HomeMy WebLinkAbout329429 08/27/18 y�t GAgM
�/ ,� CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $*******175.63*
® ,�� CARMEL, INDIANA 46032 PO sox 4250 CHECK NUMBER: 329429
M,�ioN�. UTICA NY 13504 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 903066696 106.83 GENERAL PROGRAM SUPPL
1081 4239039 903068665 68.80 GENERAL PROGRAM SUPPL
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 226500 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Northern Safety Co., Inc. Payee
P.O. Box 4250
Utica, NY 13504-4250 In Sum of$ Purchase Order#
226500 Northern Safety Co.,Inc. Terms
$ 175.63 P.O.Box 4250 Date Due
Utica,NY 13504-4250
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or Invoice Description
Dept# INVOICE NO. ACCT#IrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-4 903066696 4239039 $ 106.83 Board Members 8/9/18 903066696 First Aid Supplies 2018-19 xx7306 $ 106.83
1081-5 903068665 4239039 $ 68.80 8110/18 903068665 First Aid Supplies Mohawk 2018-19 xx7314 $ 68.80
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
$ 175.63 Total $ 175.63
August 20,2018
///���
�/} ���/, 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
h / with IC 5-11-10-1.6
Cost distribution ledger classification if /�'� u wV
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
NTHER022,ZA- ro
N Remember... We Always Offer -INVOICE
• Our Lowest Price When You Order.
MEMBER OF THE WORTH w GROUP PLEASE EI[hlT T :�
Satisfaction Guaranteed!
PO Box 4250 • Utica, NY 13504-4250 100% N®R76iERN SAFETY�Q,,IPIC -
Phone:800.631.1246 • Fax: 800.635.1591
,'P O Box 4250 -
northernsafety.com
Utica NY 1'3504 4250"� ��.£�
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 Valeska
10721 W Lakeshore Dr
TOL '-Carmel Clay Parks&Recreation CARMEL IN 46033-3928
1411 E 116th St a } ` f7 USA
CARMEL IN 46032-3455 L
USA AUG 1 3 2018 tl-
� XX-7306
/09/2018
]BY:.. ........ ��` r
�...�...'zUR-RURCHASE ORDER NUMBER AND DATE
_ OUR INVOICE DATE " SHIPPED VIA DATE SHIPPED PAYMENT TERMS: Net 30
INVOICE.N01/ORDER NO I PAYMENT DUE BY: -09/08!2018 --— -
- - - — — --
903066696a`1980957690 08/09t2�018 UPS GROUND 08/09/2018
ORDERED SHIPPED ITEM NO.� UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
10 10 37929 BX ANTISEPTIC WIPES 20BX 1.69 16.90
2 2 4350 BX TRIPLE ANTIBIOTIC OINTMENT 25/BX 6.94 13.88
2 2 7675 BX NON-ADHERA ADHSIVPAD 3" X 4"-100/BX 17.71 35.42
5 5 1595 BX FABRIC STRIPS 1 X 3 100BX 1595033 5.21 26.05
Tracking No. 1 Z38X3240317769092
Tracking No. 1Z1045650391574376
*P1 EASENC TE that our STANDARD PAYMENT TERMS have been changed to NET 30
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO SUB TOTAL SALES TAX SHIPPING&HANDLING a, e
A FINANCE CHARGE OF 1'/z%PER MONTH WHICH
IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE $92.25 $ 0.00 $ 14.58
APPLIED TO THE UNPAID BALANCE.
Payments must be payable in US dollars only
Thank You for Your-Order!
=MCDAI Ir%4A iG 404AOIA
Ng.§T-WERN Remember...We Always Offer
Our Lowest Price When You Order. a
MEMBER OF THE WORTH t;GROUP PL EASE REMIT TO
PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! NORTWERN SAFETY C®,INC."' ''
Phone: 800.631.1246 v Fax:800.635.1591 `°P O X80 4250
northernsafety.com a
6 Utica,NY 13504- Z50",
SHIP TO(IF OTHER THAN"BILL TO")
YOUR CUSTOMER ID Carmel Clay Parks&Recreation
PLEASE REFER TO YOUR CUSTOMER ID,OUR INVOICE AND
ORDER NO. COMMUNICATIONS "'ING THIS INVOICE 4816021 Cyndi
4242 E 126th St
BILLCARMEL IN 46033-2450
TO: Carmel Clay Parks&Recreation USA
1411 E 1 16th St X C P,TV E ID
CARMEL IN 46032-3455 L P
USA AU6 1 6 2018 y
XX-7314 08/10/2018
BY:""""""""""""""" � `?YOWPURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATESHIPPED VIA DATE SHIPPED PAYMENT TERMS: Net 30
INVOICE,NO./ORDER NO. _; ,.a
PAYMENT DUE BY: -09/09/2018
x.903068665 7 980958344010/2018,;x`) UPS GROUND 08/10/2018
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
3 3 30918 BX BZK ANTISEPTIC WIPES 100BX 1303 2.95 8.85
4 4 1595 BX FABRIC STRIPS 1 X 3 100BX 1595033 5.21 20.84
2 2 159715 BX 2" X 3" BAND AID LARGE 25/BX 3.90 7.80
3 3 152133 BX North Adhesive Bandage Cloth 2 in.X 4 5.87 17.61
Tracking No. 1Z1045650391585140
Tracking No. 1 Z38X3240317781265
*P1 EASE NC TE that our STANDARD 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 11120%PER MONTH WHICH
IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE $55.10 $ 0.00 $ 13.70
APPLIED TO THE UNPAID BALANCE.
Payments must be-payable in-US dollars only - --
Thank You for Your Order!
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