HomeMy WebLinkAbout232353 05/07/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 363840
ONE CIVIC SQUARE STATE SAFETY & COMPLIANCE LLC CHECK AMOUNT: $...•*'"788.04*
CARMEL, INDIANA 46032 5338 VICTORY DRIVE STE A CHECK NUMBER: 232353
INDIANAPOLIS IN 46203 CHECK DATE: 05/07/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10137075 788.04 OTHER EXPENSES
V
INVOICE
State Safety & Compliance, LLC. INVOICE
Branch: 701 Indianapolis 10137075
5358 Victory Dr Invoice Date Page
Indianapolis,IN 46203 4/21/2014 10:10:00 1 of 1
ORDER NUMBER
3773778
317-423-7724
Bill To: Ship To: **DIRECT SHIPMENT**
Carmel Waste Water Treatment Carmel Waste Water Treatment
Attn:Paul Arnone Attn: Blaine Mallaber(PO S13951)
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis,IN 46280 Indianapolis,In 46280
— - Customer ID: 1.09095 - - -- --. — ------- - -- - - ---- --- - ------ ---- --
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
513951 0.5% 10 net 30 05/21/14 05/01/14 2.97
Order Date Pick Ticket No Primary Salesrep Name Taker
3/31/2014 08:00:11 6143075 Gary Smith JCHANEY
Quantities Pricin
S
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM a Item Description Unit Size Price Price
Unit Size A
Delivery Instructions. SHIP MOST ECONOMICAL METHOD
PREPAY&ADD
Carrier: Most Economical-PPA Tracking#:
24.0000 24.0000 0.0000 EA RS70032CT3M64 EA 15.4800 371.52
1.0 CONE 28"ORANGE WIDE 7LB 6"X 4"RFLCTV 1
24.0000 24.0000 0.0000 EA RS450150M6 EA 9.2300 221.52
1.0 CONE ORANGE 18"w/6"RFLCTV 3LB 1
Total Lines:2 SUB-TOTAL: 593.04
Total Freight In:0.00 Total Freight Out:195.00 TOTAL FREIGHT: 195.00
TAX. 0.00
AMOUNT DUE: 788.04
ORIGINAL
VOUCHER # 137921 WARRANT # ALLOWED
363840
IN SUM OF $
STATE SAFETY & COMPLIANCE LLC
5338 VICTORY DRIVE STE A
INDIANAPOLIS, IN 46203
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Carmel Wastewater Utility i
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ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
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10137075 01-7200-02 $788.04
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Voucher Total $788.04
Cost distribution ledger classification if
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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
363840
STATE SAFETY&COMPLIANCE LLC Purchase Order No.
5338 VICTORY DRIVE STE A Terms
INDIANAPOLIS, IN 46203 Due Date 4/29/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/29/2014 10137075 $788.04
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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
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Date Officer