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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