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Home My WebLink About303628 09/29/16 1�u,�CAp�P / CITY OF CARMEL, INDIANA VENDOR: 226500 '1 ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******406.37* s\ � CARMEL, INDIANA 46032 PO BOX 4250 CHECK NUMBER: 303628 y�i�oN�. UTICA NY 13504 CHECK DATE: 09/29/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 902104054 406.37 GENERAL PROGRAM SUPPL Voucher No. Warrant No. 226500 Northern Safety Co., Inc. Allowed 20 P.O. Box 4250 Utica, NY 13504-4250 In Sum of$ $ 406.37 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-3 902104054 4239039 $ 406.37 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 September 21, 2016 Signature $ 406.37 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 9/15/16 902104054 First Aid Supplies 40563 $ 406.37 Total $ 406,37 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 NORTHERN Remember... We Always Offer • • - Our Lowest Price When You Order. PLEASE REiN(T,Tio,' t ti a isatcon Guaranteed! ' PO Box 4250 • Utica, NY 13504-4250 100%Sf ,SNORT rm SAFETY C0.,1NC Phone: 800.631 .1246• Fax: 800.635.1591 r R O BOX 4250"f Y northernsafety.com Utica NY 13504 4250 • SHIP TO(IF OTHER THAN"SOLD TO") YOUR CUSTOMER ID Carmel Clay Parks&Rec PLEASE REFER TO YOUR CUSTOMEROUR • ORDER NO.IN ALL COMMUNICATIONS4816021 James 12415 Shelborne Rd SOLD rCarmel Clay Parks&Recreation CARMEL IN 46032-9236 TO: 1411 E 1 16th St � T USA y-Z CARMEL IN 46032-3455 AEC.,A. L USA SEP 19 7.016 40563 09/15/2016 L BY: YOUR PURCHASE ORDER NUMBER AND DATE tPAYMENT DUE BY 10/15/2016 p OUR 46VOICE DATE SHIPPED VIA DATE SHIPPED ,+A LNYQIC.E NO./ORDER NO. f02104054`/980655694 } -t09/UJ2016:Tf UPS GROUND 09/15/2016 IF PAID BY 10/05/2016 PAY $398.88 — L. — ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 2520 XL BX NS FLEXSHIELD BLK NITE NITRILE GLV XL 8.99 8.99 SALES TAX SHIPPING&HANDLING • e 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 $ 31.84 $ 437 UNPAID BALANCE. Payments must be payable in US dollars only "2%discount does not apply to credit card payments —-------------------------------------- rrrWrr... 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") PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND YOUR CUSTOMER ID F Carmel Clay Parks&Rec 4816021 James ORDER . • . • . 12415 Shelborne Rd SOLD Carmel Clay Parks&Recreation ��T t CARMEL IN 46032-9236 TO: 1411 E 116th St ]REC.1�IlT.I_�.D USA CARMEL IN 46032-3455 L USA SEP 19 2016 40563 09/15/2016 YOUR PURCHASE ORDER NUMBER AND DATE OUR AYMEN1 DUE 13Y 10/15/2016 INVOICE_NO./ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED_ 02104054/980655694 09/15/2016 UPS GROUND 09/15/2016 IF PAID BY 10/05/2016 PAY$398.88 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 31962 BY, Nb I KIVLE AN 111301 FIC7=17-20113Y, 2.20 44.00 10 10 1090 BX PLSTC STRIPS 1 X 3 100BX 1090033 3.89 38.90 1 1 24502 BX DURAPORE HYPOALLERGENIC TAPE.5"X1 OYD 19.36 19.36 3 3 7804 RL 3M COBAN SLF ADHERENT WRAP 2"X5YD RL 3.38 10.14 25 25 1755 EA SPLINTER FORCEPS 3.5' 15-104 2.07 51.75 2 2 26185 EA SPLINTER TWEEZERS W/MAGNIFER 3.82 7.64 10 10 31964 BX NS STING RELIEF WIPES 10/BX 2.29 22.90 5 5 30918 BX BZK ANTISEPTIC WIPES 100BX 1303 2.95 14.75 4 4 6404 BX PREM FABRIC BANDAGES 2X3XL.PATCH 50BX 9.19 36.76 2 2 7270 BX STERILE PADS 3'X 3' 100BX 7270033 12.92 25.84 2 2 4646 BX HYDROCORTISONE CREAM 1% 144/BX 19.78 ' 39.56 3 3 32520 M BX NS FLEXSHIELD BILK KITE NITRILE GLV M 8.99 26.97 3 3 32520 L BX NS FLEXSHIELD BLK NITE NITRILE GLV L 8.99 26.97 ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'h%PER SALES TAX SHIPPING&HANDLING • 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 dor Yovr Order! FEDERAL ID#16-1214814 ------------------------------------ Please return bottom portion with payment: Carmel Clay Parks&Recreation YOUR CUSTOMER ID F-Carmel Clay Parks&Rec SOLD TO: 1411 E 116th St 4816021 James CARMEL IN 46032-3455 12415 Shelborne Rd USA SHIP CARMEL IN 46032-9236 TO: USA L L OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 10/15/2016 INVOICE NOJORDER NO. 902104054/980655694 09/15/2016 UPS GROUND 09/15/2016 II I I'll' I I I I I l I I'II I'I lI I 'll Page 1 of 2 SALES TAX SHIPPING&HANDLING _701FAMP111M Northern Safety Co., Inc. • P.O. Box 4250 • Utica, NY 13504-4250 ❑See Reverse Side for Name/Address Correction accounting@northernsafetv.com Rev.05/11 i Please note any corrections to address information below: Name: Address: City: State: Zip: Phone: ( ) Fax: ( ) E-Mail Address: