313245 07/05/17 9u ��q
''a CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $********31.93*
=f ,; CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 313245
, ue UTICA NY 13504 CHECK DATE: 07/05/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239012 902478676 31.93 SAFETY SUPPLIES
\
� c
\ k / /
2
n o 0 R
E \ o 0 40 c _0 2
C) 0
) E O k
& 2 J
2 k / m o ® 2 o ]
¥ [ § k \ " 0)
ƒ f # 0 -0 % q /
CD E U q 2 0 /
% R 2 2 § O � /
J 0 ® W �
a E m > /
E \ ®
\ z
i 0
w k
] E \ D
Q / m @
=r - §
CD n & E $a
CD
0 Q °
> � q � / R .69
0 CD ®
2 C 2 CD \
@ $ E \ k 7
2 % O I \ § k 2
O , 0 k \ \ m
\ / \ k \ 9
§ CL § 9 0 2 0
CL M\ \
m _ (
\ -
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 YOUR CUSTOMER ID,OUR INVOICE AND YOUR CUSTOMER ID F—Carmel Clay Parks&Recreation
ORDER NO.IN ALL COMMUNICATIONS • • 4816021 Mike Kilpatrick
1235 Central Park Dr E
BILL Carmel Clay Parks&Recreation CARMEL IN 46032-4421
TO: USA
1411 E 1 16th St ';r r �i+E
CARMEL IN 46032-3455
USA JUN 2 3 2017
XX-5482 06/19/2017
BY: .............................. i YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT TERMS: 2°x/20, Net 30
INVOICE NO./ORDER NO.
PAYMENT DUE BY: 07/19/2017
02478676/980772332 06/19/2017 UPS GROUND 06/19/2017 IF PAID BY 07/09/2017 PAY $31.45
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
2 2 23259 LE 5XL EA NS HIVIS ECON CLS 2 LIME 5XL 11.99 23.98
Tracking No. lZl045650388830292
SALES TAX SHIPPING&HANDLING TOTAL
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1lb%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE
UNPAID BALANCE. $ 0,00 $ 7.95 $ 31.93
Payments must be payable in US dollars only
"Payment term discount does not apply to credit card payments Thank You for Your Order!
FEDERAL ID#16-1214814