316568 09/26/17 CITY OF CARMEL, INDIANA VENDOR: 226500
O ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $**"***112.72*
f? ?� CARMEL, INDIANA 46032 PO BOX 4250 CHECK NUMBER: 316568
' UTICA NY 13504 CHECK DATE: 09/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 902596361 112.72 SAFETY SUPPLIES
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
9/11/17 902596361 First Aid Supplies xx5868 $ 112.72
Total $ 112.72
I 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
UORTHERN Remember...We Always Offer
• Our Lowest ffice When You Order. PLEASE REMIT T0:
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 Carmel Clay Parks&Recreation
ORDER '.IN ALL COMMUNICATIONS ' 4816021 Terese McAninch
1235 Central Park Or E
BILL Carmel Clay Parks&Recreation "ITT
V7 CARMEL IN 46032-4421
TO: R -_, J'" USA
1411 E 1 16th St l
CARMEL IN 46032-3455 J E P 1 5 2017 L
USA
.• XX-5868 09/11/2017............
L 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: 10111/2017
02596361 /980808814 09/11/2017 UPS GROUND 09/11/2017 IF PAID BY 10/01/2017 PAY$ 110.77
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
10 10 4444 BX BAND-AID FABRIC STRIPS 1 X 3 100 BX 7.19 71.90
5 5 2036 EA WATRPRF ADHES TAPE 1' X 5 YD 2040033 2.14 10.70
4 4 1728 EA HYDROGEN PEROXIDE 160Z BOTTLE 1.46 5.84
2 2 6115 EA STRETCH GAUZE BANDAGE 2'X 2 YD 2.26 4.52
1 1 4408 BE EA EMT PARAMEDIC SCISSORS 5.5' BE 4.31 4.31
Tracking No. 1Z1045650389386520
• •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'/z%PER SALES TAX SHIPPING&HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 15.45 $ 112.72
UNPAID BALANCE.
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