HomeMy WebLinkAbout195582 03/16/2011 VENDOR: 226500 CITY OF CARMEL, INDIANA Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
0 PO BOX 4250 CHECK AMOUNT: $151.16
CARMEL, INDIANA 46032
UTICA NY 13504 CHECK NUMBER: 195582
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 29366460102 151.16 OTHER EXPENSES
ORTHERN Remember... We Always Offer
Our Lowest Price When You Order. PLEASE REMIT TO:
PO Box 4250 Utica, NY 13504-4250 100 0 10 Satisfaction Guaranteed! NORTHERN SAFETY CO., INC.
Phone: 800. 631 1246 Fax: 800. 635. 1591 P.O. BOX 4250
north ernsa fety. com Utica, NY 13504 -4250
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID ANDY CREASY
0003217619 CARMEL WATER DISTRIBUTION
5484 EAST 126TH STREET
SOLD CARMEL, IN 46033
TO. CARMEL WATER DISTRIBUTION
3450 W 131ST ST L
CARMEL, IN 46074
ANDY CREASY 02/21/11
L YOUR PURCHASE ORDER NUMBER AND DATE
INVOICE•NOUOADER -NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT- DUE_BY 03I23I11
P293664601023 02/21/11 UPS GROUND 02121111 IF PAID BY 03/13/11 PAY $148.40
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 145 -22430 10 01 PR SKECHERS TRAIL HIKER MENS STEEL TOE BOOT SZ 10 77.95 77.95
1 145 -31222 10 02 PR MENS STEEL TOE SNEAKER MEDIUM WIDTH SIZE 10 CH 59.95 59.95
1 325 -01 CATALOG 01 EA NEW CUSTOMER CATALOG KIT NC071 .00
ex
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 'h% PER SALES TAX SHIPPING HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 13.2 151.16
UNPAID BALANCE.
Payments -must be- payable in- US- dollars only
2% discount does not apply to credit card payments Thank You for Your Order!
FEDERAL ID# 16- 1214814
VOUCHER 104306 WARRANT ALLOWED
226500 IN SUM OF
NORTHERN SAFETY CO, INC I
PO BOX 4250 pp RATIO
UTICA, NY 13504
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR i
Board members
P0# INV ACCT AMOUNT Audit Trail Code
29366460102 01- 6200 -03 $151.16
Voucher Total $151.16
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 3/8/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/8/2011 2936646010 $151.16
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
vorrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer