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Home My WebLink About188531 08/03/2010DEPARTMENT 651 651 651 CITY OF CARMEL, INDIANA ONE CIVIC SQUARE CARMEL, INDIANA 46032 5023990 5023990 5023990 VENDOR: 363840 STATE SAFETY COMPLIANCE LLC 5338 VICTORY DRIVE STE A INDIANAPOLIS IN 46203 ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 9727828 9727857 9729264 Page 1 of 1 CHECK AMOUNT: $316.39 CHECK NUMBER: 188531 CHECK DATE: 8!312010 103.65 OTHER EXPENSES 163.74 OTHER EXPENSES 49.00 OTHER EXPENSES PO Number Terms Description Net Due Date Disc Due Date Discount Amount S12212 0.5% 10 net 30 08/20/10 07/31/10 0.46 Order Date Pick Ticket No Primary Salesrep Name Taker 7/13/2010 09:48:16 5732170 Gary Collins JCHANEY Quantities Item ID Item Description Pricing UOM Unit Si Unit Price Extended Price Ordered Shipped Remaining UOM Unit Size •dsi p State Safety Compliance, LLC. Branch: 701 Indianapolis 5338 Victory Dr Suite A Indianapolis, IN 46203 317- 423 -7724 Bill To: City of Carmel Utilities Wastewater 760 Third Ave. SW, Suite 110 Carmel, IN 46032 Cu torner ID: 109095 Delivery Instructions: UPS GROUND PREPAY ADD Carrier: UPS Ground PPA Tracking 10.0000 10.0000 0.0000 EA 2.0000 2.0000 0.0000 BX Total Lines: 2 Total Freight lri: 0.00 ORIGINAL UB613B 1.0 DOO HAT BLUE (12 /PK) Total Freight Out: 1 0:83 Ship To: City of Carmel Utilities Carmel W.W.T.P (PO S12212) 9609 Hazel Dell Parkway Indianapolis, In 46280 INVOICE 9727828 Invoice Date 7/21/2010 09:39:36 Page 1 of 1 ORDER NUMBER 3509723 EA 3M8511 BX 10.0 MASK N95 RESP. W /VALVE (10 /BX -8 BX. /CS) 1 10 *DIRECT SHIPMENT 5.5000 18.9100 SUB- TOTAL: TOTAL FREIGHT: TAX: AMOUNT DUE: INVOICE 55.00 37.82 92.82 10.83 0.00 103.65 PO Number Terms Description Net Due Date Disc Due Date Discount Amount S12212 0.5% 10 net 30 08/20/10 07/31/10 0.78 Order Date Pick Ticket No Primary Salesrep Name Taker 7/13/2010 09:48:16 5732208 Gary Collins JCHANEY Quantities Item ID /tent Description Pricing UOM Size Unit Price Price Extended Price Ordered Shipped Remaining UOM Unit Size •dsia State Safety Compliance, LLC. Branch: 701 Indianapolis 5338 Victory Dr Suite A Indianapolis, IN 46203 317 -423 -7724 Bill To: City of Carmel Utilities Wastewater 760 Third Ave. SW, Suite 110 Carmel, IN 46032 Customer ID: 109095 Delivery Instructions: UPS GROUND PREPAY ADD Carrier: UPS Ground AAA Tracking 1ZR6V3210344223401 2.0000 2.0000 0.0000 EA RASV46G -L EA 1.0 VEST GREEN 5PT BREAKAWAY CLASS 2 ZIPPER, 2 TONE TRIM; 2 VERTICAL 1 HORIZONTAL REFLECTIVE STRIP; HOOK LOOP BREAKAWAY AT SHOULDERS, SIDES ZIPPER; 7 POCKETS 5.0000 5.0000 0.0000 EA 5.0000 5.0000 0.0000 EA 1.0000 1.0000 0.0000 EA ORIGINAL Ship To: City of Carmel Utilities Cannel W.W.T.P (PO S12212) 9609 Hazel Dell Parkway Indianapolis, In 46280 RASV46G -XL EA 1.0 VEST GREEN 5PT BREAKAWAY CLASS 2 ZIPPER, 2 TONE TRIM; 2 VERTICAL I HORIZONTAL REFLECTIVE STRIP; HOOK LOOP BREAKAWAY AT SHOULDERS, SIDES ZIPPER; 7 POCKETS RASV46G -2XL 1.0 VEST GREEN 5PT BREAKAWAY CLASS 2 ZIPPER, 2 TONE TRIM; 2 VERTICAL I HORIZONTAL REFLECTIVE STRIP; HOOK LOOP BREAKAWAY AT SHOULDERS, SIDES ZIPPER; 7 POCKETS RASV46G -3XL 1.0 VEST GREEN 5PT BREAKAWAY CLASS 2 ZIPPER, 2 TONE TRIM; 2 VERTICAL I HORIZONTAL REFLECTIVE STRIP; HOOK LOOP BREAKAWAY AT SHOULDERS, SIDES ZIPPER; 7 POCKETS INVOICE INVOICE 9727857 Invoice Date 7/21/2010 10:02:47 Page 1 of2 ORDER NUMBER 3509723 EA EA 1 *DIRECT SHIPMENT 12.0000 12.0000 12.0000 12.0000 24.00 60.00 60.00 12.00 INVOICE 9727857 Invoice Date Page 7/21/2010 10:02:47 2 of 2 ORDER NUMBER 3509723 State Safety Compliance, LLC. Branch: 701 Indianapolis 5338 Victory Dr Suite A Indianapolis, IN 46203 317 423 -7724 Total Lines: 4 Total Freight In: 0.00 Total Freight Out: 7.74 INVOICE SUB TOTAL: 156.00 TOTAL FREIGHT: 7.74 TAX: 0.00 AMOUNT DUE: 163.74 VOUCHER 105933 WARRANT ALLOWED 363840 STATE SAFETY COMPLIANCE LLC 5338 VICTORY DRIVE STE A INDIANAPOLIS, IN 46203 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR PO INV ACCT AMOUNT Audit Trail Code 9727857 01- 7202 -06 5156.00 9727857 01- 7202 -06 57.74 COI 3.� q 47$a I. 72O2,06 Voucher Total X01 Cost distribution ledger classification if claim paid under vehicle highway fund IN SUM OF Board members Prescribed by State Board of Accounts 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 5338 VICTORY DRIVE STE A INDIANAPOLIS, IN 46203 Purchase Order No. Terms Due Date City Form No. 201 (Rev 1995), 7/28/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/28/2010 9727857 $163.74 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 D ate Officer PO Number Terms Description Net Due Date Disc Due Date Discount Amount S12212 0.5% 10 net 30 08/26/10 08/06/10 0.21 Order Date Pick Ticket No Primary Salesrep Name Taker 7/13/2010 09:48:16 5733527 Gary Collins JCHANEY Quantities Item ID Item Description Pricing UOM Unit Size Unit Price Extended Price Ordered Shipped Remaining UOM Unit Size •dsiq I State Safety Compliance, LLC. Branch: 701 Indianapolis 5338 Victory Dr Suite A Indianapolis, IN 46203 317 -423 -7724 Bill To: City of Carmel. Utilities Wastewater 760 Third Ave. SW, Suite 110 Carmel, IN 46032 Customer ID: 109095 Delivery Instructions: UPS GROUND PREPAY ADD Carrier: uPS Ground PPA Tracking 1Z203Y0A0352572325 12.0000 12.0000 0.0000 PR Total Lines: I Total Freight In.0.00 ORIGINAL Total Freight Out: 7.00 Ship To: City of Carmel Utilities Carmel W.W.T.P (PO S12212) 9609 Hazel Dell Parkway Indianapolis, In 46280 INVOICE 9729264 Invoice Date 7/27/2010 13:56:23 Page 1 of 1 ORDER NUMBER 3509723 PYSB6170S PR I.0 GLASSES SILVER MRR/BLK SURVEYOR 12 /BX 1 3.5000 SUB TOTAL: TOTAL FREIGHT: TAX: AMOUNT DUE: INVOICE 42.00 42.00 7.00 0.00 49.00 VOUCHER 105945 WARRANT ALLOWED 363840 STATE SAFETY COMPLIANCE LLC 5338 VICTORY DRIVE STE A INDIANAPOLIS, IN 46203 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR PO INV ACCT AMOUNT Audit Trail Code 9729264 01- 7202 -06 $42.00 9729264 01- 7202 -06 $7.00 Voucher Total $49.00 Cost distribution ledger classification if claim paid under vehicle highway fund IN SUM OF Board members Prescribed by State Board of Accounts 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 5338 VICTORY DRIVE STE A INDIANAPOLIS, IN 46203 Purchase Order No. Terms Due Date City Form No. 201 (Rev 19957 7/30/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/30/2010 9729264 $49.00 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