HomeMy WebLinkAbout332443 11/21/18 1 CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO,INC CHECK AMOUNT: $********44.29*
® ;0 CARMEL, INDIANA 46032 Po Box 4250 CHECK NUMBER: 332443
UTICA NY 13504 CHECK DATE: 11/21/18
ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4239012 903196462 44.29 SAFETY SUPPLIES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 226500 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Northern Safety Co., Inc. Payee
P.O. Box 4250
Utica, NY 13504-4250 In Sum of$ Purchase order#
226500 Northern Safety Co.,Inc. Terms
$ 44.29 P.O.Box 4250 Date Due
Utica,NY 13504-4250
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
Po#ornvolce Description
Dept# INVOICE ND. ACCT#lrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 903196462 4239012 $ 44.29 Board Members 11/6/18 903196462 MCC Staff Offices First Aid Kit Supplies xx7615 $ 44.29
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
$ 44.29 Total $ 44.29
November 14,2018
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
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Ft IORT ERN Remember...We Always Offer
• Our Lowest Price When You Order. '
MEMBER OF THE WORTH w GROUP PLEASE EMIT TO:
PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed!
�Np�THERM SAFETY CO:,�
Phone: 800.631.1246 • Fax: 800.635.1591 t
P O Box 4250
nor-thernsafety.com
-.�•Uttea, NY,13504 4250--�r
SHIP TO(IF OTHER THAN"BILL TO")
PLEASE REFERTO YOUR CUSTOMER ID,I OUR YOUR CUSTOMER ID
INVOICECarmel Clay Parks&Recreation
ORDER
4816021 Annemarie Bessler
1235 Central Park Dr E
BILL F_ CARMEL IN 46032-4421
TO: Carmel Clay Parks&Recreation
1411 E 116th St R va rqi,', , USA
CARMEL IN 46032-3455
USA NOV 1 3 2018
XX-7615 11/06/2018
�; ,. 1CO3!
� R'PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE` SHIPPED VIA DATE SHIPPED
INVOICE NO./ORDER NO. a PAYMENT TERMS: Net 30
�rt
-. -- -— ----_. -- - PAYMENT DUE 6Y: -1-2106/2018--- - - - -- -
` 9
90319646.2(980999415 11(06/2018 UPS GROUND 11/06/2018
ORDERED I SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
2 2 31962 BX NS TRIPLE ANTIBOITIC CREAM 20/BX 2.44 4.88
2 2 4444 BX BAND-AID FABRIC STRIPS 1 X 3 100 BX 7.74 15.48
1 1 1755 EA SPLINTER FORCEPS 3 .5' 15-104 2.30 2.30
1 1 1728 EA HYDROGEN PEROXIDE 160Z BOTTLE 1.46 1.46
1 1 3901 EA MICROSHIELD CPR PROTECOR 70-150 50CS 7.35 7.35
Tracking No. 1 Z104565039217971 1
*PLEASE NOTE 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 ¢ •
A FINANCE CHARGE OF 11h0/6 PER MONTH WHICH
IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE 3=
APPLIED TO THE UNPAID BALANCE. $31.47 $ 0.00 $ 12.82 $ t 44:29
Payments must be payable in US dollars only
- Thank-You f®r Dour Orded
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