HomeMy WebLinkAbout185368 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
i
CARMEL, INDIANA 46032 Po sox 4250 CHECK AMOUNT: $223.83
UTICA NY 13504 CHECK NUMBER: 185368
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 26889100101 79.15 OTHER EXPENSES
1125 4239012 I05171220102 144.68 SAFETY SUPPLIES
N ORTHERN Remember... We Always Offer
Our Lowest Price When You Order.
CPL`EASE REM TO:
PO Box 4250 Utica, NY 13504-4250 100% Satisfaction Guaranteed! NOR THERN SAFETY 60 ,INC.
Phone: 800. 631 1246 Fax: 800, 635.1591 r —P O BO 4250
northernsafety.com Utica, NY 13504 -4250
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID CARMEL CLAY PARKS RECREATION
0004816021 1411 E 116TH ST
CARMEL, IN 46032
TOL CARMEL CLAY PARKS RECREAT °ON
1411 E 116TH ST�
CARMEL, IN 46032
DAY 0 4 201 0 1I25= 42390]2 04/29/10
L ��a YOUR PURCHASE ORDER NUMBER AND DATE
INVOICE OJORDER NO, INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 05/29/10
I0517.12201023 g72 z1 )UPS GROUND 04/29/10
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
2 2 153 -3959 01 PR NORTH P100 PARTICULATE CARTRIDGE 758OP100 8.00 16.00
1 1 104 -29128 01 EA MONOGOGGLE RESPIRTOR FIT EYEWEAR GOGGLE 10.99 10.99
1 1 100 -26490 01 EA OTS OVER THE GLASS CLEAR LENS S3510SJ 3.87 3.87
1 1 152 -7700 L 01 EA HALF MASK SILICONE RESPIRATOR 7700 -30 LARGE 25.79 25.79
1 1 100 -26491 02 EA OTS OVER THE GLASS GRAY LENS S3520SJ 4.34 4.34
3 3 100 -28985 01 EA DEWALT SAFETY GLASSES STRUCTURE CLEAR DPG93 -1 2.83 8.49
1 1 231 -4643 R 02 EA DANGER PERMIT REQUIRED CONFINED SPACE D360RB 10.96 10.96
2 2 123 -26019 L 01 PR MECHANIX UTILITY GLOVE LARGE 18.73 37.46
1 1 156 -7019 01 EA RESPIRATOR STORAGE BAG 14 "X16" W /ZIPPPER 4.03 4.03
1 1 231 -4643 R 01 EA DANGER PERMIT REQUIRED CONFINED SPACE D36ORB 10.96 10.96
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ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 PER SHIPPING &HANDLING e p q 4 p
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 11.79 r 1 4 "60 i
UNPAID BALANCE.
Payments must be payable in US dollars only
2% discount does not apply to credit card payments Thank You for Your Order!
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
4129110 1051712201023 Safety supplies 144.68
Total 144.68
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
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
144.68
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 1051712201023 4239012 144.68 1 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
5 -May 2010
Signature
144.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
NORTHERN Remember.. We Always Offer
Our Lowest Price When You Order. PLEASE REMIT TO:
PO Box x250 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 "SOLD TO
YOUR CUSTOMER ID FJA I M I E
0002411866 CITY OF CARMEL
3450 W 131ST STREET
SOLD WESTFIELD, IN 46074
To: CITY OF CARMEL
ATTN UTILITIES DEPT
3450 W 131ST ST
WESTFIELD, IN 46074
JAIMIE FOREMAN 04/23/10
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE O./ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 05/23/10
P268891001015 04/23/10 UPS GROUND 04/23/10 IF PAID BY 05 /13/10 PAY $77.79
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 145 -24265 8 01 PR SNEAKER STEEL TOE WOMANS SIZE 8 67.95 67.95
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF t' /z% PER SALES TAX SHIPPING HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 11.20 79.15
UNPAID BALANCE.
Payments must be payable in US dollars only
2`Yo discount does not apply to credit card payments Thank You for Your Order!
VOUCHER 1.01514 WARRANT ALLOWED
226500 IN SUM OF
NORTHERN SAFETY CO, INC
PGA BOX 4250 11
UTICA, NY 13504►
J
Carmel Water Utili
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
e
26889100101 01- 6200 -03 $79.15
Voucher Total $79.15
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
226500
NORTHERN SAFETY CO, INC Purchase Order No.
PO BOX 4250 Terms
UTICA, NY 13504 Due Date 5/3/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/3/2010 2688910010' $79.15
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
Date Officer