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Home My WebLink About218964 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1 `` • ONE CIVIC SQUARE NORTHERN SAFETY CO, INC F CARMEL, INDIANA 46032 Po Box 4250 CHECK AMOUNT: $355.47 UTICA NY 13504 CHECK NUMBER: 218964 CHECK DATE: 4/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 900344468 130 . 55 OTHER EXPENSES 1091 4239012 900353661 224 . 92 SAFETY SUPPLIES NORTHERN 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 • 9, • • � • • � Carmel Clay Parks&Recreation 4816021 Kurtis 1235 CENTRAL PARK DRIVE EAST SOLD CARMEL IN 46032-4421 TO: Carmel Clay Parks&Recreation _ 1411 E 116TH ST [TFFZ `CE1V E D L USA CARMEL IN 46032 USA MAR 2 5 2013 MC003930 03/20/2013 L BY: YOUR PURCHASE ORDER NUMBER AND DATE OUR DER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT—DUE BY 04/19/2013_ INVOICE NO./OR 00353661 /980115100 03/20/2013 FEDEX GROUND 03/20/2013 IF PAID BY 04/09/2013 PAY $ 220.81 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 50 50 31039 BX BAND AID SHEER STRIPS ASSORTED PK/80 4.11 205.50 Purc,asa r 19,57 NI T> 5U P PUPS P�.6-0 "A C O_O_3r--t 3D or, ii,ia�[D�tEt'' e te SALES TAX SHIPPING&HANDLING • ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1112%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE UNPAID BALANCE $ - 0.00- - -- -- ---$ 19.42 -5-= 224.92 - Payments must be payable in US dollars only 1 k 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.,1nc. Terms P.O. Box 4250 Utica, NY 13504-4250 Invoice Invoice _ Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 3/20/13 900353661 First aid supplies $ 224.92 Total $ 224.92 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 226500 Northern Safety Co., Inc. Allowed 20 P.O. Box 4250 Utica, NY 13504-4250 In Sum of$ $ 224.92 ON ACCOUNT OF APPROPRIATION FOR IMMOM (09 MONOn1 C&JMM - PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 900353661 4239012 $ 224.92 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-Apr 2013 Signature $ 224.92 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ®R�H�R� Remember... We Always Offer INVOICE �Nj - - • 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 IN 46033 TO: Carmel Utilities USA 3450 W 131 st St CARMEL IN 46074-8267 USA dan031313a 03/13/2013 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 04/12/2013 INVOICE NOJORDER NO. 00344468/100199490 03/13/2013 FEDEX GROUND 03/13/2013 IF PAID BY 04/02/2013 PAY $ 128.26 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 1 1 1760210 PR DR MARTENS WELLINGTONS STEEL TOE SZ 10 114.38 114.38 1 1 BC132 EA 2013 CATALOG KIT 0.00 0.00 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 $ 16.17 $ 130.55 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 VOUCHER # 131251 WARRANT # ALLOWED 226500 j IN SUM OF $ NORTHERN SAFETY CO, INC ' f PO BOX 4250 UTICA, NY 13504 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 900344468 01-6200-03 $130.55 1 I Voucher Total $130.55 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 4/1/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/1/2013 900344468 $130.55 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 %�� Cam..,--y��✓�----- /Y'�----o--�� Date Officer