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210974 07/17/2012 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: $603.84 r UTICA NY 13504 CHECK NUMBER: 210974 CHECK DATE: 7/1712012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4239012 900004174 126 . 57 SAFETY SUPPLIES 1094 4239012 900013564 148 .42 SAFETY SUPPLIES 1125 4238900 900026490 328 . 85 OTHER MAINT SUPPLIES ® THERN Remember... We Always Offer IN • Our Lowest Price When You Order. MM 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 -PLEASE REFER TO YOUR CUSTOMER OUR • . Carmel Clay Parks&Recreation ORDER • IN ALL COMMUNICATIONS 4816021 Eric 1235 CENTRAL PARK DRIVE EAST SOLD CARMEL IN 46033 TO: Carmel Clay Parks&Recreation F"CEI E USA 1411 E 1 16TH ST 1�J 5@ L CARMEL IN 46032 JUN 2012 USA ` y Dawn 06/06/2012 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAY__MEN1 -DhlE"BY .07/06/2012 INVOICE NO./ORDER NO. - 900004174 1980001227 06/06/2012 FEDEX GROUND 06/06/2012 IF PAID BY 06/26/2012 PAY $ 124.13 IORDERED� SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 100 100 6105 EA STRETCH GAUZE BANDAGE 1"X2 YD WE CROSS 1.22 122.00 Purchase 60, ��/ Description wtkJ P.O.# j1090 �or F G.L.# _`� ^ Z12-�g6ky, Budget Line Descr!fa.,&/J� Purchaser Date_ Approval Date__, SALES TAX SHIPPING&HANDLING • ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/29,PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE - - _ _ UNPAID BALANCE. $ 0.00 $ 4.57 $ 126.57 - Payments must be payable in US dollars only "2%discount does not apply to credit carol payments Thank You for Your Order! FEDERAL ID#1 6-1 21 481 4 OI'�TRN 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 F Carmel Clay Parks&Recreation ORDER 4816021 Eric 1235 CENTRAL PARK DRIVE EAST SOLD 17 CARMEL IN 46033 TO: Carmel Clay Parks&Recreation 1411 E 116TH ST �� USA CARMEL IN 46032 JUN q Q 9 2012 L USA 11 1 I Dawn 06/06/2012 YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 07/13/2012 INVOICE NO./ORDER NO. 900013564/980001227 06/13/2012 FEDEX GROUND 06/13/2012 IF PAID BY 07/03/2012 PAY $ 145.84 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 20 20 16740 EA EYE FLUSHING SOLUTION SNGL USE 160Z 6.46 129.20 Purchase Description P.O.# P o 4F G.L.# 1011` - Budget Line-bescr Purchaser Date Approval �� Dated /Z e ACCOUNTS 30 DAYS ANDOVER ARE SUBJECT TO A FINANCE CHARGE OF 11h%PER SALES TAX SHIPPING&HANDLING MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE UNPAID BALANCE $ 0.00 $ 19.22 $ 148.42 Payments must be-payable in US dollars only - •�2%discount does not apply to credit card payments Thank You for Your Order! FEDERAL ID#16-1214814 ORT ERN Remember... We Always Offer INVOICE • 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") 'PLEASE REFER TO YOUR CUSTOMER ID,'OUR INVOICE AND, YOUR CUSTOMER ID Carmel Clay Parks&Recreation ORDER,NO. • • REGARDING" ' 4816021 Courtney 1427 E. 116TH STREET SOLD Carmel Clay Parks&Recreation ��(-�T� �T�. CARMEL IN 46032 1411 E 116TH ST R�X", � USA TO CARMEL IN 46032 JUN 2 5 2012 L USA 30975 06/21/2012 � BY:—.-:----,.._------- YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 07/21/2012 INVOICE NO./ORDER NO. 00026490/980007424 06/2112012 FEDEX GROUND 06/21/2012 IF PAID BY 07/11/2012 PAY $ 322.62 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 7 7 23330 EA NORTHERN SFTY 1 st AID KIT 25 10.00 70.00 8 8 26019 XL PR MECHANIX UTIL GLV XTRA L 21.96 175.68 1 1 26019 L PR MECHANIX UTIL GLV L 21.96 21.96 2 2 26019 M PR MECHANIX UTIL GLV M UTIL GLV CG- 21.96 43.92 8180 IenDJdd,- Purchas y}� eteQ Jaseyoin, Descripti n //l Cosa(]au�- P.O.# P o 1aEprr: G.L.# — 239(x7 Budoet _ d Jo d Line Des r mau uo1lduos&C; Purchas r Date esey J,1;� Approval Date • ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/,%PER SALES TAX SHIPPING&HANDLING MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ 0.00 $ 17.29 $ 328.85 UNPAID BALANCE. _ Payments must be payable in US dollars only ••2%discount does not apply to credit card payments Thanes You for Your Order! FEDERAL ID#1 6-1 21 481 4 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 6/6/12 900004174 Water Park first aid supplies 30927 $ 126.57 6/13/12 900013564 Water Park first aid supplies 30927 $ 148.42 6/21/12 900026490 Maintenance supplies 30975 $ 328.85 Total $ 603.84 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 5-11-10-1.6 120_ Clerk-Treasurer Voucher No. Warrant No. 226500 Northern Safety Co., Inc. Allowed 20 P.O. Box 4250 Utica, NY 13504-4250 In Sum of$ $ 603.84 ON ACCOUNT OF APPROPRIATION FOR 101 -General /109 - monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1094 900004174 4239012 $ 126.57 1 hereby certify that the attached invoice(s), or 1094 900013564 4239012 $ 148.42 bill(s) is (are)true and correct and that the 1125 900026490 4238900 $ 328.85 materials or services itemized thereon for which charge is made were ordered and received except 12-Jul 2012 Signature $ 603.84 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund