HomeMy WebLinkAbout172467 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
;f CARMEL, INDIANA 46032 PO BOX 4250 CHECK AMOUNT: $181.21
UTICA NY 13504 CHECK NUMBER: 172467
CHECK DATE: 5/13/2009
ucPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
-601 5023990 P23649280028 248.57 OTHER EXPENSES
As 0 1 5023990 P2374359010 429.78 OTHER EXPENSES
ORTI'•°IERN Remember... We Always Offer INVO
j( 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
PLEA SE REFER TO YOUR YOUR CUSTOMER to, OUR INVOICE AND YOUR CUSTOMER ID FTY OF CARMEL
O 0002411866 5484 EAST 126TH STREET
CARMEL, IN 46033 FT
TOL CITY OF CARMEL
ATTN UTILITIES DEPT
3450 W 131ST ST L
WESTFIELD, IN 46074
ROB LOVELL 03/17/09
L— YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 04/16/09
INVOICE NO. /ORDER NO.
P237435901014 03/17/09 UPS GROUND 03/17/09 IF PAID BY 04/06/09 PAY $421.42
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
20 20 53 -22671 06 PR SURVIVAIR /WILLSON 0V /AG /P100 CARTRIDGE 20.89 417.80
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'h 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 app,v to credit card payments Thank You for Your Order!
ae crnC:DAi in* la 404AO4A
05/04/2009 16:44 FAX 3157934942 Northern Safety Co 8002/002
Remember... We Always Offer 8
Our Lowest Price When You Order.
PO Box 4250 Utica, NY 13504 -4250 100% Sakfaction Guaranteed! PLEASE REMIT TO:
Phone: 800.637. 1246 Fax. 800, 635. 1591 NORTHERN SAFETY CO., INC.
northemsafety.com P.O. BOX 4250
Utica, NY 135044250
SHIP TO (IF OTHER THAN "SOLD TO")
YOUR CUSTOMER ID
0002411866
SOLD CITY OF CARMEL
ATTN UTILITIES DEPT
3450 W 131ST ST
WESTFIELD, IN 46074
DAN
L-
03/04/09
YOUR PURCHASE ORDER NUMBER AND DATE
CUR
INVOICE NOJORDER N0. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 04/03/09
P236492800028 03/04/09 UPS GROUND 03/04/09 IF PAID BY 03/24/09 PAY $.00
ORDERED SHIPPED ITEM 140. UOM DESCRIPTION
UNIT PRICE EXTENDED AMOU
4 153 -2727 01 BX SURVIVAIR ACID GAS /P100 CARTRIDGE A /BX 105210
4 Returned for Credit 39.57 158.28
2 153 -2727 02 BX SURVIVAIR ACID GAS /P1D0 CARTRIDGE 4 /8X 1D5210 1 58.28
2 Returned for Credit 39.57 79.14
79.14
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 PER S ALES TAX SHIPPING HANDLING
MONTH WHICH IB AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE
UNPAID BALANCE
Payments must be payable in Us dollars only 00
2% discount does not Opply to credit wed payments R E P R I N
Tha QU for Your Orden
Please return 60trom porrron uvrth paymerH: FEDERAL ID# 161214814
SOLD CITY OF CARMEL YCUR CUSTOMER ID F
TO: ATTN UTILITIES DEPT
3450 W 131ST ST 0002411866
WESTFIELD, IN 46074 SHIP
TO:
I— OUR L
INVOICE NOJOR DER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED
PAYMENT DUE BY 04/03/09
P2 4 2800028 03Z04109 C
SALES TAX SHIPPING 8HANDLING
I +`1 I+II If 11 DO
No
O See Reverse Side for Name /Address eorredron acc ountin g m onh P.O. Box 4250 ernsstety.co Utica, NY 13504 4250
Rev. 07AtA
05/04/2009 16:44 FAX 3157934942 Northern Safety Co Z001/002
===w
N ORTHERN
Safety and Industria Supplies
Committed To Serve You Better
Fax cover Sheet
Date: 514109
Company: CITY OF CARMEL From: Cyndi LaClalr Ext 2007
ATTN: KERRI Department: Credit Department
Fax Number: 317 733 -2053
Fax Number: 877- 730 -0816
E -Mail: claclair @northernsafey.com
Message: INVOICE COPY PER YOUR REQUEST. CK# 170038 PD
P236492800028 WHICH WAS RETURNED. OPEN CREDIT BAL ON ACCOUNT IS
($248,57)
Number of pages: Including Cover Sheet:
Please call if you don't receive all pages of this fax.
The information contained in this facsimile transmission is intended only for the personal and confidential use of the
recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for the
intended recipient, you are hereby notified that you have received this document in error, and that dissemination,
distribution, or copying of this message is strictly prohibited, If you have received this communication in error, please
notify us Immediately by return fax to the number listed above or telephone at 31 5.793.4900.
Northern Safety Co., Inc. PO Box 4250 Utica, NY 13504 -4250
Phone: 800 631 -1246 315- 793 4900 Fax: 315 7934942
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, I/
price per unit, etc. 1'
rj!
Payee
226500
NORTHERN SAFETY CO, INC Purchase Order No.
PO BOX 4250 Terms
UTICA, NY 13504 Due Date 5/5/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/5/2009 P2374359011 $181.21
�I
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
Date Officer
VOUCHER 091754 WARRANT ALLOWED
226500 IN SUM OF
NORTHERN SAFETY CO, INC4P fP?
!�O BOX 4250
UTICA, NY 13504 �l
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P2374359010 01- 6200 -04
(Qq 5l�
Voucher Total $181.21
Cost distribution ledger classification if
claim paid under vehicle highway fund