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Home My WebLink About225914 11/05/2013 - F CITY OF CARMEL, INDIANA VENDOR: 226500 Page 1 of 1 ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: $1,117.24 CARMEL, INDIANA 46032 PO BOX 4250 UTICA NY 13504 CHECK NUMBER: 225914 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356003 24487 900575625 515 . 64 GLOVES 1120 4356003 24487 900611077 257 . 82 GLOVES 1120 4356003 24487 900654043 343 . 78 GLOVES NORTHERN Remember...We Always Offer INVOU MGM 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 nor-thernsafety.com Utica, NY 13504-4250 SHIP TO(IF OTHER THAN"SOLD TO") YOUR CUSTOMER ID • • . . . • . Carmel Fire Department 416610 2 Civic Sq CARMEL IN 46032-2584 TOLD USA Carmel Fire Department 2 Civic Sq CARMEL IN 46032-2584 USA Garry 09/03/2013 YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 10/03/2013 INVOICE NO./ORDER NO. 00575625/100327232 09/03/2013 FEDEX GROUND 09/03/2013 IF PAID BY 09/23/2013 PAY $ 505.33 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 24 24 1665 L PR 1921N LEA DRIVERS GLV KEYSTONE THUMB L 7.16 171.88 24 24 1665S PR GRAIN LEA DRIVERS GLV KEYSTONETHUMB SM 7.16 171.88 24 24 1665 M PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB M 7.16 171.88 • ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2%PER SALES TAX SHIPPING&HANDLING MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE UNPAID BALANCE. $ 0.00 $ 0.00 $ 515.64 Payments must be sayable in US dollars only 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 . e . Carmel Fire Department 416610 2 Civic Sq CARMEL IN 46032-2584 TOLD USA Carmel Fire Department 2 Civic Sq CARMEL IN 46032-2584 USA Garry 09/03/2013 YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 10/30/2013 INVOICE NO./ORDER NO. 00611077/100327232 09/30/2013 FEDEX GROUND 09/30/2013 IF PAID BY 10/20/2013 PAY $ 252.66 ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT 36 36 1665 2XL PR GRAIN LEA DRIVERS GLV KEY/THUMB 2XL 7.16 257.82 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 $ 0.00 $ 257.82 _ Pavments must be oavable in US dollars only PAGE 2 OF 2 j�VORTHEMRNIV Remember... We Always Offer Our Lowest Price When You Order .4 M== W 100%Satisfaction Guaranteed! Please Remit to: PO Box 4250*Utica,NY 13504-4250 Northern Safety Co.,Inc. Phone 800.631.1246*Fax 800.635.1591 P.O.Box 4250 North ernsafety.co m Utica,NY 13504-4250 ........... SHIP Carmel Fire Department .... YOUR CUSTOMER ID ........ ....... TO- 2 Civic Sq ........ 416610 CARMEL IN 46032-2584 XX X: . ........... USA BILL Carmel Fire Department TO: 2 Civic Sq CARMEL IN 46032-2584 Garry 09/03/2013 USA YOUR PURCHASE ORDER NUMBER AND DATE OUR INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 11/2912013 INVOICE NO/ORDER NO 900651043/100327232 10/30/2013 FEDEX GROUND 10/30/2013 IF PAID BY 11/19/2013 PAY$336.90 ORDERED SHIPPED ITEM NO LICIM DESCRIPTION UNIT PRICE EXTEND AMT 48 48 1665 XL PR GRAIN LEA DRIVERS GLV KEYSTONE THUMB XL 7.16 343.78 1 1 BC132 EA 2013 CATALOG KIT 0.00 0.0c ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE Sales Tax Shipping Total Due CHARGE OF 1.5%PER MONTH WHICH IS AN ANNUAL PERCENTAGE OF 18%TO BE APPLIED TO THE UNPAID BALANCE $ 0.0() $ 0.00 $ 343.78 Payments must be payable in US dollars only Thank You for Your Order! **2%discount does not apply to credit card payments FEDERAL ID# 16-1214814 Please return bottom portion with payment: VOUCHER NO. WARRANT NO. ALLOWED 20 Northern Safety IN SUM OF $ P.O. Box 4250 Utica, NY 13504 $1,117.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#D pt. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 24487 900575625 43-560.03 j $515.64 1 hereby certify that the attached invoice(s), or 24487 900611077 43-560.03 $257.82 bill(s) is (are) true and correct and that the 24487 I 900654043 I 43-560.03 I $343.78 materials or services itemized thereon for which charge is made were ordered and received except F Fire Chief Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 900575625 $515.64 900611077 $257.82 900654043 I I $343.78 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