HomeMy WebLinkAbout303750 09/30/16 `y ** CITY OF CARMEL, INDIANA VENDOR: 226500
`� CHECK AMOUNT: $*****"934.80•
. ® ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
=q CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 303750
�'�iorv"�°'` UTICA NY 13504 CHECK DATE: 09/30/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 902109616 934.80 SAFETY ACCESSORIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev"1995)
NORTHERN SAFETY CO, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 4250 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
UTICA, NY 13504 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$934.80 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
902109616 43-560.03 $934.80 1 hereby certify that the attached invoice(s),or 9/26/16 902109616 $934.80
1120 101 1120 101
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
Monday, September 26, 2016
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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")
YOUR CUSTOMER ID Carmel Fire Department
PLEASE REFER TO YOUR CUSTOMEROUR • a
ORDER .ING THIS INVOICE 416610 Gary Carter
2 Civic Sq
SOLD Carmel Fire Department CARMEL IN 46032-2584
TO: USA
2 Civic Sq
CARMEL IN 46032-2584 L
USA
GARY 92016 09/20/2016
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 10/20/2016
INVOICE NO./ORDER NO.
02109616/101199571 09/20/2016 UPS GROUND 09/20/2016 IF PAID BY 10/10/2016 PAY $916.10
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
24 24 1665 M PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB M 7.79 186.96
36 36 1665 L PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB L 7.79 280.44
36 36 1665 XL PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB XL 7.79 280.44
24 24 1665 2XL PR GRAIN LEA DRIVERS GLV KEYFFHUMB 2XL 7.79 186.96
1 1 BC162 EA 2016 CATALOG KIT 0.00 0.00
SALES TAX SHIPPING&HANDLING •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/x%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 0.00 $ 934.80
UNPAID BALANCE.
Payments must be payable in US dollars only _ _ _ _ _ _ _
"2%discount does not apply to credit card payments TI7®i7IC�0!! ®/' YOU6' OI'�EI'j