315128 8/22/2017 Q
CITY OF CARMEL, INDIANA VENDOR: 226500
NORTHERN SAFETY CO, INONE CIVIC SQUARE C CHECK AMOUNT: S"`""`"'93.61.
CARMEL, INDIANA 46032 ao Box 4250CHECK NUMBER: 315128
UTICA NY 13504 CHECK DATE: 08/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4239039 902554328 93.61 GENERAL PROGRAM SUPPL
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
8/10/17 902554328 Member Services First Aid Supplies xx5738 $ 93.61
Total $ 93.61
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 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
nn1rthernsafety.com Utica, NY 13504-4250
�SHIP TO(IF OTHER THAN'BILL TO")
I
YOUR CUSTOMER ID I Carmel Clay Parks&Recreation
PLEASE REFER TO YOUR CUSTOMER . OUR •
ORDER NO, • • •ING THIS INVOICE 4816021 Matt Whirley
1235 Central Park Or E
BILL CARMEL IN 46032-4421
Carmel Clay Parks&Recreation _
TO: �.�.. - USA
1411 E 1 16th St
CARMEL IN 46032-3455
USA AUG 1 4 2011
XX-5738 08/10/2017
�BY: """""" YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT TERMS: 2%/20,Net 30
INVOICE NO./ORDER NO. PAYMENT DUE BY: 09iO9/2017
02554328/980795833 08/10/2017 UPS GROUND 08/10/2017 IF PAID BY 08/30/2017 PAY$92.27
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
3 3 1728 EA HYDROGEN PEROXIDE 160Z BOTTLE 1.46 4.38
20 20 24488 EA INSTA-KOOL HAZ FREE 6"x8"ICE PK L 1.19 23.80
20 20 24487 EA INSTA-KOOL HAZ FREE 5"X7"ICE PK JR 0.99 19.80
1 1 30963 BX ALCOHOL PREP PAD L 1 106 3.08 3.08
2 2 1622 BX 4.WING FABRIC BANDAGE 50BX 1622033 8.00 16.00
Tracking No. 1Z1045650389191089
Tracking No. 1 Z38X3240315168842
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 $ 26.55 $ 93.61
UNPAID BALANCE.
Payments must be payable in US dollars only