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CITY OF CARMEL, INDIANA VENDOR: 366758
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ONE CIVIC SQUARE RITZ SAFETY CHECK AMOUNT: S""""145.46•
s. i CARMEL,.INDIANA 46032 PO BOX 713139 CHECK NUMBER: 305277
+yi�oN_ CINCINNATI OH 45271-3139 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 5322075 145.46 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
RITZ SAFETY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 713139 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CINCINNATI, OH 45271-3139 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$145.46 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
5322075 42-389.00 $145.46 1 hereby certify that the attached invoice(s),or 10/25/16 5322075 $145.46
2201 201 2201 201
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
Tuesday, November 01,2016
Dave Huffman
Director
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Lte: 10/26/2016 7:27 PM From: Ritz Safety, LLC Page 1 of 1
IX
\\� As INVOICE
ro' INVOICE
Safe Products:Sound Advice:Dolivorod R'M17TO 5322075
PO BOX 713139
Ritz Safety-Indianapolis CINCINNATI,OH 45271-3139 Invoice Date Page
10/25/201614:47:28 1 of 1
80051-3077 ORDERS AR@RrrZSAFETY.COM ORDER NUMBER 1752815
Bill To: Ship To:
CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT
3400 W.131ST STREET 3400 W.131ST STREET
CARMEL,IN 46032 ATM:RON WILLIAMS
UNITED STATES CARMEL,IN 46032
UNTIED STATES
Ordered By:Mr.RON WILLIAMS
Customer ID: 39762
Terms Net 30 Net Due Date 11/24/2016 Disc Due Date 11/24/2016 Disc Amt 0.00
PO# RON WILLIAMS 10/25/2016 Salesrep Mitch Wilson Taker BRANDI.WEAVER
Quantities Plicing Una Extended
Ordered I Shipped I Remaining UOM ,,cL Item ID UOM Price Price
Unit Size Q Item Description I Unit Size
Carrier. Ground Tracking#.IZ42381WO356762519
8.00 8.00 0.00 EA SIPHHRACK2 EA 15.630 125.04
1.0 Hard Hat Window Mount Rack 1.0
Total Lines: 1 SUB-TOTAL: 125.04
Todd Freight In: 0.00 Total Freight Out.20.42 TOTAL FREIGHT: 20.42
TAX: 0.00
Returns:Special order,non-stock and drop ship Items are subject to prior AMOUNT DUE: 145.46
approval and returned goods policy of the manufacturer.
Restocking fees may apply.
Logo Items with custom artwork or Imprints are not cancelable or returnable,
unless the problem Is a Ritz Safety error or a manufacturer defect
PACKING LIST
Ritz Safety, LLC
Invoice Number
Branch:50 Ritz Safety-Indianapolis 5322075
REMIT TO afet Invoice Date I Page
PO BOX 713139 7 10/25/2016 14:47:281 1 of 1
CINCINNATI,OH 45271-3139 Safe Products I Sound Advice I Delivered ORDER NUMBER
AR@RITZSAFETY.COM 1752815
Bill To: Ship To:
CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT
3400 W. 131 ST STREET 3400 W. 131 ST STREET
CARMEL,IN 46032 ATTN:RON WILLIAMS
UNITED STATES CARMEL,IN 46032
317-733-2001 UNITED STATES
Ordered By:Mr.RON WILLIAMS
Customer ID: 39762
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
RON WILLIAMS 10/25/2016 Net 30 11/24/2016 11/24/2016
Order Date Pick Ticket No Primary Salesrep Name Taker
10/25/2016 14:17:47 3302911 Mitch.Wilson BRANDI.WEAVER
Quantities
Item ID UOM _
Ordered Shipped Remaining Disp. Item Description Unit Size
Carrier: Ground Tracking#:1Z42381 W0356762519
8.00 8.00 0.00 SIPHHRACK2 EA
Hard Hat Window Mount Rack 1.0
Total Lines: 1
Total Pieces: 8
Total weight: 0 Signature:
All discrepancy claims must be made in writing within 7 days of receipt of goods.
All returns must be authorized.Any unauthorized returns will be refused.