HomeMy WebLinkAbout225487 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC
CHECK AMOUNT: $92.10
.�a CARMEL, INDIANA 46032 PO BOX 4250
UTICA NY 13504 CHECK NUMBER: 225487
CHECK DATE: 10/2312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4239012 900622541 92 . 10 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! WNORTHERN SAFETY CO.,INC.
Phone: 800.631 .1246 • Fax: 800.635.1591
P.O. Box 4250
northemsafety.com Utica, NY 13504-4250
SHIP TO(IF OTHER THAN"SOLD TO")
YOUR CUSTOMER ID
• • • • • • Carmel Clay Parks&Recreation
4816021 Jim
1235 CENTRAL PARK DRIVE EAST
SOLD F CARMEL IN 46032-4421
TO: Carmel Clay Parks&Recreation IRE 1411E 116TH ST FBY:-T�T���� I USA
CARMEL IN 46032
USA 5 2013
i
MC004655 09130/2013
L —'— YOUR PURCHASE ORDER NUMBER AND DATE
OUR INVOICE DATE SHIPPED VIA DATE SHIPPED
•INVae�NO:;;,RDER-NC- - PAYMENT DUE BY 11/07/20.1.3
00622541 /980198089 10/0812013 FEDEX GROUND 10/08/2013 IF PAID BY 10/28/2013 PAY $ 90.95
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
1 1 6957 YW EA VGARD FULL BRIM HRDHAT W/PINLCK YW 13.49 13.49
2 2 2820 EA HVY-DTY TRAF CONE 18" 3LB W/BLK BASE 8.12 16.24
2 2 23259 LE XL EA NS HIVIS ECON CLS 2 LIME XL 13.99 27.98
F 6 �
CA
MCoo��S
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 $ 34.39 $ 92.10
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
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
10/8/13 900622541 Safety gear $ 92.10
Total $ 92.10
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$
$ 92.10
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 900622541 4239012 $ 92.10 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
17-Oct 2013
Signature
$ 92.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund