HomeMy WebLinkAbout216141 01/09/2013 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: $10.21
UTICA NY 13504 CHECK NUMBER: 216141
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239012 900236158 10 .21 SAFETY SUPPLIES
NIORTHERPw Remember...We Always Offer
' OUY LOWeSt Price Wheri 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
P�gASE REFER • Carmel Clay Parks&Recreation
• CUSTOMER • •
ORDER:
4816021 Nikesha
4311 E. 116th Street
SOLD CARMEL IN 46033-3353
TO: Carmel Clay Parks&Recreation USA
1411E 116TH ST .�
CARMEL IN 46032 DEC 17 2012
USA
v E0002795 08/23/2012
1 ' YOUR PURCHASE ORDER NUMBER AND DATE
OUR
INVOICE NO./ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 01/10/2013
00236158/980032566 12/11/2012 FEDEX GROUND 12/11/201.2 IF PAID BY 12/31/2012 PAY $ 10.01
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
3 1 7259 BX STERILE PADS 2"X 2" 100BX 9.79 9.79
Purchase i
Description
P.O.# AOO NO1 P or F
G.L.#
Budget
Line Descr
Purchaser, Date
Approval Date
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2%PER SALES TAX SHIPPING&HANDLING • L1119611J27
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE
UNPAID BALANCE. $ 0.00 $ 0.42 $ 10.21
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
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
12111/12 900236158 Supplies $ 10.21
Total $ 10.21
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$
$ 10.21
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept-#
1081-11 900236158 4239012 $ 10.21 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
3-Jan 2013
Signature
$ 10.21 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund