HomeMy WebLinkAbout168628 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
CHECK AMOUNT: $347.50
CARMEL, INDIANA 46032 PO Box 4250
<'t+ UTICA NY 13504 CHECK NUMBER: 168628
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08590 23261630002 347.50 BOOTS
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ORTHERN Remember... We Always Offer
Our Lowest Price When You Order. PLEASE REMIT T o:
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 F
PLEASE REFER J
ORDER 0002411866
z
TOLD �ITY OF CARMEL
To: ATTN UTILITIES DEPT
3450 W 131ST ST
WESTFIELD, IN 46074
TIM 01/14/09
L YOUR PURCHASE ORDER NUMBER AND DATE
INVOICE NO�/ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 02/13/09
P232616300029 01/14/09 UPS GROUND 01/14/09 IF PAID BY 02/03/09 PAY $340.84
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 145 -28099 BN 13 02 PR DR MARTENS IRONBRIDGE BOOT ST BROWN SIZE 13 CH 117.95 117.95
1 1 145 -9231 8 01 PR HARLEY DIP STICK STEEL TOE BOOTS SIZE 8 99.95 99.95
1 1 145 -17602 13 02 PR DR MARTENS WELLINGTONS STEEL TOE SIZE 13 114.95 114.95
1 1 SP2009CAT 01 EA 2009 CATALOG BC082 .00
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 '/z PER SALES TAX SHIPPING HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 14 5 347.50
UNPAID BALANCE.
Pa ym en ts m be payable in US dollars only
"2% discount does not apply to credit card payments Thank You for Your Order!
Fpnr=Pal init 1R- 171Ag1A
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER'J=
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 1/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2009 2326163000: $347.50
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 6ff iC r
VOUCbHER 084275 WARRANT ALLOWED
226500 IN SUM OF
WDRTHERN SAFETY CO, INC
PO BOX 4250 4�f�—�
UTICA, NY 13504
56 Z R P�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
Q� 23261630002 01- 6200 -03 $347.50
I
Voucher Total $347.50
Cost distribution ledger classification if
claim paid under vehicle highway fund