HomeMy WebLinkAbout198216 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
CARMEL, INDIANA 46032 PO BOX 4250 CHECK AMOUNT: $143.18
UTICA NY 13504
CHECK NUMBER: 198216
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 30077620101 143.18 MATERIALS SUPPLIES
0RTHERN Remember... We Always Offer
Our Lowest Price When You Order. PLEASE REMIT To:
PO Box 4250 Utica, NY 1 3504 -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
TIM VANDERGRIFF
0003217619 CARMEL WATER DISTRIBUTION
3450 W 131ST ST
SOLD F WESTFIELD, IN 46074
TO CARMEL WATER DISTRIBUTION
3450 W 131ST ST L
CARMEL, IN 46074
TIM 05/12/11
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE NOJORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 06/11/11
P300776201012 05/12/11 UPS GROUND 05/12/11 IF PAID BY 06/01/11 PAY $140.58
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 145 -31220 8 02 PR WOMEN D'LITES WORK SNEAKER WE /BE SZ 8 CH 69.95 69.95
1 145 -31222 13 02 PR MEN STEEL TOE SNEAKER MED WIDTH SZ 13 CH 59.95 59.95
1 325 -01 CATALOG 02 EA NEW CUSTMER CATALOG KIT NC071 .00
SALES TAX SHIPPING HANDLING
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1' /z% PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 13.2 143.18
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
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 5/31/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/31/2011 3007762010' $143.18
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
/3// 0,---c-
Date Officer
VOUCHER 111308 WARRANT ALLOWED
226500 IN SUM OF
NORTHERN SAFETY CO, INC
PO BOX 4250 WA7M
UTICA, NY 13504 OPERATMS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4 o PD 3
30077620101 O n_nn $143.18
Voucher Total $143.18
Cost distribution ledger classification if
claim paid under vehicle highway fund