HomeMy WebLinkAbout176370 08/19/2009 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: $150.49
UTICA NY 13504 CHECK NUMBER: 176370
CHECK DATE: 8/19/2009
LE PARTMENT ACCOU P O NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
k 601 5023990 P2482933010 150.49 OTHER EXPENSES
1
)VORTHERN Remember.. We Always Offer INVOICE
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 JERRY CLOUD
e
0002411866 CITY OF CARMEL
UTILITIES DEPT
TO S
CITY OF CARMEL WESTFIELD, IN 46074
ATTN UTILITIES DEPT
3450 W 131ST ST
WESTFIELD, IN 46074
JERRY 07/28/09
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATESHIPPED PAYMENT DUE BY 08/27/09
INVOICE NO. /ORDER NO.
P248293301015 07/28/09 UPS GROUND 07/28/09 IF PAID BY 08/17/09 PAY $147.71
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
4 4 100 -23833 20 01 EA READERS SAFETY EYEWEAR "BX" 2.0 11375 10.20 40.80
24 24 110 -22190 01 EA N -SPECS AVENGER MIRROR LENS SOFT SIDEUV -2008 4.10 98.40
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 1 /2% PER SALES TAX SHIPPING HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 11.29 150.49
UNPAID BALANCE.
Payments must be payable in US dollars only
2% discount does not apply to credit card payments Thank You for Your Order!
=nCOA1 Ir144 1C_i 1 14 A01A
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 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 8/11/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/11/2009 P2482933011 $150.49
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IQ 5-11-10-1.6
Date Officer
VOUCHER 092605 WARRANT ALLOWED
4k
�R 2P.6500
IN SUM OF
I RTHERN SAFETY CO, INJQ
AER
x P' BOX 4250 r(1
1P
UTICA, NY 13504 I�
f M1
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
y
Board members
PO INV ACCT AMOUNT Audit Trail Code
3 N
P248293301C 01- 6200 -04 $150.49
x;
Voucher Total $150.49
CO' distribution ledger classification if
claim paid under vehicle highway fund