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CITY OF CARMEL, INDIANA VENDOR: 226500ONE CIVIC SQUARE NORTHERN SAFETY CO, INCCHECK AMOUNT: S********78.67CARMEL, INDIANA 46032 Po BOX 4250 CHECK NUMBER: 324781
UTICA NY 13504 CHECK DATE: 04/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4239099 902895779 78.67 OTHER MISCELLANOUS
r
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
$ 78.67 P.O.Box 4250 Date Due
Utica,NY 13504-4250
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or Invoice Description
Dept# INVOICE NO. ACCT#(TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1093 902895779 4239099 $ 78.67 Board Members 4/13/18 902895779 PPE Safety Supplies xx6718 $ 78.67
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
$ 78.67 Total $ 78.67
April 23,2018
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 "PkJOWKW
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
NORTHERN Remember...We Always Offer
zOur Lowest Price When You Order. 'PLEASE R6MITTyO
ME'IBER OF THE WORTH w GROUP
PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! NOR H1tRN SAFETY 0O,INC.�
Phone:800.631.1246 • Fax: 800.635.1591 - Ol'BOX 4250
northernsafety.com UticaNY 135044250;
SHIP TO(IF OTHER THAN"BILL TO")
YOUR CUSTOMER ID Carmel Clay Parks&Recreation
PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND
ORDER NOIN ALL COMMUNICATIONS REGARDING 4816021 Jim Ransford
1235 Central Park Or E
BILL I Carmel Clay Parks&Recreation CARMEL IN 46032-4421
TO: - USA
1411 E 116th St �.'? -•v . s f
CARMEL IN 46032-3455A n P�� �I 8n L
USA
XX-6718 04/13/2018
YOUR PURCHASE ORDER NUMBER AND DATE
OUR
INVOICE DATE% SHIPPED VIA DATE SHIPPED PAYMENT TERMS: Net 30
IN VO C NQ./ORDER NO.
PAYMENT DUE BY: 05/1-3/2018 — "
90289079/9'80902122 p041,1f37ZO T8 7 UPS GROUND 04/13/2018
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
2 2 30741 BX SOFT FIT LT 1 DO'S CORDED 1 OOPR/BX 20.00 40.00
2 2 2869 BX CLR LENS CLEANING TOWELETTES 1 OOBX 12.34 24.68
Tracking No. 1Z1045650390770512
SPL ASE N TE that our STANDAR PAYMENT TERMS have been changed to NET 30
ACCOUNTS 36 DAYS AND OVER ARE SUBJECT TO SUB TOTAL SALES TAX SHIPPING&HANDLING e
A FINANCE CHARGE OF Ph PER MONTH WHICH
IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE $64.68 $ 0.00 $ 13.99
APPLIED TO THE UNPAID BALANCE.
Payments must be payable in US dollars only
Thwnk Y6 for Y6 U_ ®rte
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