HomeMy WebLinkAbout333226 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 363840
® ONE CIVIC SQUARE STATE SAFETY &COMPLIANCE LLC CHECK AMOUNT: $....***593.07*
�a CARMEL, INDIANA 46032 5358 VICTORY DRIVE STE A CHECK NUMBER: 333226
INDIANAPOLIS IN 46203 CHECK DATE: 12/11/18
rON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 10661396 593.07 OTHER EXPENSES
VOUCHER NO. 183467 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 363840 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
STATE SAFETY&COMPLINANCE LLC CITY OF CARMEL
5358 VICTORY DRIVE 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
593.07 363840 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR STATE SAFETY&COMPLINANCE LLC Terms
Carmel Water Utiliil/ 5358 VICTORY DRIVE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46203
PO# ACCT# or bill(s)is(are)true and correct and that
the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
10661396 01-6200-04 $593.07 and received except 11/26/2018 10661396 $593.07
i
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 SAFETY�C:OMP.LIANC;E' INVOICE
Branch: 701 Indianapolis
5358 Victory Dr INVOICE
Indianapolis,IN 46203 10661396
Invoice Date Page
---------------
11/13/2018 08:26:40 1 of 1
--- ----- - ....--- - - - -
317-423-7724 ORDER NUMBER
--4164692.----- - -
"DIRECT SHIPMENT"
Bill To: Ship To:
Carmel Water Utilities
Carmel Water Utilities
3450 W. 131 st Street
Carmet Water Treatment Plant#1
Carmel,IN 46074
4915 E. 106th St.ATTN:JOHN MASCARI
Indianapolis,IN 46280
Ordered By:Erika Davenport
----- ---Customer_[-D:-1-15473 -- - — --- - - - -- -- - --- --- - --- - - - ---
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
JM 1004187A net 30 12/13/2018 1 12/13/2018 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
10/5/2018 08:21:54 6670284 Joe Alarcon EDAVENPORT
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipper! Remaining UOM � Item Description Price Price
Unit Size
q Unit Size
Delivery Instructions. SHIP UPS NEXT DAY FOR MONDAY 10/8/18 DELIVERY.
Frt Cd OUT Carrier: UPS Red Tracking#: IZ9YOR170142374756
2.00 2.00 0.00 EA FT-8595A EA 170.0000 340.00
1.0 KIT ROOFERS CONTRACTOR 1.0000
7016 HARNESS, 8150 VERTICAL LIFELINE,
8368 SHOCK ABSORBING LANYARD W/
TRAILING GRAB,7410 ROOF ANCHOR
Total Lines: 1 SUB-TOTAL: 340.00
Total Freight In: 0.00 Total Freight Out:253.07 TOTAL FREIGHT. 253.07
-TAX: 0:00
--
AMOUNTDUE.• 593.07
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
12.17.2242-11/12/15
FAL LT=.c�-w iPICKING TICKET
Fall Protection. Precision Engineered. ORDER # 309584
Date 10/5/2018
SHIP T0: jEntered By cballesteros
CARMEL WATER UTILITIES ITimes Printed
CARMEL WATER TREATMENT PLANT#1
4915 E. 106TH ST.
ATTN: JOHN MASCARI
JM100418-A
INDIANAPOLIS, IN 46280
P: (317)423-7724
F: (317)423-7725
Customer ID Customer PO# Ship Via PPD Master#
SF7724 State Safety Et 1832384 UPSN 750 69908
Compliance, LLC
Description • Case Weiaht • -.
8595A Roofer's Kit Contractor+Z359 A 1 17.70 2
Inventory QTY:64
Received : - �
Date :
Po # : -Tr" i,06If19� '
ACCT # :
_9/10
Use :
� P
Comments: UPSN
MUST SHIP TODAY UPS NEXT DAY AIR CHG FRT QTY Total: 2
Weight Total: '17.70
Ship Complete
Boxes: Initials:
1/1