HomeMy WebLinkAbout182097 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1
ONE CIVIC SQUARE STATE SAFETY COMPLIANCE LLC
IS`
CARMEL, INDIANA 46032 5338 VICTORY DRIVE STE A CHECK AMOUNT: $43.44
INDIANAPOLIS IN 46203 CHECK NUMBER: 182097
CHECK DATE: 2/3 /2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9679336 43.44 OTHER EXPENSES
1'
INVOICE
State Safety Compliance, LLC. ,1 INVOICE
Branch: 701 Indianapolis 1V6 9679336
5338 Victory Dr 1p Invoice Date Page
Suite A 1/22/2010 14:18:07 1 I of 1
Indianapolis, IN 46203 ORDER NUMBER
3479366
317 -423 -7724
Bill To: Ship To:
City of Carmel Utilities City of Carmel Utilities
Wastewater Carmel W.W.T.P C/O JEFF COOPER
760 Third Ave. SW, Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, In 46280
_.Customer I.D::_109095_
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
JEFF COOPER 1 /11/10 0.5% 10 net 30 02/21/10 02/01/10 0.22
Order Date Pick Ticket No Primary Salesrep Name Taker
1/11/2010 09:43:05 5683040 Gary Collins JCHANEY
Quantities Pricing
Item ID UOM Unit EA
UOM a Item Descri Price Price
Ordered Shipped Remaining Unit Size
Unit Size O
Delivery Instructions: GARY WILL DELIVER WHEN TI -1EY COME
IN
Carrier: Pick Up Tracking gary 2 del 1/22/10
1.0000 1.0000 0.0000 BX NRT81005 BX 43.4400 43.44
1.0 GLASSES CLEAR/BLK REBEL (12 /BOX)
REBEL SAFETY GLASSES BLACK
TEMPLE /CLEAR LENS 12 /BOX -12 BX /CS
(144 PR)
Total Lines: 1 SUB- TOTAL: 43.44
TAX: 0.00
AMOUNT DUE: 43.44
J
ORIGINAL
007232 WARRANT ALLOWED
3.83840 IN SUM OF$
STATE SAFETY COMPLIANCE LLC
5338 VICTORY DRIVE STE A
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9679336 01- 7202 -05 $43.44
Voucher Total $43.44
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No 201 (Rev 1990
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
363840
STATE SAFETY COMPLIANCE LLC Purchase Order No.
5338 VICTORY DRIVE STE A Terms
INDIANAPOLIS, IN 46203 Due Date 1/28/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/28/2010 9679336
$43.44
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have au dited same in accordance with IC 5- 11- 10 -1.6
Date Officer