HomeMy WebLinkAbout171960 04/29/2009 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: $75.93
oN ,�o UTICA NY 13504 CHECK NUMBER: 171960
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
v 601 5023990 WMP018C 75 -.93 OTHER EXPENSES
NORTHERN 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
r northernsafety.com Utica, NY 13504 -4250
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID JERRY CLOUD
0002411866 CITY OF CARMEL
UTILITIES DEPT
SOLD 3450 W 131ST ST
TO: CITY OF CARMEL WESTFIELD, IN 46074
ATTN UTILITIES DEPT
3450 W 131ST ST L_
WESTFIELD, IN 46074
JERRY 01/27/09
L- YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE.SHIPPED PAYMENT DUE BY 04/26/09
INVOICE NO. /ORDER NO.
P233699501038 03/27/09 CH UPS GROUND 03/27/09 IF PAID BY 04/16/09 PAY $74.47
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 145 -28053 85 02 PR DEXTER STEEL TOE WORK SNEAKER SIZE 8.5 72.95 72.95
SALES TAX SHIPPING HANDLING
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 1 /2% 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 Your Orderf
Pc=nPPAl inii iR- 19-1APIA
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
s
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 4/16/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2009 P2336995011 $75.93
�l
r.�
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 091603 WARRANT ALLOWED
226500 IN SUM OF
N ?RTHERN SAFETY CO, IVE
Pb BOX 4250
UTICA, NY 13504
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P2336995010 01- 6200 -03 $75.93
Voucher Total $75.93
Cost distribution ledger classification if
claim paid under vehicle highway fund