HomeMy WebLinkAbout253433 01/15/16 y yf_C�gM
,�. CITY OF CARMEL, INDIANA VENDOR: 226500
• ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: 9 1,930.03
a CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 253433
s+.y�TON�; UTICA NY 13504 CHECK DATE: 01/15/16.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4239012 39313 1,490.83 SUPPLIES
1125 R4239012 39313 901732095 439.20 SUPPLIES
NORTHERN Remember...We Always Offer
• - Our Lowest Price When You Order.
PLEASE REMIT TO:
PO Box 4250 • Utica, NY 13504-4250 I00%Satisfaction Guaranteed! NORTHERN"SAFETY CO,INC.
Phone: 800.631.1246 • Fax: 800.635.1591 P:,0 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 IDCarmel Clay Parks&Recreation
ORDER NO. NS REGARDING THIS INVOICE4816021 Courtney
1427 E 116th St
CARMEL IN 46032-3455
TOLD Carmel Clay Parks&Recreation 7DEC
�', � USA
1411 E 116th St
CARMEL IN 46032-3455 4 2095
USA
BY; 3931312/10/2015
'YOUR PURCHASE'ORDER NUMBER AND DATE
OUR - INVOICE DATE- - -SHIPPED VIA DATE SHIPPED- - --PAYMENT.DU.E.BY._01/09/2_01Q
INVOICE NOJORDER NO. -
01,726843/980536224 12/10/2015 UPS.GROUND 12/10/2015 IF'PAID BY,12/30/2015 PAY$ 1461.01
ORDERED SHIPPED ITEM NO.- UOM = -DESCRIPTION UNIT PRICE EXTENDED AMOUNT
4 4 26019 L PR MECHANIX UTIL GLV L 21.96 87.84
10 10 26019 XL PR "MECHANIX UTIL GLV XTRA L 21.96 219.60
30 4 26019 M -PR MECHANIX UTIL GLV M UTIL GLV CG- 21.96 87.84
20 20 26523 EA ZTEK EYEWR GY LENS s2520s 2.96 59.20
10 10 2649.1 EA OTS OVER THE GLASS GY LENS S3520SJ 4.39_ 43.90
10 10 26490 EA OTS`OVER THE GLASS CLR LENS S351OSJ 3.99 39.90
1 1 EAR200 BX CLASSIC EAR PLUGS',UNCORDED PILLOW PK 32.49 32.49
12' 12 4534 EA POISON OAK-N-IVY CLEANSER 12 OZ. 9.88 118.56
20 20 22886 EA LEIGHTNING L1 NRR 25 EARMUFFS 1010922 10.69 213.80
2 2 1997 EA CROC BLOCK 34 OZ BOTTLE SPF30 35.88 71:76
2 2 20095 BX NS7000 NUISANCE DUST MASK 50/BX SH605A. 9:45 18.90
10 10 24711 EA DEEP WOODS OFF 6 OZ DRK 94903 12CS 7.69 76.90
1 1 1 195 RD EA STEEL OILY WASTE CAN 10 GAL RD 09300 68.78 68.78
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:
YOUR CUSTOMER ID F7Carmel Clay Parks&Recreation
SOLD Carmel Clay Parks&Recreation _ y.
TO: 1411 E 1 16th St 4816021 Courtney
CARMEL IN 46032-3455 1.427 E 116th St
USA SHIP CARMEL IN,46032-3455
TO: USA
L L
OUR INVOICE DATE SHIPPED VIA. DATE SHIPPED PAYMENT DUE BY 01/09/2016-
INVOICE NO./ORDER NO. -.
017268431980536224 12/10/2015. 'UPS GROUND 12/10/2015
SALES TAX SHIPPING&HANDLING • '
II I IM 111111111 IN 111111111 Pagel of 2
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
NORTHERN Remember...We Always Offer
• - Our Lowest Price When You Order.
PLEASE REMIT TSO-��� i
PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! NORTHErCiN SAFETYtCO INC I
vl
Phone: 800.631.1246• Fax: 800.635.1591 P O`BOz;4250 ! 'x
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 Carmel Clay Parks&Recreation
ORDER NO.IN ALL COMMUNICATIONS ' ' 4816021 Courtney
1427 E 1 16th St
SOLD Carmel Clay Parks&Recreation y-� yy�--. .( a•� CARMEL IN 46032-3455
TO: JC'�E C E �jt ',�J USA
1411 E 1 16th St
CARMEL IN 46032-3455 DEC 14 2015 L -`
USA 3�
r �
BY: 39313 4,i2/10/2015
L . �... :�
.`` ,_,.YOUR PURCHASE ORDER NUMBER AND DATE
INVOICE OJORDER NO. _INVOICE DATE-- --SHIPPED-VIA- DATE SHIPPED PAYMENT DUE BY 0=!/09/2016
17434/980536224 12110/2015 UPS GROUND 12/10/2015 IF PAID BY 12/30/2015 PAY$1461.01
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
16 16 26019 L PR MECHANIX UTIL GLV L 21.96 351.36
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 $ 0.00 $. 14900
UNPAID BALANCE.
Payments must be payable in US dollars only
"2%discount does not apply to credit card payments Thank You for Your Order.
PpnF=PAI inn iR_171AglA
I RTHERN Remember... We Always Offer
• Our Lowest Price When You Order. aPLEasE ReMtT�T�o` R
PO Box 4250 . Utica, NY 13504-4250 100%Satisfaction Guaranteed! NO THERM SAFETY CO,.�yINC
Phone: 800.631.1246. Fax: 800.635.1591 R Q Boxr4250
northernsafety.com ;. Utica';NY13504`�425Q, 4.
SHIP TO(IF OTHER THAN"SOLD TO")
PLEASE REFER TO YOU R CUSTOMER ID,OUR INVOICE AND YOUR CUSTOMER ID Carmel Clay Parks&Recreation
ORDER NO. COMMUNICATIONS • 4816021 Courtney
�. 1427 E 1 16th St
TOLD Carmel Clay Parks&Recreation �}' Y CARMEL IN 46032-3455
1411 E 116th StPI-EC �f s —�3 USA
CARMEL IN 46032-3455 L
USA DEC 21 205
39313 12/15/2015
L
BY: YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 01/14/2016
INVOICE NO./ORDER NO.
+ 01732095100984205 12/T5`/2015 "'UPS GROUND 12/15/2015
€:. �.` IF PAID BY 01/04/2016 PAY $430.42
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
26 20 26019 M PR MECHANIX UTIL GLV M UTIL GLV CG- 21.96 439.20
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 $ 0.00
UNPAID BALANCE. r'
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
At
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/10/15 901726843 Safety Supplies 39313 $ 1,490.83
12115/15 901732095 Safety Supplies 39313 $ 439.20
Total $ .1,930.03
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
120
Clerk-Treasurer
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
In Sum of$
$ 1,930.03
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
I
PO#or INVOICE NO. ACCT#/TITLE AMOUNT I Board Members
Dept#
39313 901726843 4239012 $ 1,490.83 1 hereby certify that the attached invoice(s),'or
39313 901732095 4239012 $ 439.20 bill(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
j received except
i
i
January 6, 2016
'P
Signature
$ 1,930.03 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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