HomeMy WebLinkAbout254014 01/28/16 ,Coq
CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
CHECK AMOUNT: $*******131.76*
CARMEL, INDIANA 46032 PO Box 4250 CHECK NUMBER: 254014
UTICA NY 13504 CHECK DATE: 01/28/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4239012 393131 901745823 131.76 RE- OPEN PO
RTRemember... We Always Offer
N - - Our Lowest Price When You Order.
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PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! rioRrERN SAFETY cp lf�
Phone: 800.631.1246• Fax: 800.635.1591
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SHIP TO(IF OTHER THAN"SOLD TO")
PLEASE REFER TO YOUR CUSTOMER ib,OUR INVOICE AND YOUR CUSTOMER ID F—Carmel Clay Parks&Recreation
ORDER NO. COMMUNICATIONS "'ING THISJNVOICE 4816021 Courtney
1427 E 1 16th St
SOLD I Carmel Clay Parks&Recreation CARMEL IN 46032-3455
TO: —
USA
1411 E 16th St ,�. 3L ��" ;
1
CARMEL IN 46032-3455
USA JAN - 2016
39313 12/15/2015
L BY:
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 01/29/2016
INVOICE NO./ORDER NO. _ _ _ .__ ,_ ___. _..__
0174582 /100984205 i .:P 12/30/2015 UPS GROUND 12/30/2015 IF PAID BY 01/19/2016 PAY $ 129.12
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
26 6 26019 M PR - -MECHANIX UTIL.GLV'ibi U.i IL GLV-CG- - 21.96 131.76
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 $ 181'.76
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
12/30/15 901745823 Safety Supplies 39313 $ 131.76
Total $ 131.76
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with 1C 5-11-10-1.6
'20—
Clerk-Treasurer
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
In Sum of$
$ 131.76
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
ti
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
39313 F 901745823 4239012 $ 131.76 1 hereby certify that the attached invoice(s),or
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
January 14, 2016
'P
Signature
$ 131.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund