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