HomeMy WebLinkAbout180202 12/08/2009 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: $123.86
UTICA NY 13504 CHECK NUMBER: 180202
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1120 4239099 P25655280101 123.86 OTHER MISCELLANOUS
OR/ HERN 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
northernsafety.com Utica, NY 13504 -4250
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID FARY CARTER
0000416610 CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
SOLD CARMEL, IN 46032
To: CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL, IN 46032 L
GARY 11/10/09
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 12/13/09
INVOICE NO. /ORDER NO.
P256552801013 11/13/09 UPS GROUND 11/13/09 IF PAID BY 12/03/09 PAY $121.63`
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 175 -5803 CL 01 EA WATERHOG POLYPROPYLENE 4'X 6'MAT CHARCOAL 111.36 111.36
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1' /s PER SALES TAX SHIPPING HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE
UNPAID BALANCE.
Payments must be payable in US dollars only
"2% discount does not apply to credit card payments Thank You for Your Order!
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
r
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))
P256552801013 $123.86
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
ti
P.O. Box 4250
Utica, NY 13504
$123.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 P256552801013 42- 390.99 $123.86 I 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
DEC 7 2009
PN
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund