HomeMy WebLinkAbout203963 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $1,052.80
CARMEL, INDIANA 46032 PO BOX 4250
UTICA NY 13504 CHECK NUMBER: 203963
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 24265 P315557 1,052.80 GLOVES
®RTHERN 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
north ernsa fety. com Utica, NY 13504 -4250
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID
PLEASE REFER YOUR CUSTOMER ID, OUR GARY CARTER
ORDER NO� IN ALLCOMMUNICATIONS REGARDING-THIS INVOICE
0000416610 CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
SOLD CARMEL, IN 46032
TO: CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE L
CARMEL, IN 46032
GARY 11 /01 /11
L YOUR PURCHASE ORDER NUMBER AND DATE
O U R INVOICE NO`/ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 12/01/11
P315557901010 11/01/11 UPS GROUND 51/01 IF PAID BY 11/21/11 PAY $1.031.74
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
60 6 123 -1665 M 01 PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB M FR 6.58 394.80
50 5 123 -1665 L 01 PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB L FR 6.58 329.00
50 5 123 -1665 XL 01 PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB XL FR 6.58 329.00
1 493- TB8009F 01 EA LABELL GRAND TOTE .00
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 PER SALES TAX SHIPPING HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 1 ,052.80
UNPAID BALANCE.
Pay ments must b e payable in US do llars on ly
"2% discount does not apply to credit card payments Thank You for Your Order!
FEDERAL ID# 16- 1214814
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
P315557 $1,052.80
I 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.
ALLOWED 20
Northern Safety
IN SUM OF
P.O. Box 4250
Utica, NY 13504
$1,052.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2 P315557 43- 560.03 $1,052.80 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
NOV 21 2011
i'Y f
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund