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Home My WebLink About220278 05/21/2013 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: $272.57 UTICA NY 13504 CHECK NUMBER: 220278 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 900397238 234 . 72 GENERAL PROGRAM SUPPL 1095 4239039 900401098 37 . 85 GENERAL PROGRAM SUPPL n0CTLI�I LS�ll`.l .Remember... We Always Offer u v Our Lowest Price When You Order. PLEASE REMIT TO: PO Box,4250 • Utica, NY 13504-4.250 100%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 PLEASE •YOUR CUSTOMEWID,OUR • • Carmel Clay Parks&Recreation R • . • 4816021 Kurtis 1235 CENTRAL PARK DRIVE EAST OLD F ��t � USAMEL IN 46032-4421 TO: Carmel Clay Parks &Recreation �� T 1411 E 1 16TH ST L CARMEL IN 46032 APR 3 0 2013 USA v MC004049 04/25/2013 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED Dl)_E_BY 0.5L25/201.3�_ INVOICE NO.;OF,R NO. 00401098/980130927 04/25/2013 FEDEX GROUND 04/25/2013 IF PAID BY 05/15/2013 PAY $ 37.25 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 5 5 24671 BX MET DETECTABLE BANDAGES WOVEN 100BX 5.98 29.90 Purchase C lescription pA 1 DS —►=lDSEJ2�/lC6s P.O.# rAC 004049 P or G.L.# LC 16-1 —J-4Z'!7qa Budget Lins Descr Purchaser Date Approval Date I 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 $ 7.95 $ 37.85 g(00 THERCI LI�l 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 Clay Parks &Rec 4816021 James 12415 SHELBORNE ROAD SOLD CARMEL IN 46032 TO: Carmel Clay Parks&Recreation USA 1411 E 116TH ST CARMEL IN 46032 APR 3 0 2013 L USA B'Y',I E0003283 04/23/2013 L YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 05/23/2013 INVOICE NO./ORDER NO. 00397238/980129433 04/23/2013 FEDEX GROUND 04/23/2013 IF PAID BY 05/13/2013 PAY $ 230.44 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 2 2 1 105 CS PLSTC STRIPS 3/4x3" BULK PK 1500/CS 46.43 92.86 6 6 24776 EA 1 st AID SPAAY BURN SPRAY BS2-24 3.16 18.96 6 6 24778 EA 1 st AID SPRAY HYDROGEN PEROXIDE HP2-24 2.84 17.04 15 15 2110 EA CPROTECOR 2000 POLY BG 4.44 66.60 1 1 4646 BX HYDROCORTISONE CREAM 1% 144/BX 18.75 18.75 Purchase Description P.O.#. 6F 10100 P op G.L. IDSl�-3- 4J23RU39 Budget Line Descr_ -7-� '/ Purchaser V �GLI Date Approval Date SALES TAX SNIPPING&HANDLING ACCOUNTS 30 DAYS ANDOVER ARE SUBJECT TO A FINANCE CHARGE OF 11b%PER ," •' MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE UNPAID BALANCE. S 0.00 S 20.51 $ 234.72 Pavments must be savable in US dollars only 1 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 $ 37.85 4/25/13 900401098 Band aids for Food Services $ 234.72 4/23/13 900397238 Supplies Total $ 272.57 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 Voucher No. Warrant No. 226500 Northern Safety Co., Inc. Allowed 20 P.O. Box 4250 Utica, NY 13504-4250 In Sum of$ $ 272.57 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE/ 109 Monon Center PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1095-1 900401098 4239039 $ 37.85 1 hereby certify that the attached invoice(s), or 1081-3 900397238 4239039 $ 234.72 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 16-May 2013 Signature $ 272.57 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund