OVER THE GLASS CLR LENS S3510SJ 3.99 3.99
5 5 26521 EA ZTEK EYEWR CLR LENS S251 OS 2.71 13.55
10 .10 26523 EA ZTEK EYEWR GY LENS s2520s 3.12 31.20
1 1 26491 EA OTS OVER THE GLASS GY LENS S3520SJ 4.39 4.39
2 2 22888 EA LEIGHTNING L3 NRR 30 EAR MUFFS 1010924 26.36 52.72
2 2 30962 BX ALCOHOL PREP PAD M 2.56 5.12
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.
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
Please return bottom portion with payment:
SOLD Carmel Clay Parks&Recreation YOUR CUSTOMER ID Carmel Clay Parks&Recreation
TO: 1411 E 116th St 4816021 Courtney
CARMEL IN 46032-3455 1427 E. 116TH STREET
USA SHIP CARMEL IN 46032
TO:
L LUSA
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 03/26/2015
INVOICE NO./ORDER NO.
01305157/980407192 02/24/2015 FEDEX GROUND 02/24/2015
SALES TAX SHIPPING&HANDLING •
�I'I'lll'I IIIIII'lllll� �� III
Page 1of2
Northern Safety Co., Inc. • P.O. Box 4250 • Utica, NY 13504-4250
❑See Reverse Side for Name/Address Correction accounting@northernsafety.com Rev.05/11
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
2/24/15 901305157 Safety supplies for staff/back up inventory 38119 $ 585.14
Total $ 585.14
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. f Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
j In Sum of$
$ 585.14
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
A'
i
r
PO#orINVOICE NO. ACCT#/TITL AMOUNT ( Board Members
Dept#
38119 F 901305157 4239012 $ 585.14 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
March 5, 2015
1P
Signature
$ 585.14 Accounts Payable,Coordinator.. ,
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund