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Home My WebLink About194295 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1 s 0 ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CARMEL, INDIANA 46032 PO BOX 4250 CHECK AMOUNT: $522.51 UTICA NY 13504 CHECK NUMBER: 194295 CHECK DATE: 2/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 29026570101 339.98 MATERIALS SUPPLIES 1125 4239012 I05985930101 182.53 SAFETY SUPPLIES ORTHERN Remember... We Always Offer A 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. 1591 P.O. Box 4250 north ernsafety.Com Utica, NY 13504 -4250 SHIP TO (IF OTHER THAN "SOLD TO YOUR CUSTOMER ID 7 CARMEL CLAY PARKS RECREATION 0004816021 1411 E 116TH ST CARMEL, IN 46032 TOL CARMEL CLAY PARKS RECREATION 1411 E 116TH ST CARMEL, IN 46032 L 1125 410 4239012 01/12/11 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED INVOICE NO./ORDER N PAYMENT DUE BY 02/11/11 O. I059859301019 01/1 /111 UPS GROUND 01/12/11 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 1 1 162 -27117 01 EA MILLER HP HARNESS 850T /UGK 86.60 86 -60 2 166 -22588 01 EA SHOCK ABSORBING LANYARDS W /SNAP /REBARHOOK 72593 41.63 83.26 I SP2011CAT 01 EA 2011 CATALOG .00 P rchase D scriRtion PO.# PorF F 8 'dq r-7 X 2 3 JAS 8 201 B �dget Li e Pscr Prchaser Date gyn A roval Date SALES TAX SHIPPING HANDLING MON WHICH O IS AN ANNUAL PERCENTAGE RATE OF 18 %C O CHARGE OF BE APPLIED t TO THE 12.6 182. 53 UNPAID BALANCE. Payments must be payable in US dolldrs only 2% discount does not apply to credit card payments T You for Your Order! FEDERAL ID# 16- 1214814 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 1112111 1059859301019 Safety supplies 182.53 Total 182.53 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 182.53 ON ACCOUNT OF APPROPRIATION FOR 101 -General PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 1059859301 o19 4239012 182.53 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 27 -Jan 2011 Signature 182.53 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund �t1 Remember... We Always Off 2, p Our Lowest Price When You Order. PLE4SE REMIT T O: PO Box 4250 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 I CITY OF CARMEL 0002411866 CARMEL WATER DEPT 5484 E 126TH ST SOLD CARMEL, IN 46033 TO: CITY OF CARMEL ATTN UTILITIES DEPT 3450 W 131ST ST� L- WESTFIELD, IN 46074 WILLIAM 01/11/11 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 02/10/11 INVOICE NOJORDER NO. P290265701012 01/11/11 UPS GROUND 01/11/11 IF PAID BY 01/31/11 PAY $333.56 ORDERED SHIPPED ITEM N0. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 1 145 26328 13 01 PR SKECHERS MENS STEEL TOE SPORT SNEAKERS713 76770 68.36 68.36 1 145 -26328 11 01 PR SKECHERS MENS STEEL TOE SPORT SNEAKERSZII 76770 68.36 68.36 1 145 -22400 BK 10 01 PR DR MARTENS HIKER STEEL TOE BOOT BLACK SIZE 10 106..51. 106.51. 1 145 -22430 10 01 PR SKECHERS TRAIL HIKER MENS STEEL TOE BOOT SZ 10 77.95 77.95 1 325 -01 CATALOG 01 EA NEW CUSTOMER CATALOG KIT NC071 .00 e ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1' /z% PER SALES TAX SHIPPING HANDLING MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE UNPAID BALANCE. Payments _must.be_payable_in_US.dollars -only 2% discount does not apply to credit card payments Thank You for Your Order! P:Pnr:AAi Ir02P iR_i91QA1d VOUCHER 103921 WARRANT ALLOWED 226500 IN SUM OF NORTHERN SAFETY CO, INC PO BOX 4250 UTICA, NY 13504 WATM 'OPERA110NS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT i Audit Trail Code 29026570141 01- 6200 -03 $339.98 Voucher Total $339.98 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 1]25/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/25/2011 2902657010' $339.98 I hereby certify that the attached invoice(s), or bills) is (are) true and .:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer