HomeMy WebLinkAbout212316 08/28/2012 ,�. 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: $567.17
UTICA NY 13504 CHECK NUMBER: 212316
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238000 900083396 62 . 07 SMALL TOOLS & MINOR E
1081 4239012 900094552 505 . 10 SAFETY SUPPLIES
� 9 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
PLEASE REFER • • Carmel Clay Parks&Recreation
. INVOICE
4816021 Matthew
1235 CENTRAL PARK DRIVE EAST
SOLD CARMEL IN 46032-4421
TO: Carmel Clay Parks&Recreation
1411 E 1 16TH ST `l� "'�T'' 7- 'D USA
CARMEL IN 46032
USA AUG 1 02012
I gy MC003236 08/03/2012
L� 7 i . YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED
INVOICE NO./ORDER NO. PAYMENT DUE BY 09/02/2012
00083396/980024949 08/03/2012 FEDEX GROUND 08/03/2012 IF PAID BY 08/23/2012 PAY $ 61.03
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
2 2 26521 EA ZTEK EYEWR CLR LENS S251 OS 2.71 5.42
2 2 26019 L PR MECHANIX UTIL GLV L 23.36 46.72
Purchase
Description &kwe5, 030.56 s
P.O.# M C 0032310 P Or®
G.L.
Budoet
Line DescrQ
Purchaser Date
Approval Date
SALES TAX SHIPPING&HANDLING • •
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE
UNPAID BALANCE. $ 0.00 $ 9.93 $ 62.07
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
LJ V (0) 0 TNEFT, LI`"l Remember...We Always Offer
MUM
' 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 Cherry Tree Elementary
ORDER.NO.
4816021 Tiffany
13989 Hazel Dell Parkway
TOLD Carmel Clay Parks&Recreation . r CARMEL IN 46033-8748 ED USA
1411 E 116TH ST
CARMEL IN 46032 AUG 2 0 2012 L
USA
BY: 31159 08/13/2012
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 09/12/2012
INVOICE NO./ORDER NO.
900094552/980028179 08/13/2012 FEDEX GROUND 08/13/2012 IF PAID BY 09/02/2012 PAY $495.39
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
4 4 24463 BX BAND-AID BRAND VARIETY 280/BX 18 BX/CS 13.95 55.80
6 6 30918 BX BZK ANTISEPTIC WIPES 100BX 1303 2.56 15.36
3 3 4351 BX TRIPLE ANTIBIOTIC OINTMENT 144/BX 28.17 84.51
8 8 24780 EA 1 st AID SPRAY ITCH RELIEF Al2-24 3.07 24.56
4 4 7270 BX STERILE PADS 3'X 3' 100BX 7270033 10.60 42.40
4 4 7280 BX STERILE PADS 4'X 4' 100BX 7280033 16.44 65.76
8 8 26185 EA SPLINTER TWEEZERS W/MAGNIFER 3.69 29.52
4 4 1070 BX EX.LG PLSTC STRIPS 2 X 4 1/2 1070033 4.42 17.68
6 6 24782 EA DIGITAL THERMOMETER W/CS 70801 13.07 78.42
3 3 8587 L BX FLEXSHIELD 5MIL POWD NITRILE GLV SZ L 11.25 33.75
8 8 2110 EA�CPROTECOR 2000 POLY BG 4.71 37.68
91 s P 00
plc tption��\5 _ gC)1
ACCOUNTS 30 DAYS QC# CHARGE OF 1' ER
SALES TAX SHIPPING&HANDLING of Q oCQ(a
MONTH WHICH IS AN FNU PER O Y.TO W TO THE $ 0.00 $ 19.66 $ 505.10
UNPAID BALANCE v0e5gf
Payments must beW ' Jolla
2%discount does ngt It card payments Thank You for Your Order!
i�1� 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
8/3/12 900083396 Gloves, safety glasses $ 62.07
8/13/12 900094552 First aid supplies CT 31159 $ 505.10
Total $ 567.17
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.O. Box 4250
Utica, NY 13504-4250
In Sum of$
$ 567.17
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center& 108 ESE
PO#or Board Members
Dept ept# INVOICE NO. ACCT#/TITLE AMOUNT
1093 900083396 4238000 $ 62.07 1 hereby certify that the attached invoice(s), or
1081-2 900094552 4239012 $ 505.10 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
23-Aug 2012
Signature
$ 567.17 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund