HomeMy WebLinkAbout248955 08/26/15 >; CITY OF CARMEL, INDIANA VENDOR: 226500
® { ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $******"393.01*
?� CARMEL, INDIANA 46032 PO Box 4250 CHECK NUMBER: 248955
yM/`TON.�,� UTICA NY 13504 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 901547033 102.53 SAFETY SUPPLIES
1125 4239012 38910 901549148 258.54 SAFETY SUPPLIES FOR S
1094 4239012 901553290 31.94 SAFETY SUPPLIES
l"7RTHERN 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 135044250
SHIP TO(IF OTHER THAN"SOLD TO")
liillillJill I'll, YOUR CUSTOMER ID Carmel Clay Parks&Recreation
e'• • e 4816021 Terese
1235 Central Park Dr E
SOLD FCarmel Clay Parks&Recreation =--
CARMEL IN 46032-4421
TO: USA -
1411 E 116th StCARMEL IN 46032-3455L
USA XX-2556 08/04/2015
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 09/03/2015
INVOICE NO./ORDER NO.
yUl5vita�'i`s8U4ar1411; Ub/U4/2015 " `rc`ucxukoul U8iO4i 0i6— IF PAID BY 08/24/2015 PAY $ 100.85
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
4 4 6743 EA LIF-0-GEN REPL OXYGEN MASK 64041 2.80 11.20
10 10 2036 EA WATRPRF ADHES TAPE 1' X 5 YD 2040033 1.99 19.90
4 4 1728 EA HYDROGEN PEROXIDE 160Z BOTTLE 1.46 5.84
3 3 3952 PK NORTH ORGANIC VAPOR/ACID GAS CART 2PK 12.71 38.13
1 1 3959 PR NORTH 1`100 PARTIC CART 7580/`100 9.14 9.14
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11h%PER SALES TAX SHIPPING&HANDLING TOTAL
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 18.32 $ 102.53
UNPAID BALANCE.
Payments must be payable in US dollars only �L r
-'—"2%discouritd6es not apply'to credit card payments Thank You for-Your Order!—
l FEDERAL ID#16-1214814
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: 800.635.1591 P.O. Box 4250
northernsafety.com
Utica, NY 13504-4250
SHIP TO(IF OTHER THAN"SOLD TO")
YOUR CUSTOMER ID Carmel Clay Parks&Recreation
•'' 4816021 Terese
1235 Central Park Dr E
SOLD Carmel Clay Parks&Recreation CARMEL IN 46032-4421
TO: 1411 E 1 16th St R R �°1> �a r1 ID USA
CARMEL IN 46032-3455 L
USA AUG 13 2015
XX-2556 08/04/2015
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 09/06/2015
INVOICE NO./ORDER NO.
901553290/98048.1 i46 08/07/2015 IF PAID BY 08/27/2015 PAY $ 31.47
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 29856 EA DANGER-HAZ CHEMS 23.44 23.44
DP1014
SALES TAX SHIPPING&HANDLING •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'/2%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 8.50 $ 31.94
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
ORTHERN 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")
YOUR CUSTOMER ID Carmel Clay Parks&Recreation
PLEASE REFER TO YOUR CUSTOMER.ID,OU R.I NVOICE AND
ORDER 4816021 Courtney
1427 E.1 16th St
CARMEL IN 46032-3455
SOLD Carmel Clay Parks&Recreation FAUG
USA
TO: 1411 E 1 16th St iCARMEL IN 46032-3455
usA 0 2015
38910 08/05/2015
1J-V:
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 09/04/2015
INVOICE NO./ORDER NO,
901549148 980481565 03/05/2015 FEDEX GROUND 08/05/2015 IF PAID BY 08/25/2015 PAY $ 253.72
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
3 3 26019 XL PR MECHANIX UTIL GLV XTRA L 21.96 65.88
3 3 26019 L PR MECHANIX UTIL GLV L 21.96 65.88
2 2 26019 M PR MECHANIX UTIL GLV M UTIL GLV CG- 21.96 43.92
2 2 22888 EA LEIGHTNING L3 NRR 30 EAR MUFFS 1010924 26.36 52.72
5 5 26523 EA ZTEK EYEWR GY LENS s2520s 2.50 12.50
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 $ 0.00 $ 17.64 $ 258.54
UNPAID BALANCE.
Payments must bepayable 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
8/4/15 901547033 First aid sign and supplies xx2556 $ 102.53
8/7/15 901553290 First aid sign and supplies xx2556 $ 31.94
8/5/15 901549148 Safety supplies for staff and inventory 38910 $ 258.54
Total $ 393.01
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
Voucher No. warrant No.
226500 Northern Safety Co., Inc. Allowed
P.O. Box 4250 20
Utica, NY 13504-4250
In Sum of$
$ 393.01
ON ACCOUNT OF APPROPRIATION FOR
101 General/109 Monon Center
PO#or
Dept# INVOICE NO. ACCT#/TITL AMOUNT Board Members
1094 901547033 4239012 $ 102.53 1 hereby certify that the attached invoice(s), or
1094 901553290 4239012 $ 31.94 bill(s)is (are)true and correct and that the
38910 F 901549148 4239012 $ 258.54 materials or services itemized thereon for
which charge is made were ordered and
received except
August 20, 2015
PAO"VXtA-j
Signature
$ 393.01 Accounts Payable Coordinator
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
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