HomeMy WebLinkAbout172961 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $85.20
CARMEL, INDIANA 46032 PO BOX 4250
UTICA NY 13504 CHECK NUMBER: 172961
CHECK DATE: 5/27/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 P242203GO10 85.20 OTHER EXPENSES
ORTHERN 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 ITY OF CARMEL
�PL�AS'E TO Y OUR
0002411866 5484 EAST 126TH STREET
CARMEL, IN 46033
TO CITY OF CARMEL
ATTN UTILITIES DEPT
3450 W 131ST ST L-
WESTFIELD, IN 46074
JAMES 05/13/09
L— YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED P AYMENT DUE BY 06/12/09
INVOICE NO. /ORDER NO.
P242203601010 05/13/09 UPS GROUND 5/13/09 IF PAID BY 06/02/09 PAY $83.70
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
12 12 04 -14611 YB 01 RL VINYL MARKING TAPES 2 "X 18 YDS YEL /BLK HT200 -BY 6.23 74.76
1 1 25 -01 CATALOG 01 EA NEW CUSTOMER CATALOG KIT NC071 .00
SALES TAX SHIPPING HANDLING
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 PER
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 Y our Order!
FFf1FRAI Ifl# 1R- 191APlA
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
a� 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 5/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2009 P2422036011 $85.20
I hereby certify that the attached invoice(s), or bill(s) is (are) true and �pp
correct and I have audited same in accordance with IC 5- 11- 10 -1.6 y
Date O r
VOUCHER 091875 WARRANT ALLOWED
216500 IN SUM OF
N,7RTHERN SAFETY CO, I�
P� BOX 4250
UTICA, NY 13504
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P2422036010 01- 6200 -04 $85.20
I I Voucher Total $85.20
U
Cost distribution ledger classification if
claim paid under vehicle highway fund