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219428 04/24/2013
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: $654.70 UTICA NY 13504 CHECK NUMBER: 219428 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4239012 29582 900360709 654 . 70 SAFETY SUPPLIES NORTHERN Remember'... We Always Offer • Our Lowest pY1Ce When }'OU 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 narthernsafety.com Utica, NY 13504-4250 SHIP TO(IF OTHER THAN"SOLD TO") YOUR CUSTOMER ID - . . Carmel Clay Parks&Recreation 4816021 Courtney 1427 E. 116TH STREET SOLD CARMEL IN 46032 TO: Carmel Clay Parks&Recreation USA 1411 E 116TH ST a C-EI TED I CARMEL IN 46032 Y/ `-- USA APR 0 2 2913 29582 03/26/2013 Li_ YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 04/25/2013 INVOICE NO./ORDER NO. 1'00360709/980117130 03/26/2013 FEDEX GROUND 03/26/2013 IF PAID BY 04/15/2013 PAY $642.07 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 1 1 26019 M PR MECHANIX UTIL GLV M UTIL GLV CG- 21.96 21.96 3 3 26019 L PR MECHANIX UTIL GLV L 21.96 65.88 8 8 26019 XL PR MECHANIX UTIL GLV XTRA L 21.96 175.68 a Purchaser Description P.O.# P or© CT -, G.L.# "0 Budget Line Descr Purchaser Date Approval Date 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 UNPAID BALANCE. $ 0.00 $ 23.30 $ 654.70 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 CUSTOMER ID • • • Carmel Clay Parks&Recreation cE ORDR OWOM 6 4816021 Courtney 1427 E. 116TH STREET SOLD CARMEL IN 46032 TO: Carmel Clay Parks&Recreation 1411 E 116TH ST AA USA CARMEL IN 46032 APR 9 2 2013 USA IRVi - _ 29582 03126/2013 YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 04/25/2013 INVOICE NOJORDER NO. 00360709/980117130 03/26/2013 FEDEX GROUND 03/2612013 IF PAID BY 04/15/2013 PAY $ 642.07 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 12 12 26523 EA ZTEK EYEWR GY LENS s2520s 2.96 35.52 6 6 26521 EA ZTEK EYEWR CLR LENS S2510S 2.71 16.26 1 1 30918 BX BZK ANTISEPTIC WIPES 100BX 1303 2.95 2.95 4 4 26490 EA OTS OVER THE GLASS CLR LENS S351 OSJ 3.99 15.96 4 4 26491 EA OTS OVER THE GLASS GY LENS S3520SJ 4.39 17.56 4 4 4534'"'" EA' POISON OAK-N-IVY CLEANSER 12 OZ 10.60 42.40 6 6 14595 EA BUG BARRIER II 60Z INSECT REPELLENT 12CS 5.73 34.38 4 4 31661 BX CURAD EXTREME HOLD BANDAGES 2.00 8.00 2 2 23259 LE L EA NS HIVIS ECON CLS 2 LIME L 12.99 25.98 4 4 '23259 LE XL EA NS HIVIS ECON CLS 2 LIME XL 12.99 51.96 6 6 23259 LE 2XL EA NS HIVIS ECON CLS 2 LIME 2XL 12.99 77.94 2 2 23259 LE 3XL• EA NS HIVIS ECON CLS 2 LIME 3XL '. 12.99 25.98 1 1 23259 LE 4XL EA NS HIVIS ECON CLS 2 LIME 4XL 12.99 12.99 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 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 _... _.__....... ............ .. .... .. ..... ...- Please return bottom portion with payment: YOUR CUSTOMER ID F SOLD Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation TO: 4816021 Courtney 1411E 116TH ST Y CARMEL IN 46032 1427 E. 1 16TH STREET USA SHIP CARMEL IN 46032 TO LUSA OUR INVOICE DATE SHIPPED VIA'`` DATE SHIPPED INVOICE NOJORDER NO. PAYMENT DUE BY 04/25/2013 003607091980117130 03/26/2013 FEDEX GROUND.' ' -03/26/2013 ! - SALES TAX SHIPPING&HANDLING • II' IIIIII VIII III" III III III Northern Safety Co., Inc. • P.O. Box 4250 Utica, NY 13504-4250 ❑See Reverse Side for Name/Address Correction accounting @nonhernsafety.com Rev.05/11. 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 1126/13 900360709 Safety supplies Maintenance 29582 $ 654.70 Total $ 654.70 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 20_ Clerk-Treasurer a Voucher No. Warrant No. 226500 Northern Safety Co., Inc. Allowed 20 P.O. Box 4250 Utica, NY 13504-4250 ?n Sum of$ $ 654.70 _ ON ACCOUNT OF APPROPRIATION FOR 101 General Fund Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT Dept# 29582 F 900360709 4239012 $ 654.70 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 18-Apr 2013 Signature $ 654.70 Accounts Payable Coordinator_ Cost distribution ledger classification if Title claim paid motor vehicle highway fund