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HomeMy WebLinkAbout189008 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1 D ONE CIVIC SQUARE STATE SAFETY COMPLIANCE LLC CHECK AMOUNT: $36.78 s io CARMEL, INDIANA 46032 5338 VICTORY DRIVE STE A INDIANAPOLIS IN 46203 CHECK NUMBER: 189008 CHECK DATE: 8/18/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 9730028 36.78 OTHER EXPENSES INVOICE State Safety Compliance, LLC. INVOICE Branch: 701 Indianapolis 9730028 5338 Victory Dr Invoice Date Page Suite A 7/30/2010 09:06:55 1 of I Indianapolis, IN 46203 ORDER NUMBER 3504073 3t7 -423 -7724 Bill To: Ship To: *DIRECT SHIPMENT 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 ID: 109095 PO Number Terms Description Net Due Date Disc Due Date Discount Amount S12188 0.5% 10 net 30 08/29/10 08/09/10 0.15 Order Date Pick Ticket No Primary Salesrep Name Taker 6/7/201.0 13:04:18 5734433 Gary Collins JCHANEY Quantities Pricing Item ID UOM Unit Extended yi Item Description Price Price Ordered Shipped Remaining UONI Unit Size Unit She p Delivery Instructions: UPS GROUND PREPAY ADD Carrier: UPS Ground PPA Tracking IZ4782120359966189 1.0000 1.0000 0.0000 DZ WCHV0500 -L DZ 30.1200 30.12 1.0 GLOVES Hl -VIZ COWHIDE PREMIUM 6DZ /CS 1 RUBBERIZED SAFETY CUFF; 2 STRIPES OF REFLECTIVE TAPE... WING THUMB Total Lines: 1 SUB- TOTAL: -30.12 Total Freight M. 0.00 Total Freight Out: 6.66 TOTAL FREIGHT: 6.66 TAX. 0.00 AMOUNT DUE: 36.78 ORIGINAL VOUCHER 105991 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 9730028 01- 7202 -05 $36.78 Voucher Total $36.78 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 8/9/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/9/2010 9730028 $36.78 1 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 i Date Officer