HomeMy WebLinkAbout187444 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1
ONE CIVIC SQUARE STATE SAFETY COMPLIANCE LLC
5338 VICTORY DRIVE STE A CHECK AMOUNT: $56.39
CARMEL, INDIANA 46032
INDIANAPOLIS IN 46203 CHECK NUMBER: 187444
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9718921 56.39 OTHER EXPENSES
y a, INVOICE
State Safety Compliance, LLC. INVOICE
Branch: 701 Indianapolis 9718921
5338 Victory Dr Invoice Date Page
Suite A 6/15 /2010 10:49:19 1 of 1
Indianapolis, IN 46203 ORDER NUMBER
3504073
317 -423 -7724 "DIRECT SHIPMENT"
Bill To: Ship To:
City of Carmel Utilities City of Carmel Utilities
Wastewater Carmel W.W.T.P (PO S12188)
760 Third Ave. SW, Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, In 46280
Customer ilu: i09095-
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
512188 0.5% 10 net 30 07/15/10 06/25/10 0.25
Order Date Pick Ticket No Primary Salesrep Name Taker
6/7/2010 13:04:18 5723362 Gary Collins JCHANEY
Quantities Pricing
Item ID UOM Unit Extended
Ordered Skipped Remaining UOM h Item Description Unitsize Price Price
Unit Size O
Delivery Instructions: UPS GROUND PREPAY ADD
Carrier: UPS Ground PPA Tracking
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
Total Lines: I SUB-TOTAL: 50.60
Total Freight In: 0.00 Total1 Out: 5, 79 TOTAL. _FR ,TGKT: 5
TAX: 0.00
AMOUNT DUE: 56.39
ORIGINAL
VOUCHER 105724 WARRANT ALLOWED
36
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
9718921 01- 7202 -05 $56.39
Voucher Total $56.39
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 6/26/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2010 9718921 $56.39
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- 1 0 -1.6
7 l �P �L7
Date Officer