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Home My WebLink About178798 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1 ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $1,797.35 CARMEL, INDIANA 46032 Po BOX 4250 UTICA NY 13504 CHECK NUMBER: 178798 CHECK DATE: 10/28/2009 DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239012 046201400003 824.78 SAFETY SUPPLIES 1125 4239012 046201400003 887.93 SAFETY SUPPLIES 1047 4239012 254075300019 42.32 SAFETY SUPPLIES 1125 4239012 254075300019 42.32 SAFETY SUPPLIES ORTHERN Remember... We Always Offer x-r- Our Lowest Price When You Order PLEASE REMIT TO: PO Box 4250 Utica, NY 13504-4250 I00 Satisfaction Guaranteed! NORTHERN SAFETY CO., INC. Phone: 800. 631 1246 Fax: 800.635. 1591 P.O. BOX 4250 northernsafety.com Utica, NY 13504 -4250 1 SHIP TO (IF OTHER THAN "SOLD TO YOUR CUSTOMER ID 0004816021 SOLD TO: CARMEL CLAY PARKS RECREATION 1411 E 116TH ST L CARMEL, IN 46032 22741 10/08/09 YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE OJORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 1 P254075300019 10/08/09 UPS GROUND 10/08/09 IF PAID BY 10/28/09 PAY $83.15 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 10 10 153 -3959 01 PR NORTH P100 PARTICULATE CARTRIDGE 758OP100 7.46 74.60 1 1 SP2009CAT 01 EA 2009 CATALOG BC082 .00 Purchase pesd'fptE011 —i P.O. PotF u G.L OCT 1 3 I Une Purchaser Approval o o ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 PER SALES TAX SHIPPING HANDLING MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE UNPAID BALANCE. 10. Payments must be payable in US dollars only 2% discount does not apply to credit card payments Thank You for Your Order! =MCOA1 Ir%4 4Q 41)1AO4A NORTHERN Remember... We Always Offer Our Lowest price When You Order. PLEASE REMIT TO: PO Box 4250 Utica, NY 1350,4 100% Satisfaction Guaranteed! NORTHERN SAFETY CO., INC. Phone: 800. 631 1246 Fax: 800. 635. 1591 P.O. Box 4250 northernsafety.com Utica, NY 13504 -4250 I SHIP TO (IF OTHER THAN "SOLD TO e YOUR CUSTOMER ID CARMEL CLAY PARKS RECREATION 0004816021 1411 E 116TH ST CARMEL, IN 46032 SOLD TO: CARMEL CLAY PARKS RECREATION 1411 E 116TH ST L CARMEL, IN 46032 22741 10/12/09 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE OJORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 11/12/09 1046201400003 10/13/09 UPS GROUND 10/12/09 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 15 15 100 -28985 01 EA DEWALT SAFETY GLASSES STRUCTURE CLEAR DPG93 -1 2.66 :39 =90° 7 7 100 -26490 01 EA OTS OVER THE GLASS CLEAR LENS S3510SJ 3.87 K27'09� 7 7 100 -26491 01 EA OTS OVER THE GLASS GRAY LENS S3520SJ 4.34 c30. -38 44 44 103 -19885 01 EA 2 -IN -1 EYEWEAR CASE 12 /PK NS MICRO 1.79 C78 -16) 2 2 105 -3551 01 BX NORTHERN PRE MOISTENED LENS CLEANING TOWLETTES 8.08 lC 6.16 24 24 104 -21543 01 EA SPLASH GOGGLES 4401 -400 2.88 69 8 8 104 -29128 01 EA MONOGOGGLE RESPIRTOR FIT EYEWEAR GOGGLE 9.99 c7-9 =92 3 3 107 -20124 01 EA NS RATCHET HEADGEAR SF -103 5.99 CI7 -..97) 48 48 103 -22232 BK 02 EA ECONOMICAL EYEWEAR CORDS 12 /BG BLACK C101 BLK .69 Q337121 3 3 107 -20125 01 EA NS VISORS 8 "X 12" .040 CLEAR POLYCARBONATE 2.20 1 Z_6_0 15 15 115 -24831 LE 01 EA NS FULL BRIM POWERSHELL RATCHET HARDHAT HIVIS L 11.99 C17.9 .85D 1 1 492 DROP- HAZMATG 01 EA HAZARDOUS MATERIAL GROUND HANDLING CHE OK- Pe 22.50 22.500 Pub Icy• r 9Z)G) Oescdptloft P.O.a P F 1 �87,R3 o.Lr 5LQ Bud SHIPPING HANDL N e o ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE F MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APP I .,VPtdJyNff pages b Payments must be payable in US dollars only I.J 2% discount does not apply to credit card payments Thank You for Your Order! C MrMA1 IMU 40 4n4A04A N 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 CARMEL CLAY PARKS &RECREATION e 0004816021 1411 E 116TH ST CARMEL, IN 46032 SOLD TO: CARMEL CLAY PARKS RECREATION 1411 E 116TH ST L_ CARMEL, IN 46032 OCT 1 9 2009 22741 10/12/09 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOIGEDATE SHIPPED VIA DATESHIPPED PAYMENT DUE. BY 11112109 INVOICE NOJORDER NO. PAYMENT I046201400003 10/13/09 UPS GROUND 1 10/12/09 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 10 118 -22886 02 EA LEIGHTNING Ll NRR 25 EAR MUFFS 1010922 8.59 85 =9& 14 14 123 -26019 L 01 PR MECHANIX UTILITY GLOVE LARGE 17.60 246 -_4.0, 6 6 253 -28126 01 EA VEHICLE FIRST AID KIT 143 PIECE FAO -552 14.95 C89 -7.0_2� 1 1 231 -4643 P 01 EA DANGER PERMIT REQUIRED CONFINED SPACE D360P 5.17 r5 —D-:) 2 123 -26019 M 01 PR MECHANIX UTILITY GLOVE MEDIUM UTILITY GLOVE CG- 17.60 Q�3 ZQ 1 1 152 -7700 L 01 EA HALF MASK SILICONE RESPIRATOR 7700 -30 LARGE 23.95 1 -23 =95 1 1 152 -7700 M 01 EA HALF MASK SILICONE RESPIRATOR 7700 -30 MEDIUM 23.95 23 =95 5 5 118 -22886 01 EA LEIGHTNING L1 NRR 25 EAR MUFFS 1010922 8.59 C42:95::Z 2 2 245 -4652 01 EA RIGHT -TO -KNOW COMPLIANCE CENTER W /BINDER 2010 63.64 1-27 1 1 245 -23355 01 EA RIGHT TO KNOW BILINGUAL BINDER 3" 2028 25.04 C25 ..04i 1 1 118 -25289 02 EA SOUND LEVEL PEN 840018 119.99 C119 1 993 1 1 157 -28265 02 EA SAMPLING LINE 25' 10047370 59.85 59 853 6 6 253 -28126 01 EA VEHICLE FIRST AID KIT 143 PIECE FAO -552 14.95 [89 -70D 3 3 231 -4643 P 01 EA DANGER PERMIT REQUIRED CONFINED SPACE D360P 5.17 2 2 152 -7700 L 01 EA HALF MASK SILICONE RESPIRATOR 7700 -30 LARGE 23.95 %7_ -90 1 1 152 -7700 M 01 EA HALF MASK SILICONE RESPIRATOR 7700 -30 MEDIUM 23.95 t23 -95a 15 15 100 -28986 01 EA DEWALT.SAFETY GLASSES STRUCTURE SMOKE DPG93 -2 3.26 48=90 ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 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! 16-1214814 Please return bottom portion with payment: PAGE 1 FEDERAL ID# YOUR CUSTOMER ID I SOLD TO: SHIP TO: L OUR INVOICE DATE SHIPPED VIA DATE SHIPPED INVOICE NO. /ORDER NO. SALES TAX SHIPPING HANDLING e Northern Safety Co Inc. P.O. Box 4250 Utica, NY 13504 -4250 See Reverse Side for Name /Address Correction accounting@northernsafety.com Rev. 07108 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. Terms 226500 Northern Safety Co., Inc. P.O. Box 4250 Utica, NY 13504 -4250 Invoice Invoice Description PO Amount Date Number (or note attached invoice(s) or bill(s)) 22741 42.32 10/8/09 P254075300019 Safety supplies 22741 42.32 10/8/09 P254075300019 Safety supplies 22741 887.93 10/13/09 1046201400003 Safety supplies 22741 824.78 10/13/09 1046201400003 Safety supplies Total 1,797.35 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 1,797.35 ON ACCOUNT OF APPROPRIATION FOR 101 General fund 104 Program Fund PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1125 P254075300019 4239012 42.32 1 hereby certify that the attached invoice(s), or 1047 P254075300019 4239012 42.32 bill(s) is (are) true and correct and that the 1125 1046201400003 4239012 887.93 materials or services itemized thereon for 1047 1046201400003 4239012 824.78 which charge is made were ordered and received except 22 -Oct 2009 Signature 1,797.35 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund