HomeMy WebLinkAbout323872 04/06/18 CITY OF CARMEL, INDIANA VENDOR: 363840
4 4
.j; ® •�•: ONE CIVIC SQUARE STATE SAFETY &COMPLIANCE LLC CHECK AMOUNT: $""""308.07`
s. a CARMEL, INDIANA 46032 5358 VICTORY DRIVE STE A CHECK NUMBER: 323872
v, _foN.co� INDIANAPOLIS IN 46203 CHECK DATE: 04/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10573050 308.07 OTHER EXPENSES
VOUCHER NO. 185147 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No. 201(Rev 1995)
Vendor # 363840 IN SUM OF$ 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
308.07 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
10573050 01-7200-01 $308.07 and received except 3/28/2018 10573050 $308.07
I hereby certify that the attached I nvoice(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 ____1
5358 Victory Dr _ INVOICE
Indianapolis,IN 46203 I 10573.050 _
Invoice Date Page
2/12/2018 09:06:1_7' 1 of 1
317-423-7724 ORDER-NUMBER - --
_- _ 4064.497
"DIRECT SHIPMENT"
Bill To: Ship To:
Carmel Waste Water Treatment Carmel Waste Water Treatment
Attn:Paul Arnone Carmel W.W.T.Attn:Receiving(po: S17544)
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis,IN 46280 Indianapolis,In 46280
-
--Customer-ID:- 109095
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
S17544 0.5% 10 net 30 3/14/2018 2/22/2018 1.40
Order Date Pick Ticket No Primary Salesrep Name Taker
8/17/2017 11:24:56 6580830 Gary Smith PGENDRON
Quantities Pricing .
Item ID UOM Unit Extended '
OrderedShipped,' Remaining' UOM A Item Description PriCe Price
Unit Size Unit Size
Carrier: UPS Ground-..PPA Tracking#:IZEF91560399229479
2.0000 2.00.00 0.0000 EA' COR07-800-4183-LV/07-800-4110 EA 140.0000 280.00
1.0 SIGN 48" NO' RIGHT TURN AHEAD LEFT 1.0000
OVRLY
48" RELFECTIVE ROLLUP SIGN NO
RIGHT TURN AHEAD W/LEFT VELCRO
OVERLAY(CUSTOM)
Ordered As: COR07-800-4066-NRTA(LEFT OVRLY)
Total Lines: I SUB-TOTAL: 280.00
Tota!Freight In: 0.00 Tota!Freight Out:28.07 TOTAL FREIGHT: 28.07
- -- - — --- - --- --- ------_ —-- -__ — __ - - — -- -
TAX: --- -- -0.00— -—----
AMOUNTDUE: 308.07
ORIGINAL
12.17.2242-I UA2/15