HomeMy WebLinkAbout203565 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
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CARMEL, INDIANA 46032 Po sox 4250 CHECK AMOUNT: $190.92
UTICA NY 13504 CHECK NUMBER: 203565
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239012 P31391020101 190.92 SAFETY SUPPLIES
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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
YOUR CUSTOMER ID CARMEL /CLAY PARKS AND REC
PLEASE REFER TO YOUR CUSTOMER11) OUR INVOICE AND ORDER 0004816021 1427 E 116TH ST
CARMEL, IN 46032
SOLD
TO: CARMEL CLAY PARKS RECREATION
1411 E 116TH ST L
CARMEL, IN 46032
M000581 10/12/11
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE OJORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 11/11/11
P313910201012 10/12/11 UPS GROUND 1 10/12/11 IF PAID BY 11/01/11 PAY $187.38
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 I 117- EAR200 01 BX CLSIC EAR PLUGS UNCORDED PILLO PK 3101001 27.99 27.99
4 4 118 -22888 01 EA LEIGHTNING L3 NRR 30 EAR MUFFS 1010924 22.58 90.32
1 1 123 -26019 M 01 PR MECHANIX UTIL GLV MED UTIL GLV CG- 18.73 18.73
10 1 110 -22208 BK 01 EA N -SPECS INFUSION CLR LENS BK TP- 140 -BKC 4.00 40.00
Purchas GAFe1Y 5u PPU E 5 j
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ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 '/s SALES TAX SHIPPING HANDLING PER 13.8 190.92
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE
UNPAID BALANCE.
Payments must be payable in US dollars only Y
2% discount does not apply to credit card payments Thank You for Your Order!
FEDERAL ID# 16- 12148'=
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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
10/12/11 P313910201012 Safety supplies 190.92
Total 190.92
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. Box 4250
Utica, NY 13504 -4250
In Sum of
190.92
ON ACCOUNT OF APPROPRIATION FOR
101 -General fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 P313910201012 4239012 190.92 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
3 -Nov 2011
Signature
190.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund