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Home My WebLink About170038 03/18/2009 a 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: $817.63 UTICA NY 13504 CHECK NUMBER: 170038 CHECK DATE: 3/1812009 DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 P23649280000 248.57 MATERIALS SUPPLIES 1120 4356001 P236508 569.06 UNIFORMS I ti Remember... We Always Offer Our Lowest Price When You Order. PLEASE REMIT TO: PO Box 4250. Utica, NY 1 3504 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 PLEASE REFER TO YOUR YOUR CUSTOMER 0000416610 TOL CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE CARMEL, IN 46032 GARY CARTER 03/04/09 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 04/03/09 INVOICE NO. /ORDER NO. P236508600016 03/04/09 UPS GROUND 03/04/09 IF PAID BY 03/24/09 PAY $557.99 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 60 60 123 -1665 L 01 PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB LG BROWN 6.59 395.40 24 24 123 -1665 XL 01 PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB XL BLUE 6.59 158.16 1 1 93- 28553F 01 EA EXECUTIVE PORTFOLIO .00 1 1 SP2009CAT 01 EA 2009 CATALOG BC082 .00 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. 15.50 569.06 Payments must be payable in US dollars only 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 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 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) P236508 Gloves $569.06 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. ALLOWED 20 JNorthern Safety IN SUM OF P.O. Box 4250 Utica, NY- 13504 $569.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 P236508 43- 560.01 $569.06 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except MAR 16 2009 V Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 11 RTHERN Remember... We Always Offer Our Lowest Price When You Order. PLEASE REMIT TO: PO Box 4250. Utica, NY 1'3504 -4250 100% Satisfaction Guaranteed! NORTHERN SAFETY CO., INC. Phone: 800. 631 12466. Fax: 800. 635. 1591 P.O. Box 4250 northernsafet Utica, NY 13504 -4250 SHIP TO (IF OTHER THAN "SOLD TO YOUR CUSTOMER ID 0002411866 TOL CITY OF CARMEL ATTN UTILITIES DEPT 3450 W 131ST ST L WESTFIELD, IN 46074 DAN 03/04/09 L 40 YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 04/03/09 INVOICE NO. /ORDER NO. P23649280-0028 03/04/09 UPS GROUND 03/04/09 IF PAID BY 03/24/09 PAY $243 82 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 4 4 153 -2727 01 BX SURVIVAIR ACID GAS /P100 CARTRIDGE 4 /BX 105210 39.57 158.28 2 2 153 -2727 02 BX SURVIVAIR ACID GAS /P100 CARTRIDGE 4 /BX 105210 39.57 79.14 ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 142% PER SALES TAX SHIPPING HANDLING MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE UNPAID BALANCE. 11.15 248.57 Payments must be payable in US dollars only 2% discount does not apply to credit card payments Thank You for Your Order! =r)CDA1 ina 1CZ- 101AQ1n Prescribed by State Board of Accounts City Form No. 201 (Rev 199`) 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 3/12/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/12/2009 P2364928001 $248.57 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 091305 WARRANT ALLOWED 23500 IN SUM OF NORTHERN SAFETY CO, INC PO BOX 4250� UTICA, NY 13504 PAI Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code P2364928000 01- 6200 -04 $248.57 I Voucher Total $248.57 Cost distribution ledger classification if claim paid under vehicle highway fund