245931 06/03/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*****1,130.17*
CARMEL, INDIANA 46032 PO Box 4250 CHECK NUMBER: 245931
UTICA NY 13504 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 901419093 691.25 SAFETY SUPPLIES
1081 4239039 901421016 274.00 GENERAL PROGRAM SUPPL
1092 4239039 901427308 71.82 GENERAL PROGRAM SUPPL
1096 4239039 901429160 93.10 GENERAL PROGRAM SUPPL
NORTHERN 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: 800.635.154 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 I Carmel Clay Parks'&Recreation
COMMUNICATIONSORDER NO.IN ALL ' INVOICE4816021 . Terese
_ 1235 CENTRAL PARK DRIVE EAST
SOLD r=
U�' i ii �e"T CARMEL IN 46032-4421
TO: Carmel Clay Parks&Recreation .
1411 E 116th St MAY g 4 2015 USA
CARMEL IN 46032-3455 L
USA BY: _
-----� 38454 05/08/2015
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 06/07/2015
INVOICE NO./ORDER NO.
01419093/980440840 05/08/2015 FEDEX GROUND 05%08/2015 IF PAID BY 05/28/2015 PAY $678.35 _
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
20 20 4444 BX BAND-AID FABRIC STRIPS 1 X 3 100 BX 6.99 139.80
10 10 7280 BX STERILE PADS 4'X 4' 100BX 7280033 17.92 179.20
10 10 2036 EA WATRPRF ADHES TAPE VX 5 YD 2040033 1.99 19.90
6 6 19818 EA IRRIGATE EYE WASH 4 OZ BOT SNGL USE 3.17 19.02
8 8 1728 EA HYDROGEN PEROXIDE 16 OZ BOT 1.46 11.68
5 5 7700 M EA HALF MASK SILICONE RESPIR 7700-30 M 24.49 122.45
3 3 7700 L EA HALF MASK SILICONE RESPIR 7700-30 L 24.49 73.47
5 5 3959 PR NORTH P100 PARTIC CART 758OP100 9.14 45.70
8 8 7019 EA RESPIR STORG BG 14'X16'W/ZIPPPER 4.20 33.60
SALES TAX SHIPPING&HANDLING •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1lb%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 46.43 $ 691.25
UNPAID BALANCE.
_Payments must-he-pay-able-in-US dollars_only __
•'2%discount does not apply to credit card payments Thank You for Your Order!
FEDERAL ID#16-1214814
fTHERN ' 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")
PLEASE REFER YOUR CUSTOMER ID
TO • • • • • • Carmel Clay Parks;&Recreation
ORDER
4816021 Cyndi
4242 E. 126th Street
SOLD F CARMEL IN 46033-2450
TO: Carmel Clay Parks&Recreation U USA
1411 E 116th St
CARMEL IN 46032-3455 MAY 15 2015
USA
38459 05/11/2015
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA, DATE SHIPPED PAYMENT DUE BY 06/10/2015
INVOICE NO./ORDER NO.
01421016/980441432 05/11/2015 F EDEX GROUND 05/11/2015 IF PAID BY 05/31/2015 PAY$269.03
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
20 20 31962 BX NS TRIPLE ANTIBOITIC CREAM 20/BX 2.12 42.40
9 9 31964 BX NS STING RELIEF WIPES 10/BX 2.00 18.00
4 4 6405 BX PREM FABRIC BANDAGES 1'X3' 100BX 6.49 25.96
4 4 6404 BX PREM FABRIC BANDAGES 2X3XL.PATCH 50BX 8.89 35.56
3 3 1070 BX EX1G PLSTC STRIPS 2 X 4 1/2 1070033 4.65 13.95
8 8 1064 EA COLD COMFRT RESUSABLE COLD PK 4"X10" 7.36 58.88
4 4 22078 L BX FLEXSHIELD PF PREM VINYL GLV 100BX L 6.09 24.36
16 16 1755 EA SPLINTER FORCEPS 3-.5' 15-104 1.85 29.60
• •
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 $ O.OQ $ 25.29 $ 274.00
UNPAID BALANCE.
Payments must be payable in US dollars only
.•2idiscourifdoe snot apply to credit card-.Payments ___ __— __ _____ —Thank fou-for-Yovr Order!
FEDERAL ID#16-1214814
NARTHERNRemember...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 ID,OUR INVOICE AND YOUR CUSTOMER ID F Carmel Clay Parks&Recreation
ORDER NO. NS REGARDING THIS INVOICE4816021 Matt
1235 CENTRAL PARK DRIVE EAST
SOLD Carmel Clay Parks&Recreation _ —---- _ CARMEL IN 46032-4421
TO: '[r "5 . Y 'tea USA
1411 E 1 16th St
CARMEL IN 46032-3455 MAY i A ffl� L
USA NT
XX-2122 05/14/2015
YOUR PURCHASE ORDER NUMBER AND DATE
OUR'
INVOICE NO./ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 06/13/2015
'
901427368/'980443449 05/14/20-15 FEDEX-GROUND 05%14/2015 IF PAID BY 06/03/2015 PAY $70.68
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT !
10 10 31991 BX CURAD BANDAGES 3/4 X 7/8 INCH 80/BX 1.92 19.20
2 2 7280 BX STERILE PADS 4'X 4' 100BX 7280033 18.86 37.72
SALES TAX S]:::HIPPING&HANDLING • •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF P/2%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 14.90 $ 71.82
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
NbRTHERN 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")
PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND YOUR CUSTOMER ID F— Carmel Clay Parks&Recreation
ORDER NO.IN ALL COMMUNICATIONS4816021 Amanda
1235 CENTRAL PARK DRIVE EAST
SOLD Carmel Clay Parks&Recreation CARMEL IN 46032-4421
TO: _ USA
1411 E 116th St
CARMEL IN 46032-3455
USA i MAY 2 12015
XX-2135 05/15/2015
-
_._ i YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 06/14/2015
INVOICE NO./ORDER NO.
501425160 9804446e 05/15/2016 'FEDEX-GRG'UND b5/'15/2015 IF PAID BY 06/04/2015 PAY $91:64
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
3 3 100689 EA EASY ACCESS ANSI FIRST AID KIT 25 PERSON 16.29 48.87
2 2 100682 CS INSTANT COLD PACK 4"X5 11.95 23.90
SALES TAX SHIPPING&HANDLING •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11h PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 20.33 $ 93.1'11110
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
5/8/15 901419093 First aid supplies 38454 $ 691.25
5/11/15 901421016 First aid supplies 38459 $ 164.98
5/11/15 901421016 First aid supplies 38459 $ 109.02
5/14/15 901427308 First aid supplies Guest Services Waterpark xx2122 $ 71:82
5/15/15 901429160 First aid kits- Outdoor classes xx2135 $ 93.10
Total $ 1,130.17
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. + Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
In Sumof$
$ 1,130.17
i
ON ACCOUNT OF APPROPRIATION FOR _
108 ESE/109 Monon Center
PO#or. INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept# i
1094 901419093 4239012 $ 691.25 I hereby certify that the attached invoice(s), or
1081-5 901421016 4239039 $ 164.98 bill(s)is(are)true and correct and that the
1081-3 901421016. 4239039 $ 109.02 materials or services itemized thereon for
1092 901427308 4239039 $ 71.82 ii which charge is made were ordered and
1096-42 901429160 4239039 $ 93.10 received except
I
May 28,2015
1
Signature
$ 1,130.17 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i
i