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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