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HomeMy WebLinkAbout332586 11/21/18 ♦y�r_CAq� CITY OF CARMEL, INDIANA VENDOR: 363840 _ .I; ONE CIVIC SQUARE STATE SAFETY&COMPLIANCE LLC CHECK AMOUNT: $********75.96* s �r CARMEL, INDIANA 46032 5358 VICTORY DRIVE STE A CHECK NUMBER: 332586 9;�TON_�` INDIANAPOLIS IN 46203 CHECK DATE: 11/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 10661209 75.96 OTHER EXPENSES VOUCHER NO. 186870 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 363840 IN SUM OF$ 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 75.96 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 10661209 01-7200-01 $75,96 and received except 11/14/2018 10661209 $75.96 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 STATE;SAFETY0,90MPLIANCE INVOICE Branch: 701 Indianapolis 5358 Victory Dr INVOICE Indianapolis, IN 46203 _ 10661209 10.6_61.2_0_9___ Invoice Date J Page 11/12/2018 15:04:46 1 of 1 317-423-7724 ORDER NUMBER 4161113 "DIRECT SHIPMENT" Bill To: Ship To: Carmel Waste Water Treatment Carmel Waste Water Treatment Attn:Paul Arnone Carmel W.W.T.Attn: DUANE JARVIS 9609 Hazel Dell Parkway 9609 Hazel Dell Parkway Indianapolis, IN 46280 Indianapolis,In 46280 Ordered By: Erika Davenport -- Customer ID:-109095 - - --- - — —_ - — -- _ — PO Number Term Description Net Due Date Disc Due Date DiscountAmount S18915 0.5%10 net 30 12/12/2018 11/22/2018 0.29 Order Date Pick Ticket No Primary Salesrep Name Taker 9/21/2018 14:44:03 6670113 Gary Smith EDAVENPORT Quantities Pricing - Item ID UOM Unit Extended Ordered Shipped Remaining MAI q Item Description Price Price Unit Size Unit Size Delivery Instructions: LIPS GROUND-PPA Frt Cd OUT Carrier: UPS Ground Tracking#: IZ09X9240344982497 1.00 1.00 0.00 EA OCC-LUX-TJBJ-XL EA 57.2700 57.27 1.0 JACKET BOMBER YLW CL 3; RFLTV 1.0000 STRIPES Total Lines: I SUB-TOTAL: 57.27 Total Freight In: 0.00 Total Freight Out: 18.69 TOTAL FREIGHT: 18.69 TAX: 0.00 --- - - - ---AMOUNT-DUE----- 75.96— - - - Received by ___.0. Date: J 1- )Li-,� PO #: Cct #: 01."7a© - 01 - Specials and MTO items are non-cancellable,non-returnable,and subject to =10%over/under shipment per manufacturer regulations. No returns accepted without RMA number. ORIGINAL 12.17.2242-11112/15 Invoice Page 1 of 1 Page 1 of l OccuNomix International Packing List 585-52 North Bicycle Path Date 10/3/2018 Port Jeffereson Station,NY 11776 Order# 00971405 P.O.# 1829934 Bill To Ship To STATE SAFETY&COMPLIANCE CARMEL WASTE WATER LLC TREATMENT INDIANAPOLIS,IN 46203 9609 HAZEL DELL PKWY DUANE JARVIS/518915 INDIANAPOLIS,IN 46280 Box Track# Shipped Item No. Description I IZ09X9240344982497 I LUX-TJBJ-YXL XL OccuLux Bomber Jacket:Yell file:///C:/ProgramData/UPS/CrossWare/Customized/occnonmix_order verifierver3.hta 10/3/2018