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Home My WebLink About328568 08/09/18 1 or._CAq� a`! CITY OF CARMEL, INDIANA VENDOR: 226500 j ® ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******875.63* :9� ,_� CARMEL, INDIANA 46032 PO Box 4250 CHECK NUMBER: 328568 �,IisN�. UTICA NY 13504 CHECK DATE: 08/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356003 903051871 383.38 SAFETY ACCESSORIES 1120 4356003 903053694 492.25 SAFETY ACCESSORIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 226500 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER NORTHERN SAFETY CO, INC IN SUM OF$ CITY OF CARMEL PO BOX 4250 An invoice or 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. UTICA, NY 13504 Payee $875.63 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 903053694 43-560.03 $492.25 1 hereby certify that the attached invoice(s),or 8/6/18 903053694 $492.25 1120 101 1120 101 903051871 43-560.03 $383.38 bill(s)is(are)true and correct and that the 8/6/18 903051871 $383.38 1120 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Monday,August 06, 2018 David Haboush Fire Chief 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer NORTHERN Remember...We Always Offer • MEMBER OF THE WORTH w GROUP 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 northernsafety.com Utica, NY 13504-4250 I�SHIP TO(IF OTHER THAN'BILL TO") PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND I YOUR CUSTOMER ID Carmel Fire Department ORDER NO. REGARDING ' 416610 2 Civic Sq CARMEL IN 46032-2584 BILL Carmel Fire Department USA TO: 2 Civic Sq CARMEL IN 46032-2584 USA Gary 07/31/2018 L YOUR PURCHASE ORDER NUMBER AND DATE ---- INVOICE NO./ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT-TER-MS—.---N6-t-30 PAYMENT DUE BY: 08/30/2018 903051871 /101703682 07/31/2018 UPS GROUND 07/31/2018 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 48 48 1665 M PR GRAIN l-EA DRIVERS GLV KEYSTONE THUMB M 7.79 373.92 1 1 30925 F 'EA TRAVEL COOLER RD W/NS LOGO TB3003 0.00 0.00 Tracking No. 1Z1045650391514823 *PLEASENO TE 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 11h%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE $373.92 $ 0.00 $ 9.46 $ 383.38 APPLIED TO THE UNPAID BALANCE. 7- Payments must be payable in US dollars only Thank You for Your Order! NORTHERN Remember..We Always Offer jNVOICE. MEMBER OF THE WORTH;;GROUP 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 northernsafety.com Utica, NY 13504-4250 SHIP TO(IF OTHER THAN"BILL TO") YOUR CUSTOMER IDPLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND.: Carmel Fire Department ORDER NO. ' ' "'ING THISINVOICE 416610 2 Civic Sq CARMEL IN 46032-2584 BILL Carmel Fire Department USA TO: 2 Civic Sq CARMEL IN 46032-2584 USA Gary 07/31/2018 L YOUR PURCHASE ORDER NUMBER AND DATE INVOICE NO./ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT TERMS: Net 30 PAYMENT DUE BY: 08/30/2018 903053694/101703682 07/31/2018 UPS GROUND 07/31/2018 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 12 12 1665S PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB SM 7.79 93.48 48 48 1665 L PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB L 7.79 373.92 Tracking No. 1 Z38X3240317704151 *PLEASE IVG TE that our STANDAR PAYMENT TERMS have been changed to NET 30 ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO SUBTOTAL SALES TAX SHIPPING&HANDLING • A FINANCE CHARGE OF 1'/x%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE $467.40 $ 0.00 $ 24.85 $ 492.25 APPLIED TO THE UNPAID BALANCE. -- Payments must be payable in US dollars only Thank You for Your Order!