HomeMy WebLinkAbout190399 09/29/2010 "eM CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
CHECK AMOUNT: $303.14
CARMEL, INDIANA 46032 PO BOX 4250
UTICA NY 13504
CHECK NUMBER: 190399
CHECK DATE: 9129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
601 5023990 28141460101 303.14 MATERIALS SUPPLIES
AJORTHERN Remember... We Always Offer
Our Lowest Price When You Order. PLEASE REMIT To:
PO Box 4250 Utica, NY 13504-4250 100% Satisfaction Guaranteed! NORTHERN SAFETY CO., INC.
Phone: 800. 631 1246 Fax: 800.635. 1541 P.O. Box 4250
northernsafety.aom Utica, NY 13504 4250
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID I JERRY
PLEASE REFER TO YOUR YOUR'CUSTOMER ID,'OUR INVOICE AkD'�
0002411866 CITY OF CARMEL
3450 W 131ST STREET
CARMEL, IN 46074
SOLD FCITY OF CARMEL
To: ATTN UTILITIES DEPT
3450 W 131ST ST L
WESTFIELD, IN 46074
4�, V JERRY CLOUD 09/15/10
L W YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 10/15/10
INVOICE NO./ORDER NO.
P281414601013 09/15/10 UPS GROUND 09/15/10 IF PAID BY 10/05/10 PAY $297.45
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 190 -21870 01 EA INDUSTRIAL LOCKOUT STATION (EQUIPPED) LC251M 284.60 284.60
SALES TAX SHIPPING HANDLING
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF T' /z PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE
UNPAID BALANCE.
Payments must be payable in US dollars only
VOUCHER 102842 WARRANT ALLOWED
226500 IN SUM OF
NORTHERN SAFETY CO, INC VAIEW
PO ,BOX 4250
UTICA, NY 13504 Z
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR 1
Board members
PO INV ACCT AMOUNT Audit Trail Code
28141460101 01- 6200 -04 $303.14
Voucher Total $303.14
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 9/21/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2010 2814146010' $303.14
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
Date Offi