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Home My WebLink About206765 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1 ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $390.11 CARMEL, INDIANA 46032 PO BOX 4250 UTICA NY 13504 CHECK NUMBER: 206765 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 32368610101 136.75 MATERIALS SUPPLIES 1081 4239039 I07431580101 253.36 GENERAL PROGRAM SUPPL ORTHERN Remember... We Always Offer I e Our Lowest Price When YOU Order. PLEASE REMIT TO: PO Box 4250 Utica, NY 1 3504 -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 JAMES DOWELL 0004816021 CARMEL CLAY PARKS REC 12415 SHELBORNE ROAD SOLD CARMEL, IN 46032 TO: CARMEL CLAY PARKS RECREATION 1411 E 116TH ST CARMEL, IN 46032 30424 02101112 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE O./ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 03/02/12 1074315801015 02/01112 FEDEX GROUND 02/01/12 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 10 1 250 -24778 01 EA 1st AID SPRAY HYDROGEN PEROXIDE HP2 -24 2.66 26.60 2 250 -4351 01 BX TRIPLE ANTIBIOTIC OINTMENT 144 /BX WJTA -1728 28.17 56.34 1 1 249 -1315 01 CS SHEER STRIPS I X 3 1500CS 131 4000 52.35 52.35 10 1 122 -8587 L 01 BX FLEXSHIELD 5MIL POWD NITRILE GLV PPNT -9 5 9.99 99.90 Purchase Description q �7y P.O. PcrF �,�a G. L. F 0 6 2012 1- r D es a Cferdl ffi am t U aies Purchaser Date— Jay Approval Date... SALES TAX SHIPPING 8 HANDLINGL�' ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 Vz% PER 18 l 253.36 MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE UNPAID BALANCE. Payments 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 211!12 1074315801015 First aid supplies CW 30424 253.36 Total 253.36 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$ 253.36 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -3 1074315801015 4239039 253.36 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 23 -Feb 2012 Signature 253.36 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund NORTHERN Remember... We Always Offer Our Lowest Price When You Order. PLEASE REMIT TO: PO Box 4250 Utica, NY 13504 100% Satisfaction Guaranteed! NORTHERN SAFETY CO., INC. Phone: 800.631 .1246 Fax: 800. 635, 1541 P.O. Box 4250 northernsa fety. com Utica, NY 13504 -4250 SHIP TO (IF OTHER THAN "SOLD TO YOUR CUSTOMER ID DAN UENKI NS ��LEASE REFER TO Y OUR OMINVO ORDER 0000346023 CARMEL UTILITIES 5484 E 126TH ST SOLD F CARMEL, IN 46033 TO: CARMEL UTILITIES 3450 W 131ST ST WESTFIELD, IN 46074 L— DAN21411 02/14/12 L— YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 03/15/12 INVOICE NOJORDER NO, P323686101015 02114112 FEDEX GROUND 02/14/12 IF PAID BY 03/05/12 PAY $134.30 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 1 1 145 -17602 10 02 PR DR MARTENS WELLINGTONS STEEL TOE SZ 10 114.38 114.38 1 1 145 -9430 02 EA DR. MARTENS WONDER BALSAM 50000001 8.33 8.33 1 1 325 -01 CATALOG 02 EA NEW CUSTMER CATALOG KIT NC071 .00 VOUCHER 113838 WARRANT ALLOWED, 226500 IN SUM OF NORTHERN SAFETY CO, INC PO BOX 4250 WATER UTICA, NY 13504 OPEm I Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 32368610101 01- 6200 -03 $136.75 t i I a Voucher Total $136.75 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1 995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 226500 NORTHERN SAFETY CO, INC Purchase Order No. PO BOX 4250 Terms UTICA, NY 13504 Due Date 2/22/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/22/2012 3236861010' $136.75 hereby certify that the attached invoice(s), or bill(s) is (arc') true and ;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date cer