HomeMy WebLinkAbout321969 02/15/18 �� ..c4gf• CITY OF CARMEL, INDIANA VENDOR: 363840
CHECK AMOUNT: S"*'""'151.81
. � '�I• ONE CIVIC SQUARE STATE SAFETY &COMPLIANCE LLC
f ,=q CARMEL, INDIANA 46032 5358 VICTORY DRIVE STE A CHECK NUMBER: 321969
INDIANAPOLIS IN 46203 CHECK DATE: 02/15/18
4 ETON lA
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10569227 151.81 OTHER EXPENSES
VOUCHER NO. 177344 WARRANT N0. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 363840 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
STATE SAFETY&COMPLIANCE LLC CITY OF CARMEL
5358 VICTORY DRIVE STE A An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46203 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
151.81 363840 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR STATE SAFETY&COMPLIANCE LLC Terms
Carmel Wasterwater Utility 5358 VICTORY DRIVE STE A Due Date
BOARD MEMBERS
I hereby certify that that attached invoice INDIANAPOLIS,IN 46203
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
10569227 01-7200-01 $151.81 and received except 2/7/2018 10569227 $151.81
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
State Safety& Compliance, LLC. INVOICE
Branch: 701 Indianapolis _
5358 Victory Dr _ INVOICE
Indianapolis,IN 46203 10569227
Invoice Date Page
1/30/2018 14:12:45 1 of 1
317-423-7724 ORDER NUMBER
4100016
"DIRECT SHIPMENT"
Bill To: Ship To:
Carmel Waste Water Treatment Carmel Waste Water Treatment
Attn:Paul Arnone 9609 HAZEL DELL PARKWAY
9609 Hazel Dell Parkway ATTN: DUANE JARVIS(PO:S18037)
Indianapolis,IN 46280 INDIANAPOLIS,IN 46280
Customer ID: 109095
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
S18037 0.5% 10 net 30 3/1/2018 2/9/2018 0.57
Order Date Pick Ticket No Primary Salesrep Name Taker
1/19/2018 15:03:58 6577003 Gary Smith PGENDRON
Quantities Pricing
Item ID UOM Unit Extended
Orderer! Stripped Remaining UOM � Item Description Price Price
Unit Size 4 Unit Size
Carrier: UPS Ground-PPA Tracking#:IZ9704R70300029810
1.0000 1.0000 0.0000 EA OCC-LUX-TJBJ-3XL EA 57.2700 57.27
1.0 JACKET BOMBER YLW CL 3; RFLTV 1.0000
STRIPES
1.0000 1.0000 0.0000 EA OCC-LUX-TJBJ-4XL EA 57.2700 57.27
1.0 JACKET BOMBER YLW CL 3; RFLTV 1.0000
STRIPES
Total Lines: 2 SUB-TOTAL: 114.54
Total Freight In: 0.00 Total Freight Out:3 7.2 7 TOTAL FREIGHT. 37.27
— ---- -------- - - - - - --- — -- - -- -TAX: -0:00
AMOUNTDUE. 151.81
ORIGINAL
12.17.2242-1 1/12/15