HomeMy WebLinkAbout204328 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
CARMEL, INDIANA 46032 Po BOX 4250 CHECK AMOUNT: $250.43
UTICA NY 13504
CHECK NUMBER: 204328
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 I07184780102 250.43 OTHER MAINT SUPPLIES
NORTHERN Remember... We Always Offer INVQ
Our Lowest Price When You Order. PLEASE REMIT TO7INC.
PO Box 4250 Utica, NY 13504 100% Satisfaction Guaranteed! NORTHERN SAFETY CO Phone: 800.631 1246 Fax: 800.635. 1591 P.O. Box 4250
northernsa fety. com Utica, NY 13504 -425
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID COURTNEY
0004816021 CARMEL CLAY PARKS RECREATION
1427 E. 116TH STREET
CARMEL, IN 46032
TOL CARMEL CLAY PARKS RECREATIONS a UM
1411 E 116TH ST L CARMEL IN 46032 NOV 2 8 2 011 1
30221 11/21/11
T
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 12/21/11
INVOICE NOJORDER NO.
1071847801026 11/21/11 UPS GROUND 11/21/11
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
10 10 122 -8589 XL 01 BX FLEXSHIELD DISP POWDR FREE GLV XTRA L 10.99 109.90
3 3 123 -26019 XL 02 PR MECHANIX UTIL GLV XTRA L 17.61 52.83
3 3 123 -26019 L 06 PR MECHANIX UTIL GLV L 17.61 52.83
1 123 -26019 M 01 PR MECHANIX UTIL GLV M UTIL GLV CG- 17.61 17.61
Purchase
Description SAFETf 5u PP LIES
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!_ine Deser
Purchaser Date
Approval Date
SALES TAX SHIPPING HANDLING T•
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 172% PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE
UNPAID BALANCE.
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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 ;1071847801026 Number Safety supplies
(or note attached invoice(s) or bill(s)) PO Amount
11/21/11
30221 250.43
Total 250.43
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.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504 -4250
in Sum of
250.43
ON ACCOUNT OF APPROPRIATION FOR
101 -General fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 1071847801026 4238900 250.43 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
i 1 -Dec 2011
Signature
250.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund