HomeMy WebLinkAbout200039 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
CARMEL, INDIANA 46032 Po eox azso CHECK AMOUNT: $96.27
o UTICA NY 13504 CHECK NUMBER: 200039
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 I06615360101 96.27 SAFETY SUPPLIES
r 1
NO RTHERN Remember... We Always Offer
Our Lowest Price When You Order. PLEASE REMIT TW22
PO Box 4250 Utica, NY 13504-4250 100% Satisfaction Guaranteed! NORTHERN SAFETY C
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 CARMEL CLAY PARKS RECREATION
PLEASE REFER�TO YOUR CUSTOMER ID, OUR INVOICE AN6 ORDER NO, IN ALL COMMUNICATIONS REGARDING THIS INVOICE 0004816021 1411 E 116TH ST
CARMEL, IN 46032
TOL CARMEL CLAY PARKS RECRE O
1411 E 116TH ST C�;T, i__
CARMEL, IN 46032
JUL 0 2011 j 1094.4239012 06/29/11
B YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED
INVOICE NO. /ORDER NO. PAYMENT DUE BY 07129111
I066153601010 06/29/11 UPS GROUND 06/29/11
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 493 -29319 F 01 EA NS 6 -IN -1 SCREWDRIVER 900 928 -06 -B .00
2 153 -3959 01 PR NORTH P100 PARTIC CART 758OP100 8.65 17.30
1 145 -30219 L 01 PR TINGLEY STEEL TOE OVERSHOE L FR 33.34 33.34
1 145 -30219 XL 01 PR TINGLEY STEEL TOE OVERSHOE XL FR 33.34 33.34
Purchase a PPLA es
Description 54FETY
P.O.# PorF
G.L. I Oq 4 4 Z3% j a
Bud T j fic-1 `�I+
Line escr
Purchaser Date
Approval Date
SALES TAX SHIPPING HANDLING 796.277
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 12 PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 12.2
UNPAID BALANCE.
Payments must be payable in US dollars only
2% discount does not apply to credit card payments Thaak You for Your Order!
FEDERAL ID# 16- 1214814
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; k i tuber of units, ,price performed, ates service rendered, by
whom, rates per day, number of hours, rate per hour. e.
Payee Purchase Order No.
Terms
226500 Northern Safety Co., Inc.
P.O. Box 4250
Utica, NY 13504 -4250
Invoice Description PO Amount
Invoice (or note attached invoice(s) or bill(s))
Date Number 96.27
6/29111 1066153601010 Safety supplies
Total 96.27
and correct and I have audited same in accordance
I hereby certify that the attached invoice(s), or bill(s) is (are) true
with IC 5- 11- 10 -1.6
20,
Clerk- Treasurer
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504 4
In Sum of
96.27
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1094 1066153601010 4239012 96.27 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
26 -Jul 2011
Signature
96.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund