HomeMy WebLinkAbout258849 05/26/16 M1+o'.CAq�f
of �• CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $********84.14*
z. �; CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 258849
9,, _�,�: UTICA NY 13504 CHECK DATE: 05/26/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 901916620 84.14 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
In Sum of$
$ 84.14
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-10 901916620 4239039 $ 84.14 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
May 19, 2016
Signature
$ 84.14 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
5/3/16 901916620 First Aid Supplies xx3680 $ 84.14
Total $ 84.14
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-THERN Remember..We Always Offer �
- Our Lowest Price When You Order.
„ � P-LEASE REMIT T0..4
_. _ 100%Satisfaction Guaranteed!
Phone: 800.631.1246 . Fax. 800.635.1591 � "
I PO'Boz`4250': Utica NY 135D4.4250] NORTHERN'S'A'EETY CO.;INC:�r
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northernsafety.com NY-13 044 -.'
,,-�UUc•"a;NY 13504-4250--'�'
SHIP TO(IF OTHER THAN"SOLD TO")
PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICEAND YOUR CUSTOMER ID Carmel Clay Parks&Recreation
ORDER NO. ' "' 4816021 Valeska
10721 West Lakeshore Drive
SOLD Carmel Clay Parks&Recreation 7r-oy CARMEL IN 46033-3928
TO:
1411 E 116th St USA
CARMEL IN 46032-3455 MAY 0 : 2016
USA 9
P�T.-- =XX-368003 016
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE r SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 06/02/2016
r INVOICE NO)ORDER NO. -`
>:,..: _
01916620/980596093 y 05/03/2016 r UPS GROUND 05/03/2016 IF PAID BY 05/23/2016 PAY $ 82.77
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
4 4 31953 BX NS PLASTIC BANDAGE 1 X 3 INCH 100/BX 4.29 17.16
6 6 24778 EA 1 st AID SPRAY HYDROGEN PEROXIDE HP2-24 2.90 17.40
3 3 4350 BX TRIPLE ANTIBIOTIC OINTMENT 25/BX 6.83 20.49
2 2 22077 L BX FLEXSHIELD PREM VINYL POWD GLV 100BX L 6.69 13.38
1 1 BC162 EA 2016 CATALOG KIT 0.00 0.00
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 $ 15.71 $ $4'414
UNPAID BALANCE.
— Payments must-be-payable-in-US dollars only __ _—___ "__ __.
2%discount does not apply to credit card payments Thank You for Your Order!
PP:nPPAI IniE IR-191ARIA