319751 12/15/17 4% f� CITY OF CARMEL, INDIANA VENDOR: 226500
i!b ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******385.92*
s , CARMEL, INDIANA 46032 Po BOX 4250 CHECK NUMBER: 319751
9.y�r�N,�°;= UTICA NY 13504 CHECK DATE: 12/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239012 50598 902708126 385.92 SAFETY SUPPLIES & EQU
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
In Sum of$
$ 385.92
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
50598 F 902708126 4239012 $ 385.92 1 hereby certify that the attached invoice(s), or
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
December 14, 2017
'P*0"VVLtAJ
Signature
$ 385.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
NOW THERN Remember...We Always OfferINVOICE
MEMBER OF THE WiiRTH%;GROUP
Our Lowest Price When You Order.
PLEASE REN{BT TOS
PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! iNORTHERiV�SAFET�Y
Phone:800.631.1246 • Fax: 800.635.1591 425Q w
northernsafety.com
Utica Ni,Yr 1,350,,,4,4250
DEC 0 4--2w
BY: SHIP TO(IF OTHER THAN"BILL TO")
hEASE REFER YOUR CUSTOMER ID TO YOUR .MER . •UR •
ICE AND F Carmel Clay Parks&Recreation
ORDER • IN ALL COMMUNICATIONS4816021 Courtney
1427 E 1 16th St
BILL Carmel Clay Parks&Recreation CARMEL IN 46032-3455
TO: 1411 E 116th St USA
CARMEL IN 46032-3455 L
USA
50598 11/29/2017
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR iNVOICEDA�TE SHIPPED VIA DATE SHIPPED PAYMENT TERMS: Net 30
__ M gE N0;/ORDEFLNO __ 4 - — – PAYMENT DUE BY 12/29/2017
M1902708126F%980843374 111/2017 UPS GROUND 11/29/2017
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
5 5 1715 EA WOODSMAN FORESTRY SYS HRDHAT/MUFF/VISOR 38.63 193.15
5 5 22545 EA WINTER LINER M WT QUILTED 4.49 22.45
10 10 24711 EA DEEP WOODS OFF 6 OZ DRK 94903 12CS 7.69 76.90
12 12 26523 EA ZTEK EYEWR GY LENS s2520s 2.67 32.04
8 8 26491 EA OTS OVER THE GLASS GY LENS S3520SJ 4.39 35.12
Tracking No. 1 Z1045650389897988
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO SUB TOTAL SALES TAX SHIPPING&HANDLING ® e
A FINANCE CHARGE OF 1'h%PER MONTH WHICH L
IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE $359.66 $ 0.00 $ 26.A-
APPLIED TO THE UNPAID BALANCE.
Payments must be payable in US dollars only — — --
Thank You for Your Order!
=ME!MAI Ifni iC inAAQiA