312812 6/16/2017 CITY OF CARMEL, INDIANA VENDOR: 226500
(9, )
ONE CIVIC SQUARE NORTHERN SAFETY CO, INCCHECK AMOUNT: S*******128.03*
CARMEL, INDIANA 46032 PO BOX UTICAN4250 CHECK NUMBER: 312812
CHECK DATE: 06/16/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4239099 902457306 98.58 OTHER MISCELLANOUS
1093 4235000 902461794 29.45 BUILDING MATERIAL
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
6/5/17 902457306 Safety Supplies MCC Maintenance xx5405 $ 98.58
6/7/17 902461794 Safety Supplies MCC Maintenance xx5405 $ 29.45
Total $ 128.03
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
1
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
t
f SHIP TO(IF OTHER THAN"BILL TO")
PLEASE REFER TO .UR CUSTOMER .UR INVOICE AND YOUR CUSTOMER ID Carmel Clay Parks&Recreation
ORDER NO. • • ' 4816021 Mike Kilpatrick
1235 Central Park Or E
BILLCARMEL IN 46032-4421
TO: Carmel Clay Parks&Recreation
1411 E 116th St �� � USA
CARMEL IN 46032-3455 L
USA JUN In 9 7017
XX-5405 06/05/2017
L BY; .......... YOUR PURCHASE ORDER NUMBER AND DATE
OUR
INVOICE OJORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT TERMS: 2%/20,Net 30
PAYMENT DUE BY: 07/05/2017
02457306/980765168 06/05/2017 UPS GROUND, 06/05/2017 IF PAID BY 06/25/2017 PAY $96.82
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
12 12 2889520 EA NS INFUSION READERS MAGNIFICATION 2.0 5.99 71.88
2 2 3551 BX NORTHERN PRE-MOISTENED LENS CLEANING TOW 8.00 16.00
Tracking No. lZl045650388722051
• �
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF V/2%%PER SALES TAX SHIPPING&HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0,00 $ 10.70 $ 98.58
UNPAID BALANCE.
Pavrnenh mast 6 navahle in US dollars nnly
I
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'BILL TO")
PLEASE REFER TO
•UR CUSTOMER •UR INVOICE AND YOUR CUSTOMER ID Carmel Clay Parks&Recreation
ORDER NO. REGARDING" ' 4816021 Mike Kilpatrick
1235 Central Park Dr E
BILL Carmel Clay Parks&Recreation CARMEL IN 46032-4421
TO:
1411 E 116th St Ir �D USA
CARMEL IN 46032-3455 L
USA JUN 1 2 2017
XX-5405 06/05/2017
BY.""" YOUR PURCHASE ORDER NUMBER AND DATE
INVOICE OU
/ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT TERMS: 2%/20,Net 30
PAYMENT DUE BY: 07/07/2017
02461794/980765168 06/07/2017 UPS GROUND 06/07/2017 IF PAID BY 06/27/2017 PAY $28.92
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
12 12 161663 EA Tridon LT Clear Anti-fog 2.20 26.40
Tracking No. lZl045650388750342
SALES TAX SHIPPING&HANDLING •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'/z%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0,00 $ 3.05 $ 29.45
UNPAID BALANCE.
Paymantc must by n avable in US dollars only