HomeMy WebLinkAbout323824 04/06/18 0��,cnq�f CITY OF CARMEL, INDIANA VENDOR: 367226 CHECK AMOUNT: $**'**""375.00`
d ONE CIVIC SQUARE MINE SAFETY APPLIANCES
?� CARMEL, INDIANA 46032 PO BOX 640348 CHECK NUMBER: 323824
G"!' o �O� PITTSBURGH PA 15264-0348 CHECK DATE: 04/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 99551625 375.00 SAFETY ACCESSORIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201 (Rev.1995)
Vendor# 367226 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MINE SAFETY APPLIANCES IN SUM OF$ CITY OF CARMEL
PO BOX 640348 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
PITTSBURGH, PA 15264-0348
Payee
$375.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
99551625 43-560.03 $375.00 1 hereby certify that the attached invoice(s),or 3/29/18 99551625 $375.00
1120 101 1120 101
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
Thursday, March 29,2018
_77
David Haboush
Fire Chief
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
The Safety Company
Mine Safety Appliances Company,LLC
1000 Cranberry Woods Drive
Cranberry Township,PA 16066
Sold To: Invoice Invoice No.: 99551625
City of Carmel Invoice Date: 21 Mar 2018
Fire Dept Customer No.: 520000
2 Civic sq Order No.: 70458237
Carmel,IN 46032
Delivery No.:
P.O. Date:
P.O. No.: Gary Carter
Ship To:
City of Carmel
Fire Dept
2 Civic Sq
Carmel IN 46032
Your Contact Person: Rachael
Telephone No.: Fax No.:
PAGE 1 - 2
Date Shipped Shipped.via Bill of lading No. Terms of Shipment Terms of Payment
FOB DEST/FA NET 30 DAYS
Item Qty UM Mat No. Description % Unit Price Net Price
EFTA Batch Qty
Already Delivered by MSA Sales Associate Stultz
10 3 EA C-TRD 125.00 375.00
FIRE HELMET, TRADITIONAL, CONFIGURED
Country of Origin: US Commodity Code: 6506.10.6075
Export Control Class: EAR99
C-TRD:-1-4-B-2-1-2-1-2-1-A-0-0-0
With the following configuration:
MODEL TYPE 1 1010
SHELL COLOR 4 WHITE
EYE PROTECTION B DEFENDER, CLEAR
Invoice
Invoice No.: 99551625 Customer P.O. No.: Gary Carter
PAGE 2- 2
Item Qty UM Mat No. Description % Unit Price Net Price
EFTA Batch Qty
HEADBAND ASSEMBLY 2 STANDARD FLANNEL
EARLAPS AND HOOD 1 NOMEX
FRONT HOLDER 2 6"SILK SCREENED EAGLE
CHINSTRAP W/IMPACT CAP AND SUS 1 NOMEX WITH QR
TRIM TYPE 2 REFLEXITE
TRIM COLOR AND SHAPE 1 LIME-YELLOW
ADDITIONAL EYE PROTECTION 0 NONE
ACCESSORY TYPE 0 NONE
HELMET FRONT 0 NONE
SHIP FROM SHIP FROM SJAX
...............................................................................................................................
Remit Payment to: SubTotal: 375.00
Mine Safety Appliances Co,LLC
P.O.Box 640348 Total USD: 375.00
Pittsburgh,PA 15264-0348
Account Inquiries:866-402-9747.
THANK YOU FOR YOUR ORDER