HomeMy WebLinkAbout163330 09/03/2008 i
CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
f, ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $1,809.75
CARMEL, INDIANA 46032 PO BOX 4250
T �o UTICA NY 13504 CHECK NUMBER: 163330
CHECK DATE: 9!3!2008
LIEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1047 4239099 P21905650101 1,809.75 OTHER MISCELLANOUS
Remember... We Always Offer UMMIR
Our Lowest Price When You Order. PLEASE REMIT TO:
Safety and Industrial Supplies 100 Satisfaction Guaranteed NORTHERN SAFETY CO., INC.
P.O. Box 4250
PO Box 4250 Utica, NY 13504 -4250
Phone: 800. 631 1246 Fax: 800. 635. 1591 Utica, NY 13504 -4250
northernsafety.com
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID I NA NOTZE
PLEASE REFER TO ORDER 0004816021 CARMEL /CLAY PARKS RECREATION
1235 CENTRAL PARK DR E
SOLD CARMEL, IN 46032
TO. CARMEL CLAY PARKS RECREATI
1411 E 116TH ST 7BY: I[�J'
CARMEL, IN 46032 200$ L
19090 08/07/08
YOUR PURC HASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATESHIPPED PAYMENT DUE BY 09/06/08
INVOICE NO./ORDER NO.
P219056501018 08/07/08 UPS GROUND 08/07/08 IF PAID BY 08/27/08 PAY $1,773.56
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
70 70 122 -8589 L 01 BX FLEXSHIELD POWDER -FREE GLOVE 5 MIL LARGE PFNT95 8.69 608 -30
50 5G 122 -8589 M 01 BX FLEXSHIELD POWDER -FREE GLOVE 5MIL MED PENT -9.5 8.69 434.50
5 5 122 -8589 XL 01 BX FLEXSHIELD DISP POWDR FREE GLV EXTRA LARGE 8.69 43.45
10 1 249- 7280 01 BX STERILE PADS 4 "X 4" 100 /BX 7280033 15 -11 151.10
240 24 252 -24487 01 EA INSTA -KOOL HazMat FREE 517" ICE PACK JUNIOR .99 237.60
2 252 -4409 OE 01 EA EMT PARAMEDIC SCISSORS 7 1 /2" ORANGE 5.50 11.00
1 249 -1602 01 BX KNUCKLE BANDAGE 1 112 X 3 100 /BX 9.54 9.54
3 249 -2372 01 BX ACTIVE STRIPS KNEE ELBOW PATCH IO /BX 510 -10 4.02 12.06
20 2 249 -7280 01 BX STERILE PADS 4 "X 4" 100 /BX 7280033 15.11 302.20
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[I e sa Y A� 1 2008
BOB l
AM
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FfNANCE CHARGE OF 11/2% SALES TAX SHIPPING HANDLING
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
2% discount does not apply to credit card payments Thank You f or Y our O rder
Frnppm infi 1A- 191AR1A
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. 19090 P
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)) Amount
817108 P219056501018 First Aid 1,809.75
Total 1,809.75
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. Sox 4250
Utica, NY 13504 -4250
r
In Sum of
1,809.75
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO #or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1047 P219056501018 4239099 1,809.75 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
18 -Aug 2008
Signature
1,809.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund