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Home My WebLink About200551 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1 ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CARMEL, INDIANA 46032 CHECK AMOUNT: $189.97 Po sox 4zso UTICA NY 13504 CHECK NUMBER: 200551 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4239012 206707810101 136.09 SAFETY SUPPLIES 1125 4239012 206730630101 53.88 SAFETY SUPPLIES NORTHERN Remember... We Always Offer Our Lowest Price When You Order PLEASE REMIT T0: PO Box 4250 Utica, NY 13504 -4250 100% Satisfaction Guaranteed! NORTHERN SAFETY CO., INC. Phone: 800.631 .1246 Fax: 800.635. 1591 P.U. Box 4250 nortflernsafety.COm Utica, NY 13504 -4250 SHIP TO (IF OTHER THAN "SOLD TO E AND YOUR CUSTOMER ID CARMEL CLAY PARKS &RECREATION 136��ASE REFER T YOUR e 0004816021 1411 E 116TH ST CARMEL, IN 46032 SOLD TO: CARMEL CLAY PARKS RECREATION 1411 E 116TH ST CARMEL, IN 46032 1125.4.01.4239012 07/22/11 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE NO./ORDER NO. I NVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 08/21/11 1067078101011 07/22/11 UPS GROUND 07/22/11 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 6 6 252 -24711 01 EA DEEP WOODS OFF 6 OZ DRK 94903 12CS 8.99 53.94 10 1 100 -24212 01 EA DEWALT VENTILATOR SFTY EYEWR SMOKE LENS 6.99 69.90 F Purchase) Descriptio P.O. P or i= G.L. Budget Line escr Purchaser Date Approval Ail Date SALES TAX SHIPPING HANDLING ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'h% PER 12 2 136 O9 MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE UNPAID BALANCE. _P_ayments- must _be_pavable- in- US_dollars.only "2% discount does not apply to credit card payments Thank You for Your Order! FEDERAL ID# 16- 1214814 NORTHERN Remember... We Always Offer Our Lowest Price When You Order. PLEASE REMIT To. PO Box 4250 Utica, NY 13504-4250 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 PLEASE REFER TO YOU I R CU STOMER ID,,OUR INVOICE AND.,, YOUR CUSTOMER ID CARMEL CLAY PARKS RECREATION 0004816021 1411 E 116TH ST CARMEL, IN 46032 SOLD TO: CARMEL CLAY PARKS REC 1A ON`s V91 1411 E 116TH ST AUG 1 201 L CARMEL, IN 46032 �?Y jeff 07/28/11 YOUR PURCHASE ORDER NUMBER AND DATE INVOICE OJORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 08127111 I067306301011 07/28/11 UPS GROUND 07/28/11 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 3 110 -19908 01 EA RIPTIDE SFTY EYEWR CLR LENS 1104 -041 2.95 8.85 3 110 -22188 01 EA N -SPECS AVENGER GY LENS SOFT SIDE UV -2008 4.00 12.00 3 103 -22232 BK 01 EA ECONOM EYEWR CORD 12BG BK C101 BK .84 2.52 2 100 -26471 01 EA V2 READERS CLR 1.5 MAGNIFICATION SB181OR15 9.74 19.48 P rchase Description P or F P ,r 3`is dget ne Descr urchaser Date pproval__ Dat SALES TAX SHIPPING HANDLING ACCOUNTS DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE 1 PER 11 O 53 88 MM MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO O THE UNPAID BALANCE. IIC 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. 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)) PO Amount 7122111 1067078101011 Safety supplies 136.09 7128111 1067306301011 Safety supplies 53.88 Total 189.97 1 hereby certify that the attached invoice(s), or bil(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. Box 4250 Utica, NY 13504 -4250 In Sum of 189.97 ON ACCOUNT OF APPROPRIATION FOR 101 -General fund PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1125 1067078101011 4239012 136.09 1 hereby certify that the attached invoicesy or 1125 1067306301011 4239012 53.88 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 9 -Aug 2011 Signature 189.97 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund