HomeMy WebLinkAbout324345 04/25/18 0-1111i.
CITY OF CARMEL, INDIANA VENDOR: 226500;'ONE CIVIC SQUARE NORTHERNSAFETY CO, INC CHECK AMOUNT: S*******543.35*
CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 324345
UTICA NY13504 CHECK DATE: 04/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 902883655 543.35 SAFETY SUPPLIES
J
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 226500 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Northern Safety Co., Inc. Payee
P.O. Box 4250
Utica, NY 13504-4250 In Sum of$ Purchase Order#
226500 Northern Safety Co., Inc. Terms
$ 543.35 P.O.Box 4250 Date Due
Utica,NY 13504-4250
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 902883655 4239012 $ 543.35 Board Members 4/5/18 902883655 Waterpark First Aid Supplies 2018 51133 $ 543.35
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
$ 543.35 Total $ 543.35
April 17,2018
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
Cost distribution ledger classification if 1PAA10"U-'U
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
�N®RTHERN Remember... We Always Offer
&F7 Our Lowest Price When You Order.
MEMBER OF THE WURTH w GROUP (�PLEASE-REMIT TOi
PO Box 4250 • Utica, NY 13504-4250 ORTHERAl�SFETY
100%Satisfaction Guaranteed!f IVGO.,ING.
Phone: 800.631.1246• Fax: 800.635.1591BOX 4250
northernsafety.com Utica NY 1:3504.4250
SHIP TO(IF OTHER THAN"BILL TO")
YOUR CUSTOMER ID Carmel Clay Parks &Recreation
CUSTOMERPLEASE REFER TO YOUR . OUR •
ORDER NO. • • 4816021 Terese McAninch
1235 Central Park Dr E
BILL Carmel Clay Parks&Recreation CARMEL IN 46032-4421
TO: :- USA
1411 E116th St FIR
F
CARMEL IN 46032-3455
USA AFt{ u 9 7Q'18
Dawn 04/05/2018
L BY:............................. I YOUR PURCHASE ORDER NUMBER AND DATE
-DER NO. (–_ �.®
r--OUR INVOICENO/OINVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT TERMS: Net 30
` —
- _
PAYMENT-DUE BY-- Q5/Q5/2Q18- --
t `9655/980898091 a 04/05/2018`_- UPS GROUND 04/05/2018
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
20 20 4444 BX BAND-AID FABRIC STRIPS 1 X 3 100 BX 7.34 146.80
8 8 7280 BX STERILE PADS 4'X 4' 100BX 7280033 17.92 143.36
10 10 2036 EA WATRPRF ADHES TAPE VX 5 YD 2040033 2.03 20.30
8 8 1728 EA HYDROGEN PEROXIDE 160Z BOTTLE 1.46 11.68
4 4 3959 PR NORTH P100 PARTIC CART 758OP100 9.65 38.60
15 15 6743 EA LIF-O-GEN REPL OXYGEN MASK 64041 1.47 22.05
2 2 3946 PK NORTH DEFENDER MULTIGAS VAPOR CART 2PK 14.37 28.74
6 6 187377 BG GAUZE SPONGE-4X4 200/BG 10.70 64.20
2 2 187377 BG GAUZE SPONGE 4X4 200/BG 10.70 21.40
Tracking No. 1Z1045650390712683
Tracking No. 1 Z38X3240316847857
*PLEASE NOTE that our STANDAR PAYMENT TERMS have been changed to NET 30
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO SUB TOTAL SALES TAX SHIPPING&HANDLING •
A FINANCE CHARGE OF 11h0l.PER MONTH WHICH
IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE $497.13 $ 0.00 $ 46.22 $i 543 35
APPLIED TO THE UNPAID BALANCE. - - -
Payments must be payable in VS dollars only
Thank Y®u f®r Your Order!
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