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Home My WebLink About213591 10/09/2012 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: $185.08 ? UTICA NY 13504 CHECK NUMBER: 213591 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4238000 900148284 64 .21 SMALL TOOLS & MINOR E 601 5023990 900149903 120 . 87 OTHER EXPENSES RTHERN Remember..We Always Offer i V 0 -s 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 CUSTOMERF Carmel Clay Parks&Recreation 4816021 Matthew 1235 CENTRAL PARK DRIVE EAST SOLD CARMEL IN 46032-4421 TO: Carmel Clay Parks&Recreation USA 1411 E 116TH ST CARMEL IN 46032 USA FOCT 01 2012 MC003354 09/25/2012 E L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED INVOICE NO./ORDER NO. PAYMENT DUE BY 10/25/2012 900148284/980045013 09125/2012 FEDEX GROUND 09/25/2012 IF PAID BY 10/1 5/201 2 PAY $ 63.14 ORDERED SHIPPED ITEM NO. U010 DESCRIPTION UNIT PRICE EXTENDED AMOUNT 2 2 26523 EA ZTEK EYEWR GY LENS s2520s 3.12 6.24 2 2 29128 EA MONOGOGGLE RESPIRTOR FIT EYEWR GOGGLE 11.99 23.98 1 1 26019 L PR MECHANIX UTIL GLV L 23.36 23.36 1 1 SP2012CAT EA 2012 CATALOG KIT 0.00 0.00 Purchase Description P.O.#fn(--00E- G.L.# LA 14AQ 0 0 Budget Line Descr Purchase�m lhu5b) Date_ Approval Date— 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 UNPAID BALANCE. $ 0.00 $ 10.63 $ 64.21 Payments must be payable in US dollars only 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 9/25/12 900148284 Personal protection equipment $ 64.21 Total $ 64.21 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$ $ 64.21 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1093 900148284 4238000 $ 64.21 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 4-Oct 2012 Signature $ 64.21 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ORTHERNRemember...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 CUSTOM ER ID Carmel Water Distribution 3217619 Jerry 3450 W 131stSt SOLD CARMEL IN 46074-8267 TO: Carmel Water Distribution USA 3450 W 131 st St L CARMEL IN 46074-8267 USA Jerry 09/26/2012 YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED INVOICE NO./ORDER NO. PAYMENT DUE BY 10/26/2012 900149903/100088031 09/26/2012 FEDEX GROUND 09/26/2012 IF PAID By 1 n/1 rlgnl 9 PAY 11&67 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 24 24 5061 EA FIRE EXTING SGNS (VERTICAL) M23-P 3.19 76.56 1 1 4270 EA VISI-SGNS FIRE EXTING VS-1- 16.67 16.67 1 1 4273 EA VISI-SGNS EYE WASH STATION VS-7-W 16.67 16.67 • ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2%PER SALES TAX SHIPPING&HANDLING MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE UNPAID BALANCE. $ 0.00 $ 10.97 $ 120.87 _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 VOUCHER # 122308 WARRANT # ALLOWED 226500 IN SUM OF $ NORTHERN SAFETY CO, INC PO BOX 4250 i UTICA, NY 13504 4 a i i Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR 1 Board members PO# INV# ACCT# AMOUNT Audit Trail Code 900149903 01-6200-03 $120.87 Voucher Total $120.87 Cost distribution ledger classification if claim paid under vehicle highway fund 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 10/3/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/3/2012 900149903 $120.87 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 Officer