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Home My WebLink About251199 11/04/15 ur CiAb ;• . CITY OF CARMEL, INDIANA VENDOR: 226500 ® 'i? ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $**.....181.61• . CARMEL, INDIANA 46032 PO Box 4250 CHECK NUMBER: 251 199 r0��° UTICA NY 13504 CHECK DATE: 11/04/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 901648654 121.59 GENERAL PROGRAM SUPPL 1125 4239012 901648655 60.02 SAFETY SUPPLIES NORTHERN Remember... We Always Offer rmm 4-P" • 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 CUSTOMEROUR INVOICE AND ORDER NOOMMUNICATIONS • • 4816021 Valeska 10721 West Lakeshore Drive SOLD I Carmel Clay Parks&Recreation CARMEL IN 46033-3928 TO: USA 1411 E 116th St �� CARMEL IN 46032-3455 V USA OCT 19 2015 XX-2816 10/12/2015 L BY• -- YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 11/11/2015 INVOICE NO./ORDER NO. 01648654/980511100 10/12/2015 UPS GROUND 10/12/2015 IF PAID BY 11/01/2015 PAY $ 119.42 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 1 1 4444 BX BAND-AID-FABRIC STRIPS 1 X 3 100 BX '6.99 6.99- 4 .99-4 4 4444 BX BAND-AID FABRIC STRIPS 1 X 3 100 BX 6.99 27.96 9 9 734 EA NEOSPORIN 1 st AID OINTMENT.5 OZ TUBE 5.97 53.73 9 9 31975 BX HYDROCORTISONE CREAM 12/BX 2.18 19.62 SALES TAX SHIPPING&HANDLING • • ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1112%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE S 0.00 _ $ . 13.29 $ 121.59 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 NQRTHE RN Remember... We Always Offer - Our Lowest Price When You Order. .PLEASE REMIT TO: PO Box 4250 • Utica, NY 13504-A250 100%Satisfaction Guaranteed! NORTHERN SAFETY CO.,INC. Phone: 800.631.1246• Fax: 800.635.1591 P.O. Box 4250 northern l,gfety.com Utica, NY 13504 4250 SHIP TO(IF OTHER THAN"SOLD TO") YOUR CUSTOMER ID Carmel Clay Parks&Recreation PLEASE •YOUR CUSTOMER,113,OUIRINVOICE AND • • • • • 4816021 Courtney 1427 E 1 16th St SOLD I Carmel Clay Parks&Recreation —M CARMEL IN 46032-3455 TO: 1411 E 116th St E51, V 01D USA CARMEL IN 46032-3455 OCT y 1 9 2015 L USA J BY: XX-2819 10/12/2015 LYOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 11/11/2015 INVOICE NO./ORDER NO. 01648655/980511213 10/12/2015 UPS GROUND 10/12/2015 IF PAID BY 11/01/2015 PAY $ 59.09 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 10 10 26521 EA ZTEK EYEWR CLR LENS S251 OS 2.17 21.70 10 10 26523 EA ZTEK EYEWR GY LENS s2520s 2.50 25.00 • 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 $ 0.00 $ 13.32 $ 60.02 UNPAID BALANCE. Payments must be payable in US dollars only ••z%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 10/12/15 901648654 First Aid supplies xx2816 $ 121.59 10/12/15 901648655 Safety glasses for Staff xx2819 $ 60.02 Total $ 181.61 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. P.O. Box 4250 Allowed 20_ Utica, NY 13504-4250 In Sum of$ $ 181.61 ON ACCOUNT OF APPROPRIATION FOR 101 General/ 108 ESE PO#or Dept# INVOICE NO. ACCT#/TITL AMOUNT Board Members 1081-4 901648654 4239039 1125 901648655 4239012 $ 121.59 I hereby certify that the attached invoice(s), or $ 60.02 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 October 20, 2015 Signature $ 181.61 Cost distribution ledger classification if Accounts Payable Coordinator claim paid motor vehicle highway fund Title i F: