HomeMy WebLinkAbout328972 08/17/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECKAMOUNT: $*******240.41*
CARMEL, INDIANA 46032 PO Box 4250 CHECK NUMBER: 328972
UTICA NY 13504 CHECK DATE: 08/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 903062598 240.41 GENERAL PROGRAM SUPPL
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 226500 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Northern Safety Co., Inc. Payee
P.O. Box 4250
Utica, NY 13504-4250 In Sum of$ Purchase Order#
226500 Northern Safety Co.,Inc. Terms
$ 240.41 P.O.Box 4250 Date Due
Utica,NY 13504-4250
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#ornvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO-# Amount
1081-7 903062598 4239039 $ 240.41 Board Members 8/7/18 903062598 First Aid Supplies 2018-19 xx7299 $ 240.41
I 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
$ 240.41 Total $ 240.41
August 15,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
l� with IC 5-11-10-1.6
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
NORTHERN Retttetnber... We Always Offer INWICE
Our Lowest Price When You Order. }
MEMBER OF THE WORTH w GROUP t P-EAtE REMI TTO t
PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! NORTHERN SAFETY CQ,,INC.
Phone: 800.631.1246 • Fax: 800.635.1591
_ f
northernsafety.com Utica NY:13504 425Q'
SHIP TO(IF OTHER THAN"BILL TO")
PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND YOUR CUSTOMER ID Carmel Clay Parks&Recreation
ORDER NO. • • • • 4816021 Joey
14200 River Rd
BILL I -Carmel Clay Parks&RecreationIVrD CARMEL IN 46033-9616
TO: USA
1411 E116th St AUG � � �ol� I _
CARMEL IN 46032-3455 f7
USA b
P.Y: .............. XX-7299 059J/2018
L `'��=�YOUR'PURCHASE ORDER NUMBER AND DATE
6 ----"'"OUR INVOICE DATE. SHIPPED VIA DATE SHIPPED PAYMENT TERMS: Net 30
t INVOI_CEyNOlORDER NO.
PAYMENT DUE.PY--:- 09/06/201$-- - --
303062598!980956668 x08/07/2018 UPS GROUND 08/07/2018
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
4 4 6405 BX PREM FABRIC BANDAGES 1'X3' 100BX 6.79 27.16
2 2 6404 BX PREM FABRIC BANDAGES 2X3XL.PATCH 50BX 9.59 19.18
1 1 4351 BX TRIPLE ANTIBIOTIC OINTMENT 144/BX 29.30 29.30
1 1 4646 BX HYDROCORTISONE CREAM 1% 144/BX 19.91 19.91
4 4 30918 BX BZK ANTISEPTIC WIPES 100BX 1303 2.95 11.80
20 20 4552 EA PURELL ANTISEPTIC HAND CLNSR 4 OZ BTL 2.65 53.00
5 5 32520 L BX NS FLEXSHIELD BLK NITE NITRILE GLV L 10.69 53.45
Tracking No. 1Z1045650391562638
*PLEASENC TE that our STAIVDARD 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 1'!z%PER MONTH WHICH
IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE $213.800.00
$ 26.61 `240 41 ,T 77
APPLIED TO THE UNPAID BALANCE. '17L
'$'
Payments must be payable.in US-dollars only - - -r- - -
Thank You for Your Ore><er!
=MCDAI Ir1,F 1R_171AQ1A