HomeMy WebLinkAbout204911 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
Q� ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $315.33
CARMEL, INDIANA 46032 PO BOX 4250
UTICA NY 13504 CHECK NUMBER: 204911
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239012 30239 I07202070101 315.33 SAFETY SUPPLIES
THERN Remember... We Always Offer
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Our Lowest Price When You Order. PLEASE REMIT TO:
PO Box 4250 Utica, NY 13504-4250 100% Satis faction_Guaranteed! NORTHERN SAFETY CO., INC.
Phone: 800. 631 1246 Fax: 800. 635. 1591 —1
L1
�4P.O. Box 4250
northernsafety. com
DEC 0 Utica, NY 13504 -4250
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID
ERT PLEASE REF COURTNEY
C ORDER NO. IN ALL 0004816021 CARMEL CLAY PARKS RECREATION
1427 E. 116TH STREET
SOLD CARMEL, IN 46032
TO: CARMEL CLAY PARKS RECREATION
1411 E 116TH ST L
CARMEL, IN 46032
30239 11/29/11
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE OJORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 12/29/11
I072020701017 11/29/11 UPS GROUND 11/29/11
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
6 6 229 -23259 OE L 01 EA NS HIVIS ECON CLS 2 OE L 11.99 71.94
10 A 229 -23259 OE XL 01 EA NS HIVIS ECON CLS 2 OE XL 11.99 119.90
7 229 -23259 OE 2XL 01 EA NS HIVIS ECON CLS 2 OE 2XL 11.99 83.93
1 1 229 -23259 OE 3XL 01 EA NS HIVIS ECON CLS 2 OE 3XL 11.99 11.99
1 1 229 -23259 OE 4XL 01 EA NS HIVIS ECON CLS 2 OE 4XL 11.99 11.99
Purchase
Description V'!!
P 01 10
3. -+dDet (,L
I ne
Purchaser Date
oroval ;G Date 12- 7
SALES TAX SHIPPING HANDLING
,COUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 PER
JNTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 15.5 315.33
!PAID BALANCE.
7yments must be payable in US dollars only
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
11/29/11 1072020701017 Safety supplies 30239 315.33
Total 315.33
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
315.33
ON ACCOUNT OF APPROPRIATION FOR
101 General fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
30239 F 1072020701017 4239012 315.33 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
15 -Dec 2011
Signature
315.33 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund