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316758 9/29/2017
„^ 4� CITY OF CARMEL, INDIANA VENDOR: 363840 ONE CIVIC SQUARE STATE SAFETY & COMPLIANCE LLC CHECK AMOUNT: $.......589.45* =Q CARMEL, INDIANA 46032 5358 VICTORY DRIVE STE A CHECK NUMBER: 316758 +y. INDIANAPOLIS IN 46203 CHECK DATE: 09/29/17 �roN DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 10529379 589.45 OTHER EXPENSES . ■ 4W4- U. W4-0 / ) � O . . LU } . . 2 � \ . ) . . Ln Ln . . $ � . .. . . R g Ln bR- O \ ) . . U 2 � Cq } 2 « CD F R ) m « @ @ a b 2 m e : ©U .g 2 rn 01Q { ft � 7 � % > 7 \ \% \ \\A � 3 % , 2 E ] e R i . � m t _ State Safety & Compliance, LLC. INVOICE Branch: 701 Indianapolis 5358 Victory Dr INVOICE Indianapolis, IN 46203 10529379 Invoice Date Page 9/18/2017 11:55:05 1 of 1 317-423-7724 ORDER NUMBER Bill To: - 4064497 Carmel Waste Water Treatment "DIRECT SHIPMENT" Attn: Paul Arnone Ship To: 9609 Hazel Dell Parkway Carmel Waste Water Treatment Indianapolis, IN 46280 Carmel W.W.T. Attn: Receiving(po: S17544) 9609 Hazel Dell Parkway Indianapolis, In 46280 Customer ID: 109095 PO Number Terms Description Net Due Date Disc Due Date Discount Amount S17544 0.5% 10 net 30 10/18/2017 9/28/2017 2.80 Order Date Pick Ticket No Primary Salesrep Name Taker 8/17/2017 11:24:56 6536793 Gary Smith PGENDRON Quantities Pricing Item ID UOM Unit Extended Ordered Shipped Remaining Unit Size UOM a Item Description Price Price Unit Size O Carrier: UPS Ground- PPA Tracking#:IZEF91560397184959 2.0000 2.0000 0.0000 EA COR-07-800-4SC-L EA 140.0000 280.00 1.0 SIGN 48" SIDEWALK CLOSED REFLECTIVE ROII-0000 2.0000 2.0000 0.0000 EA COR-07-800-4NRNL-L EA 140.0000 280.00 1.0 SIGN 48" NO RIGHT OR LEFT TURNS AHEAD 1.0000 REFLECTIVE ROLL Total Lines:2 SUB-TOTAL: 560.00 Total Freight In:0.00 Total Freight Out:29.45 TOTAL FREIGHT.• 29.45 TAX: 0.00 AMOUNT DUE: 589.45 U.S. Dollars ORIGINAL