HomeMy WebLinkAbout179915 11/24/2009 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: $58.88
UTICA NY 13504 CHECK NUMBER: 179915
CHECK DATE: 11/24/2009
DEPART ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'1120 4356001 P25655280000 58.88 UNIFORMS
NORTHERN Remember... We Always Offer INVO
Our Lowest Price When You Order. PLEASE REMIT To:
PO Bo x A250 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 F CARTER
PLEASE REFER TO OUR INVOICE AND
ORDER'NO. IN ALL COMMUNICATIONS REGARDING THIS IWOI&E
0000416610 CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
SOLD CARMEL, IN 46032
TO: CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL, IN 46032
GARY 11/10/09
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED
INVOICE NO. /ORDER NO. PAYMENT DUE BY 12/11/09
P256552800007 11/11/09 UPS GROUND 11/10/09 IF PAID BY 12/01/09 PAY $57.82
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 145 -22927 01 EA SCRUSHER DELUXE BOOT CLEANING BRUSHES I4 52.94 52.94
1 1 493 -22395 BK L F 01 PR NS MECHANICS GLOVE BLACK LARGE MCX- 010231 .00
ACCOUNTS 30 SALES TAX SHIPPING HANDLING
MONTH WHICH D IS AN ANNUAL PERCENTAGE RATE OF r 18 %TO BE APPLIED TO THE R 5.94 58.88
UNPAID BALANCE.
Payments must be payable in US dollars only
"2% discount does not apply to credit card payments Thank You for Your Order!
ff--Af inn 4^4 -4A
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, byi
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))
P256552800007 $58.88
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 N0. WARRANT NO.
ALLOWED 20
Northern Safety
IN SUM OF
P.O.�Box 4250
Utica, NY 13504
$58.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 P256552800007 43- 560.01 $58.88 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 2 3 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund