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HomeMy WebLinkAbout184946 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1 ONE CIVIC SQUARE STATE SAFETY COMPLIANCE LLC !s CHECK AMOUNT: $109.82 CARMEL, INDIANA 46032 5338 VICTORY DRIVE STE A INDIANAPOLIS IN 46203 CHECK NUMBER: 184946 CHECK DATE: 4127/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 9699999 87.96 OTHER EXPENSES 651 5023990 9702229 21.86 OTHER EXPENSES INVOICE State Safety Compliance, LLC. INVOICE Branch: 701 Indianapolis 9699999 5338 Victory Dr Invoice Date Page Suite A 4/6/2010 09:30:13 1 of I Indianapolis, IN 46203 O RDER NUMBER 3493134 317- 423 -7724 Bill To: Ship To: *DI:RECT SHIPMENT City of Carmel Utilities City of Carmel Utilities Wastewater Carmel W.W.T.P (Jeff Cooper) 760 Third Ave. SW, Suite 110 9609 Hazel Dell Parkway Carmel, IN 46032 Indianapolis, In 46280 Customer iD: 1 PO Number Terms Description Net Due Date Disc Dite Date Discount Amount JEFF COOPER 3/31/10 0.5% 10 net 30 05/06/10 04/16/10 0.40 Order Date Pick Ticket No Primary Salesrep Name Taker 3/31 /2010 09:49:30 5704449 Gary Collins JCHANEY Quantities Pricit Itent ID UOM Unit Extended Ordered Shipped Remaining UOM y Item Description Unit Size Price Price Unit Size O Delivery Instructions: UPS GROUND PREPAY ADD Carrier: UPS Ground PPA Tracking 1 Z4782120359672997 1.0000 1.0000 0.0000 DZ WCHV0990K -L DZ 50.6000 50.60 1.0 GLOVES HI -VIZ LEATHER DRIVER 10DZ /CS 1 2.1" REFLECTIVE SRIPE W/ A 3/4" GREEN BAND IN THE MIDDLE KEYSTONE THUMB 1.0000 1.0000 0.0000 DZ WCHV0500 -L DZ 30.1200 30.12 1.0 GLOVES HI -VIZ COWHIDE PREMIUM 6DZ /CS I RUBBERIZED SAFETY CUFF; 2 STRIPES OF REFLECTIVE TAPE. -WING THUMB Total Lines: 2 SUB- TOTAL: 80.72 Total Freight In: 0.00 Total Freight Out: 7.24 TOTAL FREIGHT: 7.24 TAX. 0.00 AMOUNT DUE: 87.96 ORIGINAL INVOICE State Safety Compliance, LLC. INVOICE Branch: 701 Indianapolis 9702229 5338 Victory Dr Invoice Date Page Suite A 4/14/2010 08:24:04 1 of I Indianapolis, IN 46203 ORDER NUMBER 3493134 317- 423 -7724 "DIRECT SHIPMENT" Bill To: Ship To: City of Carmel Utilities City of Carmel Utilities Wastewater Carmel W. W.T.P (Jeff Cooper) 760 Third Ave. SW, Suite 110 9609 Hazel Dell Parkway Carmel, IN 46032 Indianapolis, In 46280 Customer ID: 109095 PO Number Terms Description Net Due Date Disc Due Date Discount amount JEFF COOPER 3/31/10 0.5% 1.0 net 30 05/14/10 04/24/10 0.07 Order Date Pick Ticket No Primary Salesrep Name Taker 3/31/2010 09:49:30 5706742 Gary Collins JCHANEY Quantities Pricing Item ID UOM Unit Extended Ordered Shipped Remaining UOM 4 Item Description Unit Size Price Price Unit Size 1 4 Delivery Instructions: UPS GROUND PREPAY ADD Carrier: UPS Ground PPA Tracking 3.0000 3.0000 0.0000 ST ON73515 -XL ST 4.8100 14.43 1.0 RAINSUIT 3PC BUDGET JACKET /HOOD /BIB 1 .20 MM PVC 3PC. BUDGET RAINSUIT: JACKET, DETACHABLE HOOD, PLAIN FRONT BIB OVERALLS SIZE XLARGE Total Lines:,' SUB- TOTAL: 14.43 Total Freight In. 0.00 Total freight Out: 7.43 TOTAL FREIGHT: 7.43 TAX: 0.00 AMO UNT D UE: 21.86 ORIGINAL 'VOUCHER 105292 WARRANT ALLOWED 363840 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 9702229 01- 7202 -05 $21.86 Sao ob 87.2b Voucher Total $2 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) 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 4/19/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/19/2010 9702229 $21.86 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 Date Officer