HomeMy WebLinkAbout244757 04/29/15 .FAA
CITY OF CARMEL, INDIANA VENDOR: 226500
F,
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $"•'••`144.69•
aq CARMEL, INDIANA 46032 PO eOX 4250 CHECK NUMBER: 244757
UTICA NY 13504 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 901380702 144.69 OTHER EXPENSES
ORTHERNNRemember...We Always Offer
• Our lowest hive 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 ID,OUR INVOICE AND YOUR CUSTOMER ID F Carmel Utilities
ORDER NO.IN ALL COMMUNICATIONSREGARDING
346023 Jack
3450 W 131 st St
SOLD F CARMEL IN 46074-8267
TO: Carmel Utilities USA
3450 W 131 st St L
CARMEL IN 46074-8267
USA
Jack 04/14/2015
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY •05/14/2015
INVOICE NO./ORDER NO.
901380702/100777973 04/14/2015 FEDEX GROUND 04/14/2015 IF PAID BY 05/04/2015 PAY $ 142.30
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 9647 EA ACRYLIC HALF DOME MIRK 18' DIA 34.33 34.33
3 3 9651 EA ACRYLIC QUARTER DOME MIRRS 18' 28.36 85.08
1 1 144880 F EA NS FLASHLIGHT/TOOL KIT PROMO 0.00 0.00
1 1 BC152 EA 2015 CATALOG KIT 0.00 0.00
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SALES TAX SHIPPING&HANDLING • ,
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/z%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 25.28 $ 144.69
UNPAID BALANCE. - -
Payments must be payable in US dollars only __ _
VOUCHER # 151555 WARRANT# ALLOWED
226500
IN SUM OF $
NORTHERN SAFETY CO, INC
PO BOX 4250
UTICA, NY 13504 —Lta,
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
II�
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Board members
PO* INV# ACCT# AMOUNT Audit Trail Code
901380702 01-6200-06 $144.69
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Voucher Total $144.69
Cost distribution ledger classification if
claim paid under vehicle highway fund ,j
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 4/20/2015
Invoice Invoice Description
Date Number (or note attached,invoice(s) or bill(s)) Amount
i
4/20/2015 901380702 $144.69
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 Officer