HomeMy WebLinkAbout180904 12/30/2009 *f CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
CARMEL, INDIANA 46032 Po sox 4250 CHECK AMOUNT: $449.83
-'b'r UTICA NY 13504 CHECK NUMBER: 180904
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239012 I04620140102 421.27 SAFETY SUPPLIES
1125 4239012 I04620140102 28.56 SAFETY SUPPLIES
1
2errierrl,1- We Always Offer
Our Lowest Price When You Order.
::istetyw x t issc t z l o)J1ry R 100% Satisfaction Guaranteed
PLEASE REMIT TO
PO Box4250. Utica, NY 13504 -4250 PLEASE REFER TO YOUR ACCOUNT NO AN! NORTHERN SAFETY CO., INC
Phone 800.631.1246 Fax 800.635.1591 INVOICE NO. IN ALL COMMUNICATIONS
no;:hemsafety.cam P.O. BOX 4250
REGARDING THIS INVOICE UTICA, NY 13504 -4250
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SOLD TO:
CARMEL CLAY PARKS RECREATION
4816021 iiiittait ::f ''t
1411 E 116TH ST 2.0 %D 20 NET 30
CARMEL, IN 46032 i C: 1 J `i'
SHIP TO: 22741 1isiTg
CARMEL CLAY PARKS RECREATION 10/12/2009
1411 E 116TH ST 1046201401027 10/19/2009
CARMEL, IN 46032
ORDERED SHIPPED ITEM NO. I UOM DESCRIPTION UNIT PRICE I EXT AMOUNT
1 1 157 -23174 EA SOLARIS MULTIGAS REGULATOR 467895 $176.77 5176.77
1 1 157 -23175 EA SOLARIS MULTIGAS DETECTOR CALIBRATION GAS $215.94 5215.94
8 8 231-14175 P 01 EA BILINGUAL SIGN "NON POTABLE WATER DO NOT DRI $7.14 $57 12
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 1/2% PER Total Ext Amt $449.83
MONTH WHICH IS AN ANNUAL PEPCENTAGE RATE OF 16% TO BE APPLIED TO THE
UNPAID BALANCE. Sales Tax
Payments must be payable In US dollars only Sh ip Hand
Total Invoice
Applied Payments*
T 'D 5449.83
Purchase in
Description (A ,I1_1'10..1
P.O.# '2-70- P o®F no
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I Descr `n— 100 3101 /Q ?)9/)/A 4,2 '7 V
Purchaser Date e ()6L�,I rec
Approval- Date OK 40' pays
CC(
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6, DEC 0 7 2009
T: 11
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
226500 Northern Safety Co., Inc. Terms
P.O. Box 4250
Utica, NY 13504 -4250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/19/09 1046201401027 Safety supplies 22741 F 28.56
10119/09 1046201401027 Safety supplies 22741 F 421.27
Total 449.83
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
Clerk- Treasurer
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504 -4250
In Sum of
449.83
ON ACCOUNT OF APPROPRIATION FOR
101 General fund 104 Program Fund
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1125 1046201401027 4239012 28.56 I hereby certify that the attached invoice(s), or
1047 1046201401027 4239012 421.27 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
23 -Dec 2009
Signature
449.83 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund