Loading...
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