246679 06/30/15 +a�.cin+,
J^/ t CITY OF CARMEL, INDIANA VENDOR: 369508
® it ONE CIVIC SQUARE ALLEN TRENCH SAFETY CORP CHECK AMOUNT: $*****7,228.00*
:. ?Q; CARMEL, INDIANA 46032 PO BOX 1197 CHECK NUMBER: 246679
sMy,__ BATTLE CREEK MI 49016 CHECK DATE: 06/30/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 5043 7,228.00 OTHER EXPENSES
LLE/
TBENCH Invoice
AFETY
a corp.
- Date Invoice No.
PO BOX 1197 05/19/15 5043
Battle Creek MI 49016 www.allentrenchsafety.com
877-854-3552 chris@allentrenchsafety.com
Bill To: -Ship-Ta
Carmel Water Distribution Carmel Water Distribution
3450 West 131 st Street 3450 West 131 st Street
Carmel IN 46074 Carmel IN 46074
P.O. Number Terms Rep Ship Date Ship Via. FOB -Project.
05/19/15
Item Description Quantity Price.Each Amount
2x7 Ultra-Shore Stock#27/Weight 106 1 2,170.00 2,170.00T
4x7 Ultra-Shore Stock#47/weight 164 1 3,130.00 3,130.00T
36"-60" Adj Stock#ASA-36 6 200.00 1,200.00T
Spreader Assy
Stacking kit Stock#STK/weight 2 1 88.00 88.00T
Leg Kit Stock#SL-1.25 1 180.00 180.00T
Lift Slings Stock# 1 110.00 110.00T
Freight Freight 350.00 350.00
Out Of State No Tax Collected 0.00 0.00
i
Total .$7,228.00
HER # 152279 WARRANT# ALLOWED
9508 IN SUM OF $
ALLEN TRENCH SAFETY CORP
PO BOX 1197
BATTLE CREEK, MI 49016
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
(I
U "
Board members
PO# INV# ACCT# AMOUNT j Audit Trail Code
i
5043 02-2308-00 $7,228.00
Depreciation 1
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jl
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I
I
11
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Voucher Total $7,228.00
I '
Cost distribution ledger classification if
claim paid under vehicle highway fund ;
Prescribed by State Board of Accounts City Form No.201 (Rev1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service where
i P p Y ,
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
369508
ALLEN TRENCH SAFETY CORP Purchase Order No.
PO BOX 1197 Terms
BATTLE CREEK, MI 49016 Due Date 6/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/24/2015 5043 $7,228.00
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
Date Officer