HomeMy WebLinkAbout327409 07/10/18 �/ � CITY OF CARMEL, INDIANA VENDOR: 367226
°' ONE CIVIC SQUARE MINE SAFETY APPLIANCES CHECK AMOUNT: $*******860.00*
s: ;�; CARMEL, INDIANA 46032 PO BOX 640348 CHECK NUMBER: 327409
9�,�TON.�. PITTSBURGH PA 15264-0348 CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 99713371 860.00 OTHER EXPENSES
VOUCHER NO. 185870 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 367226 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
Mine Safety Appliances CITY OF CARMEL
29783 NETWORK PLACE An invoice or bill to be properly itemized must show: kind of service,where performed,
CHICAGO, IL 60673-1297 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
860.00 367226 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR Mine Safety Appliances Terms
Carmel Wasterwater Utility 29783 NETWORK PLACE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice ' CHICAGO, IL 60673-1297
(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
99713371 01-7362-06 $860.00 and received except 6/26/2018 99713371 $860.00
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
Invoice
The Safety Company
Mine Safety Appliances Company,LLC
1000 Cranberry Woods Drive
Cranberry Township,PA 16066
67370180-44022-C-561771291743256549'0408'#10 1/1 Invoice No.: 99713371
City Of Carmel Invoice Date: 18 Jun 2018
Waste Water Treatment Plant Customer No.: 648647
9609 Hazel Dell Pkwy Order No.:401231409 =_
Indianapolis IN 46280-2935 Delivery No.: 801237743
Service Order No:2091101 =_
Workcenter: 382 =_
P.O. Date: 11 Jun 2018
P.O. No.: JEFF COOPER
Ship To:
City Of Carmel
Waste Water Treatment Plant
9609 Hazel Dell Pkwy
Indianapolis IN 46280-2935
Your Contact Person: Elexis
Telephone No.: Fax No.:
PAGE 1 - 1
Date Shipped Shipped via Bill of lading No. Terms of Shipment Terms of Payment
18 Jun 2018 FOB DEST/PPD/A NET 30 DAYS
Item Qty UM Mat No. Description % Unit Price Net Price
EFTA Batch Qty
PM Service Ultima X S Osuch 1394so-1806081315 6/8/18
10 1 EA Z-PMSERVICE-4 860.00 860.00
4 POINT/SENSOR PM SERVICE
Country of Origin: US Commodity Code: 9999.99.9999
_2,0 5.000 H ZO740020_ —
FIELD SERVICE TIME, FIXED INSTRUMENTS
Country of Origin: US Commodity Code: 9999.99.9999
....................................................................................................................................
Remit Payment to:
Mine Safety Appliances Co.,LLC SubTotal 860.00
29783 Network Place Total USD: 860.00
Chicago, IL 60673-1297
Account Inquiries:866-402-9747.
THANK YOU FOR YOUR ORDER