217429 02/13/2013 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: $344.71
UTICA NY 13504 CHECK NUMBER: 217429
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 900270026 136 . 92 OTHER EXPENSES
601 5023990 900283383 119. 92 OTHER EXPENSES
1093 4239012 900289395 87 . 87 SAFETY SUPPLIES
N 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 Carmel Utilities
346023 Jerry
4915 E 106th St
SOLD Carmel Utilities CARMEL IN 46033
TO: USA
3450 W 131 st St
CARMEL IN 46074-8267 L
USA
Tim 01/25/2013
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 02124/2013
INVOICE NO./ORDER NO.
900283383/100165480 01/25/2013 FEDEX GROUND 01/25/2013 IF PAID BY 02/14/2013 PAY $ 117.82
ORDERED I SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 3200285 PR MUDSLINGER MID ST/TOE BOOT SZ 8.5 104.99 104.99
1 1 28780 F EA NORTHERN SFTY DUFFEL BG PROMO ITEM 0.00 0.00
• •
ACCOUNTS 30 DAYS AND OVER 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 $ 14.93 $- 119.92
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
UORTHE RN 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 I Carmel Utilities
346023 3450 W 131 st St
CARMEL IN 46074-8267
SOLD Carmel Utilities USA
TO:
3450 W 131 st St
CARMEL IN 46074-8267 L
USA
Tim 01/16/2013
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 02/15/2013
INVOICE NO./ORDER NO.
00270026/100157929 01/16/2013 FEDEX GROUND 01/16/2013 IF PAID BY 02/05/2013 PAY $ 134.52
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 28099 BN 13 PR DR MARTENS IRONBRIDGE BOOT ST BN SZ 13 120.25 120.25
1 1 NC131 EA 2013 NEW CUSTOMER CATALOG KIT 0.00 0.00
t '
•
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 $ 0.00 $ 16.67 _ S 136.92
UNPAID BALANCE.
-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
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 2/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/2/2013 900270026 $136.92
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
el 3
Date Officer
VOUCHER # 123454 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
900270026 01-6200-03 $136.92
Voucher Total a 1J( g-LJ $V 2
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
northernsafety.com P.O. Box 4250
Utica, NY 13504-4250
SHIP TO(IF OTHER THAN"SOLD TO")
YOUR CUSTOMER ID r Carmel Clay Parks&Recreation
• . •'IN,ALL COMMUNICATIONS • • 4816021 Michelle
1235 CENTRAL PARK DRIVE EAST
SOLD Carmel Clay Parks&Recreation y CARMEL IN 46032-4421
TO: Y CEI `./ ED USA
1411E 116TH ST
CARMEL IN 46032 L
USA FEB 4 2013
MC003774 01/30/2013
YOUR PURCHASE ORDER NUMBER AND DATE
OUR
INVOICE NO./ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 03/01/2013
00289395/980093223 01/30/2013 FEDEX GROUND 01/30/2013 IF PAID BY 02/19/2013 PAY $ 86.38
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
2 2 26019 L PR MECHANIX UTIL GLV L 23.36 46.72
1 1 10899 M EA VALEO VELP PREM BK SUPP M VV/PAD VELP 27,76 27.76
1 1 BC132 EA 2013 CATALOG KIT 0.00 0.00
Purchase Gerry ISO
�. S
Description V �4
P.O.# M('-003-1- 4_PorF
G.L.# 1093 4239oi 2
Budget
Line Descr
Purchaser Date
Approval pnto
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF I'/,%PER SALES TAX SHIPPING&HANDLINGL'�C�`
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE
UNPAID BA MQF, $ 0.00 $ 13.39 $ 87.87
Pnvments must be nnvnhle in 11.4Z rinllnrc nnly
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
1130113 900289395 Safety supplies $ 87.87
Total $ 87.87
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$
$ 87.87
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 900289395 4239012 $ 87.87 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
7-Feb 2013
Signature
$ 87.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund