HomeMy WebLinkAbout207178 03/13/2012 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: $193.47
UTICA NY 13504 CHECK NUMBER: 207178
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 193.47 I074939201014
�QRTHERN Remember... We Always Offer
Our Lowest Price When You Order. PLEASE REMIT TO:
PO Box 4250 Utica, NY 13504-4250 100% Sadsfactton 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
LEASEAEFER YOUR CUSTOMER ID FJENNIFER HOLDER
T O
0004816021 ORCHARD PARK ELEMENTARY
4 ORDER CARMEL CLAY PARKS REC
SOLD 10404 ORCHARD PARK DRIVE SOUTH
TO CARMEL CLAY PARKS RECREATION INDIANAPOLIS, IN 46280
1411 E 116TH ST A
CARMEL, IN 46032'' L
FEB 2 1 2012
L 4 E0002233 02116112
L tR YOUR PURCHASE ORDER NUMBER AND DATE
I n
OUR
INVOICE NO. /ORDER NO, INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 03/17/12
I074939201014 02/16/1 FEDEX GROUND 02/16/12
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE I EXTENDED AMOUNT
1 0 250 -24778 01 EA 1st AID SPRAY HYDROGEN PEROXIDE HP2 -24 2.60 26.60
1 249 -1315 01 CS SHEER STRIPS 1 X 3 1500CS 131 4000 52.35 52.35
1 0 122 -22078 L 01 BX FLEXSHIELD POWD /FREE PREM VINYL GLV 1003X L 6.8 68.90
1 254 -6908 01 BX BIOHAZ WASTE 6 GAL LINERS BX 100 24,83 24.83
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ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 PER SALES TAX SHIPPING HANDLING
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE 2 U 193. 47
UNPAID BALANCE.
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
226500 Northern Safety Co., Inc. Terms
P.O. Box 4250
Utica, NY 13504 -4250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2116112 1074939201014 Supplies OP 193.47
Total 193.47
1 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.
226500 Northern Safety Co., Inc. Allowed 20
P.Q. Box 4250
Utica, NY 13504 -4250
In Sum of
193.47
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081.6 1074939201014 4239039 193.47 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
8 -Mar 2012
Signature
193.47 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund