158562 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO INC
CHECK AMOUNT: $545.91
CARMEL, INDIANA 46032 Po eox azso
UTICA NY 13504 CHECK NUMBER: 158562
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 P20223110002 545.91 OTHER EXPENSES
%t
'WTHERN Remember.. Always Offer Fi
Our Lowest Price When You Order.
PLEASE REMIT TO
Safety and Industrial Supplies 100% Satisfaction Guaranteed! NORTHERN SAFETY CO., INC.
P.O. Box 4250
PO Box 4250 Utica, NY 13504 -4250
Phone: 800. 631 1246 Fax: 800. 635. 1591 Utica, NY 13504 -4250
northernsafety. com
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID
PLEASE REFER TO YOUR YOUR OUR
ORDER NO. IN ALL COMMUNICATIONS REGARDING THIS INVOICE 0002411866
TOL CITY OF CARMEL
ATTN UTILITIES DEPT
3450 W 131ST ST L
WESTFIELD, IN 46074
W0805147 02/27/08
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 04/25/08
INVOICE NO. /ORDER NO.
P202231100021 03/26/08 UPS GROUND 03/26/08 IF PAID BY 04/15/08 PAY $113.63
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 45 -22400 BK 10 01 PR DR MARTENS HIKER STEEL TOE BOOT BLACK SIZE 10 115.95 115.95
SALES TAX SHIPPING HANDLING: ?1''R'F
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 1 /2% PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE
UNPAID BALANCE. 115.95
Payments must be payable in US dollars only
"2% discount does not apply to credit card payments Thank You for Your Order!
FFr1FRAI 1r)1! iR- 191ARIA
Remember.. We Always Offer
Our Lowest Price When You Order.
PLEASE REMIT:TO:
Safety and Industrial Supplies l00% S atisfacti on Guaranteed! NORTHERN SAFETY CO., INC.
P.O.. Box 4250.
PO Box 4250 Utica, NY 13504 -4250
Phone: 600.631 1246 Fax: 800. 635. 1591 Utica; NY 13504-42 50
northernsafety. com
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID
PLEASE ER T O YOUR YOUR OUR
ORDER NO IN ALL CO MMUNICATIONS
0002411866
SOLD F
TO: CITY OF CARMEL
ATTN UTILITIES DEPT L-
3450 W 131ST ST
WESTFIELD, IN 46074
i W08051' 02/27/08
L� YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED
INVOICE NOJORDER NO. PAYMENT DUE BY 03/28108
I P202231100013
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
24 24 123 -19943 01 PR N/S INSULATED PIGSKIN KNITWRIST(6PR /PK) 6.59 158.16
1 1 145 -21864 11 01 PR 17" OVER -THE -SHOE BOOTS SIZE 11 15.95 15.95
2 2 145 -24265 8 01 PR SNEAKER STEEL TOE WOMANS SIZE 8 64.95 129.90
24 24 126 -1592 01 PR BROWN JERSEY GLOVE WIRED LINING 1.50 36.06
1 1 145 -26325 85 01 PR SKECHERS STEEL TOE WATERPROOF BOOT SZ8.5 89.95 89.95
1 1 SP2008CAT 01 EA 2008 CATALOG BC082 .00
SALES TAX SHIPPING HANDLING
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'Is% PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE
UNPAID BALANCE.
Payments must be payab in US dollars only
2% discount does not apply to credit card payments Thank Y ®u f ®r Your ®rderi
CCr1FDAI Ir11i 1a- 101AR1A
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.
r
Payee
226500
NORTHERN SAFETY CO, INC Purchase Order No.
PO BOX 4250 Terms
UTICA, NY 13504 Due Date 4/7/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2008 P202231100i $429.96
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with I{ 5- 11- 10 -1.6
Fes'
Date Officer
VOUCHER 081400 WARRANT ALLOWED
226500 IN SUM OF
i NORTHERN SAFETY CO, IN
PO BOX 4250�
UTICA, NY 13504
'6 p
a
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P2022311000 01- 6200 -04 $429.96
v�
c CA
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund