HomeMy WebLinkAbout217755 02/26/2013 \�f CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
L 0 CHECK AMOUNT: $321.28
CARMEL, INDIANA 46032 Po BOX azso
UTICA NY 13504 CHECK NUMBER: 217755
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 900296406 —119 . 76 OTHER EXPENSES
601 5023990 900300009 441 . 04 OTHER EXPENSES
�ORTHERN 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")
YOUR CUSTOMER ID
• eJ • . • • 1 Carmel Utilities
346023 Jerry
4915 E 106th St
SOLD CARMEL IN 46033
TO: Carmel Utilities
USA
3450 W 131 st St
CARMEL IN 46074-8267
USA
JC13113 01/31/2013
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 03/09/2013
INVOICE NO./ORDER NO.
00300009/100169164 02/07/2013 IF PAID BY 02/27/2013 PAY $433.67
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
5 5 27340 PR EA NS RIB MAT 4'X 6' PEPPER 46.08 230.40
6 6 27336 PR EA NS RIB MAT 3'X 4' PEPPER FF 23.04 138.24
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 $ 0.00 $. 72.40 $ 441.04
UNPAID BALANCE. ._. ..__
Payments must be payable in US dollars only
"2%discount does not apply to credit card payments Thank 'You®u for Your O_rder!
FEDERAL ID#16-1214814
You'll Alway Find
• The(Lowest Prices...Guaranteed!
Thank 1'®u®
PO Box 4250 • Utica, NY 13504-4250
Phone: 800.631 .1246 • Fax: 800.635.1591
northernsafety.com
SHIP TO(IF OTHER THAN"SOLD TO")
YOUR CUSTOMER ID I
• • . . .
•�. - •- -� Carmel Utilities
346023 Jerry
4915 E 106th St
SOLD CARMEL IN 46033
TO: Carmel Utilities
3450 W 131 st St �USA
CARMEL IN 46074-8267
USA
RETURN/TIM 01/25/2013
YOUR PURCHASE ORDER NUMBER AND DATE
-OUR-'- INV.DATE - -.-
INV.NO./ORDER NO.
WE HAVE CREDITED YOUR ACCOUNT AS FOLLOWS:
�900296406-1-12TOO 427-- -�~�V-
02I0572013_.
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 3200285 PR MUDSLINGER MID ST/TOE BOOT SZ 8.5 104.99 104.99
.w
PLEASE TAKE CREDIT WITHIN ONE YEAR FROM INVOICE DATE. SALES TAX SHIPPING&HANDLING--- •U' (- • I
$ 0.00 $ 14.77 $ 119.76-
FEDERAL ID# 16-1214814
Committed to Serve You Better!
NO All of our products are 100% Guaranteed...
Satisfaction Period. Your total satisfaction is our top priority!
C�
- Rev.06/09
VOUCHER # 123544 WARRANT # ALLOWED
226500 IN SUM OF $
NORTHERN SAFETY CO, INC
PO BOX 4250
UTICA, NY 13504
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
,
PO # INV# ACCT# AMOUNT Audit Trail Code
1..tq
900300009 01-6200-03
C�L _ RE�2°fto��bt�
i
Voucher Total $321.28
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 2/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/18/2013 900300009 $321.28
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