161494 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $969.01
CARMEL, INDIANA 46032 PO Box 4250
UTICA NY 13504 CHECK NUMBER: 161494
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
2047 4239039 210189001026 81.45 GENERAL PROGRAM SUPPL
1047 4239099 P21192750101 242.25 OTHER MISCELLANOUS
1047 4239039 P21197501012 645.31 GENERAL PROGRAM SUPPL
T j Remember... We Always Offer D� 0 O X(D Our Lowest Price When You Order.
PLEASE REMIT TO:
Safety and Industrial Supplies 100% Satisfaction Guaranteed! NORTHERN SAFETY CO., INC.
PO Box 4250 Utica, NY 13504-4250 RECEIVED P.Q Box 4250
Phone: 800. 631 1246 a Fax: 800.635. 1591 Utica, NY 13504 -4250
northernsafety.com JUN 0 5 2008
SHIP TO (IF OTHER THAN "SOLD TO
PLEASIf REFER TO YOUR YOUR CUSTOMER ID, OUR INV DICE AND YOUR cusroMER ID �ARMEL /CLAY PARKS AND REC
0004816021 ATTN: TINA HOTH
1235 CENTRAL PARK DR EAST
SOLD CARMEL IN 46032
TO. CARMEL CLAY PARKS RECREATION
1411 E 116TH ST
CARMEL, IN 46032
DUSTIN 05/30/08
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE NOJORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 06/29/08
P211927501012 05/30/08 UPS GROUND 05/30/08 IF PAID BY 06/19/08 PAY $869.81
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
Lq 20 20 249 -24463 01 BX BAND -AID BRAND VARIETY PACK ASSORTED BX /280 12.97 259.40
0 20 20 249 -8809 01 EA STERILE ROLLED GAUZE BANDAGE 4 "X 4.1 YDS. 4.08 81.60
2 20 20 252 -1495 01 EA ELASTIC BANDAGES 2 "X 5 YARDS, 87 17.40
j 10 10 252 -1479 01 EA ELASTIC BANDAGES 4 "X 5 YARD S. 1.62 16.20
a 2 2 249 -7259 01 BX STERILE PADS 21 2" 100 /BX 7260033 8.62 17.24
0 2 2 249 -7270 01 BX STERILE PADS 3 "X 3" 100 /BX 7270033 10.28 20.56
b 2 2 249- 01 BX STERILE PADS 4 "X 4" 100 /BX 7280033 15.91 31.82
6 .6 249 -5126 01 BX ZONAS POROUS TAPE 2" X 10 YES 6 RL /BX J &J 15.34 92.04
20 :20 122 -23952 M 01 BX N/S INDUSTRIAL GRADE LATEX GLOVE 4 MIL 1001OMFD 4.99 99.80
20 20 122 -23952 XL 01 BX N/S INDUSTRIAL GRADE LATEX GLOVE 4 MIL 10020XLG 4.99 99.80
10 10 254 -4118 01 EA RED Z FLUID SOLIDIF 15 OZ SHAKER BOTTLE 41103 15.17 151.70
s 1 1 325 -01 CATALOG 01 EA NEW CUSTOMER CATALOG KIT NC071 .00
R -E C I T m; r 1Z �D r- k-j 0
JUN 2 200$ y 7. 340 00D 1 1 423ef0 q a I ZS 3SO 300 y 239 v a Z14
R' {{'�T SALES TAX SHIPPING HANDLING o IBM
ACCOUNTS 30 DAYS AND OVER AA �t1H9EC: E -OF 1 PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 1n TO BE APPLIED TO THE 887.
UNPAID BALANCE. 30 0 9 Q3 Z,
Payments must be payable in US dolla only
2% discount does not apply to credit card payments Lo�ZD�QB Thank You for Y ®ur ®r��r�
FFI)FPw in t 1R- 1914R14
Remember... We Always Offer
,fi ,A�,JORWFHERN Our Lowest Price When You Order.
PLEASE REMIT'TO:A
Safety nd Industrial S eed!
Y pA NORTHERN SAFETY-C.O., INC
PO Box 4250 Utica, NY 13504 -4250 P.U: Box 4250
Phone: 800.631.1246 •Fax: 600.635.1591
UN 0 8 2008 Utica NY 13504 -4250,
northernsafety.com
BY' SHIP TO (IF OTHER THAN "SOLD TO
PLEASE R I EFER TO I YOUR YOUR CUST OMER ID, OUR INV DICE AN D YOUR CUSTOMER ID �CARMEL/CLAY PARKS AND REC
ORD NO. IN ALL COMMUNICATIONSREGARDING THIS INVOICE 0004816021 ATTN: TINA HOTZE
1235 CENTRAL PARK DR EAST
SOLD CARMEL, IN 46032
TO: CARMEL CLAY PARKS RECREATION
1411 E 116TH ST
CARMEL, IN 46032 L
18051 05/12/08
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 07102108
INVOICE NO./ORDER NO.
P210189001026 06/02/08 UPS GROUND 06/02/08 IF PAID BY 06/22/08 PAY $79.82
ORDERED SHIPPED ITEM N0, UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
15 15 249 1595.01 BX FABRIC STRIPS 1 X 3 100 /BX 1595033 5.43: 81.45
RECEIVE-D
JUN 2 3 2008
L\1 coo L423q 0Aq 1 2L42 ZS
4 7. X0 `30 L{Z3g03a 2yZ• 2S
47 X00 -6C 4 42 I o39: Zq2
L A-
5 L 2A2 20
rp D6
SALES TAX SHIPPING. &HANDLING
ACCOUNTS 36 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 172% PER 8 1 45
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!
I- FrIFRAI Ills! 1R_191dA1A
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,
Northern Safety Co., Inc.
P.O. Box 4250 Date Due
Utica, NY 13504 -4250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/08 P211927501012 First Aid supplies 645.31
5/30/08 P211927501012 First Aid supplies 242.25
5/12/08 P210189001026 First Aid supplies 81.45
Total 969.01
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.
\Je !n or =D '�-)0 Allowed 20
Northern Safety Co., Inc.
P.O. Box 4250
Utica, NY 13504 -4250 In Sum of
969.01
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1047 P211927501012 4239039 645.31 l hereby certify that the attached invoice(s), or
1047 P211927501012 4239099 242.25 bill(s) is (are) true and correct and that the
1047 P210189001026 4239039 81.45 materials or services itemized thereon for
which charge is made were ordered and
received except
3 Jul 2008
Signature
969.01 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund