HomeMy WebLinkAbout209627 06/05/2012 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: $126.43
UTICA NY 13504 CHECK NUMBER: 209627
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 P3319128010 126.43 OTHER EXPENSES
ORTHERN 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
northernsafety.com Utica, NY 13504 -4250
SHIP TO (IF OTHER THAN "SOLD TO
YOUR CUSTOMER ID �ITY OF CARMEL
FER PLEASE Rb
T O INVO
ORD 0002411866 CARMEL WATER DEPT
5484 E 126TH ST
SOLD CARMEL, IN 46033 -9289
TO: CITY OF CARMEL
UTILITIES DEPT
3450 W 131ST ST
WESTFIELD, IN 46074
JAMES 05/18/12
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 06/17/12
INVOICE NO. /ORDER NO.
P331912801019 05/18/12 FEDEX GROUND 05118112 IF PAID BY 06107112 PAY $124.19
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 145 -9231 8 02 PR HARLEY STICK SHIFT STEEL TOE BT SIZE 8 111.88 111.88
1 1 493 -32379 F 02 EA BACKYARD BARBECUE KIT PROMO ITEM .00
1 SP2012CAT 02 EA 2012 CATALOG .00
SALES TAX SHIPPING HANDLING
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1lb 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 sloes not apply to credit card payments T hank You for Your Order!
FEDERAL ID# 16- 1214814
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,
price per unit, etc.
Payee
226500
NORTHERN SAFETY CO, INC Purchase Order No.
PO BOX 4250 Terms
UTICA, NY 13504 Due Date 5/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/2012 P3319128011 $126.43
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with
IIC5- 11- 10 -1.6
l C-
Date Officer
VOUCHER 121055 WARRANT ALLOWED
226500 IN SUM OF
NORTHERN SAFETY CO, INC
PO BOX 4250
UTICA, NY 13504
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P3319128010 01- 6200 -03 $126.43
Voucher Total $126.43
Cost distribution ledger classification if
claim paid under vehicle highway fund