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Home My WebLink About329913 09/11/18 a o-`_c�eM i � CITY OF CARMEL, INDIANA VENDOR: 372707 s; ONE CIVIC SQUARE USA SAFETY SOLUTIONS, INC CHECK AMOUNT: $'"1,125.63* x. a� CARMEL, INDIANA 46032 P.O.BOX 44282 CHECK NUMBER: 329913 9M,f)O'N•C�•` MADISON WI 53744 CHECK DATE: 09/11118 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239011 101881 1808202 1,125.63 PROPANE TANK STORAGE VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 372707 IN SUM OF$ CITY OF CARMEL USA SAFETY SOLUTIONS, INC P.O. BOX 44282 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. MADISON, WI 53744 Payee $1,125.63 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department 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 101881 1808202 42-390.11 $1,125.63 Ihereby certify that the attached invoice(s),or 8/22/18 1808202 Propane Storage Tanks $1,125.63 2201 2201 2201 2201 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 Friday, September 07,2018 Huffman, Dave Director 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer USA Safety Solutions, Inc. INVOICE USA P.O. Box 44282 SAFETY pMadison,WI• 877-805-8650 F4 OOrder * 1808202 866-465-6101 Order Date: August 22, 2018 Sold To: Ship To: Accounts Payable Jim Bentley/PO# 101881 Street Dept- City of Carmel Street Department- City of Carmel 3400 W 131 st Street 3400 W 131st St Carmel, Indiana 46074 Carmel, Indiana 46074 United States United States T: 317-733-2001 T. 317-691-6725 ALunn(aD-carmel.in.gov ALunn(a)-carmel.in.gov PO Terms Payment Shipping Method Payment Number Method Due 101881 NET Purchase Order Shipping - Freight Shipping October 3, 30 Tracking#: https://www.aduiepyle.com 2018 /LTL/ShipmentTracking: 392112199 Quantity Item Description Price Total 2 CBAL12302MSAAM 12 Propane Tanks (20 LB) - Outdoor-Vertical Storage- $450.00 $900.00 Laser Cut Aluminum- Gas Cylinder Cage Subtotal $900.00 Shipping - Freight Shipping $225.63 _. Total --$1,1-25.63 Please submit payment to: USA Safety Solutions, Inc. P.O. Box 44282 Madison,WI 53744 P: 877-805-8650 F: 866-465-6101 If you have any questions please call 877-805-8650 or email sales@usasafety.com THANK YOU FOR YOUR BUSINESS! USA Safety Solutions, Inc. ORDER CONFIRMATION USAP.O. Box 44282 Order#: 1808202 SAFETY -Madison,WI 53744 P: 877-805-8650 F: 866-465-6101 Order Date: August 22, 2018 Sold To: Ship To: Accounts Payable Jim Bentley/ PO# 101881 Street Dept-City of Carmel Street Department-City of Carmel 3400 W 131 st Street 3400 W 131 st St Carmel, Indiana 46074 Carmel, Indiana 46074 United States United States T. 317-733-2001 T 317-691-6725 ALunn(a)_carmel.in.4ov ALunn(o),carmel.in.Qov PO Number Terms Payment Method Shipping Method 11 101881 NET 30 Purchase Order Freight(Best Way) - Freight Shipping i Quantity Item Description Price Total 2 CB12302MSAAM 12 Propane Tanks (20 LB) -Outdoor-Vertical Storage- $450.00 $900.00 Steel & Mesh -Gas Cylinder Cage Subtotal $900.00 Freight(Best Way) -Freight Shipping $225.63 Total $1,125.63 If you have any questions please call 877-805-8650 or email sales@usasafety.com THANK YOU FOR YOUR BUSINESS! ,i USA Safety Solutions, Inc. PACKING LIST VSA P.O. Box 44282 SAFETY Madison,WI 53744 Order#: 1808202 P: 877-805-8650 F: 866-465-6101 Order Date: August 22, 2018 f Sold To: Ship To: r Accounts Payable ,Jim Bentley/PO# 101881 Street Dept-City of Carmel Street Department-City of Carmel 3400 W 131 st Street �;3400.W 131st St Carmel, Indiana 46074 Carmel, Indiana 46074 United States A United States T: 317-733-2001 T 317-691-6725 Alunn(@-carmel.in.gov ALunn(a)-carmel.in.aov PO Number Terms Payment Method 101881 NET 30 Purchase Order Quantity Item Description 2 A-CB12302MSAAM { it'll 12 Propane Tanks (20 LB)-Outdoor-Vertical Storage-Steel &Mesh -Gas Cylinder Cage �] L If you have any questions please call 877-805-8650 or email sales@usasafety.com THANK YOU FOR YOUR BUSINESS!