HomeMy WebLinkAbout189517 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1
ONE CIVIC SQUARE STATE SAFETY COMPLIANCE LLC
CARMEL, INDIANA 46032 5338 VICTORY DRIVE STE A CHECK AMOUNT: $117.53
INDIANAPOLIS IN 46203
CHECK NUMBER: 189517
CHECK DATE: 8/3112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9733536 65.02 MATERIALS SUPPLIES
651 5023990 9734706 33.51 MATERIALS SUPPLIES
651 5023990 9734709 19.00 MATERIALS SUPPLIES
x
INVOICE
State Safety Compliance, LLC.
INVOICE
Branch: 701 Indianapolis 9734706
5338 Victory Dr Invoice Date Page
Suite A 8/17/2010 14:29:43 1 of l
Indianapolis, IN 46203 ORDER NUMBER
3509723
-7724
317 423
Bill 23 Ship To: "DIRECT SHIPMENT"
City of Carmel Utilities City of Carmel Utilities
Wastewater Carmel W.W.T.P (PO S12212)
760 Third Ave. SW, Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, In 46280
Cusiumer iD: 109095
PO Number Terins Description Net Due Date Disc Due Date Discount Amount
S12212 0.5% 10 net 30 09/16/10 08/27/10 0.13
Order Date Pick Ticket No Primary Salesrep Name Taker
7/13/2010 09:48:16 5739075 Gary Collins JCHANEY
Quantities Pricing
Itetn ID UOM Unit Extended
Ordered shipped Remaining I UOM Item Description Unit Size Price Price
Unit Sze [;�:�z�
Delivery Instructions: UPS GROUND PREPAY ADD
Carrier: UPS Ground PPA Tracking
5.0000 5.0000 0.0000 ST ON73515- 3XLARGE ST 5.0500 25.25
1 -0 RAINSUIT 3PC BUDGET JACKET /HOOD /BIB I
.20MM PVC BUDGET 3PC. RAINSUIT:
JACKET, HOOD, PLAIN FRONT BIB
OVERALLS SIZE: 3XLARGE
Total Lines: I SUB- TOTAL 25.25
Total Freight In: 0.00 Total Frei Out.-8.26 TOTAL FREIGHT. 8.26
TAX: 0.00
AMOUNT DUE: 33.51
ORIGINAL
INVOICE
State Safety Compliance, LLC. Q C INVOICE
Branch: 701 Indianapolis 9734709
5338 Victory Dr I� Invoice Date Page
Suite A 8/17/2010 14:31:17 1 of 1
Indianapolis, IN 46203 ORDER NUMBER
3514736
317 -423 -7724
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 D: 109095
PO Number Terms Description Net Due Date Disc Due Date Discount Antount
JEFF COOPER 8 /12 /10 0.5% 10 net 30 —7- 09/t6/10 08/27/10 0.06
Order Date Pick Ticket No Primary Salesrep Name Taker
8/12/2010 13:24:37 5739049 Gary Collins JCHANEY
Quantities Pricing
Iteln ID UOM Unit Extended
UOM Item Description Price Price
Ordered Shipped Remaining Unit Size
Unit Size O
Delivery Instructions: UPS GROUND PREPAY ADD
Carrier: UPS Ground PPA Tracking IZ203YOA0352414620
2.0000 2.0000 0.0000 PR PYSB182OR20 PR 6.0000 12.00
1.0 GLASSES GRAY /BLK V2 READERS 2.0 (6 /BX) 1
Total Lines: I SUB- TOTAL: 12.00
Total Freight In: 0.00 Total Freight Out: 7.00 TOTAL FREIGHT. 7.00
TAX: 0.00
A*IO UNT D UE: 1 9.00
ORIGINAL
VOUCHER 106116 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
9734709 01- 7202 -06 $19.00
Voucher Total auu
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 8/26/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/2010 9734709 $19.00
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
INVOICE
State Safety Compliance, LLC.
INVOICE
Branch: 701 Indianapolis 9733536
5338 Victory Dr I nvoice Date Page
Suite A 8/12/2010 14:02:11 l of 1
Indianapolis, IN 46203 ORDER NUMBER
3514736
317- 423 -7724
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
_Custnmer iD,_.109095
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
JEFF COOPER 8/12/10 0.5% 10 net 30 09/11/10 08/22/10 0.29
Order Date Pick Ticket No Primary Salesrep Name Taker
8/12/2010 13:24:37 5738001 Gary Collins JCHANEY
Quantities Pricing
Item ID U0 Unit Extended
Ordered Shipped Rewaining UOM y Item Descriptiun Unit Size Pricy: Price
Unit Size 4
Delivery Instructions: UPS GROUND PREPAY ADD
Carrier: UPS Ground PPA Tracking IZ203YOA0351349444
2.0000 2.0000 0.0000 PR PYSB 181 OR 15 PR 5.6700 11,34
1.0 GLASSES CLEAR /BLK V2 READER 1.5 (6/3X) 1
2.0000 2.0000 0.0000 PR PYSBI8I OR20 PR 5.6700 11.34
1.0 GLASSES CLEAR /BLK V2 READER 2.0 (6 /BX) 1
10000 2.0000 0.0000 PR PYSB I S I OR25 PR 5.6700 1 1.34
1.0 GLASSES CLEAR /BLK V2 READER 2.5 (6 /BOX) 1
2.0000 2.0000 0.0000 PR PYSB 182OR 15 PR 6.0000 12.00
1.0 GLASSES GRAY /BLK V2 READERS 1.5 (6/3X) 1
2-0000 2.0000 0.0000 PR PYSB 1820R25 PR 6.0000 12.00
1.0 GLASSES GRAY /BLK V2 READERS 2.5 (6 /BX)
Total Lines: 5 SUB- TOTAL: 58.02
Total Freight fit: 0.00 Total Freight Out: 7.00 TOTAL FREIGHT. 7.00
TAX. 0.00
AMOUNT DUE: 65.02
ORIGINAL
VOUCHER 106058 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
9733536 01- 7202 -05 $65.02
Voucher Total $65.02
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) qt
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 8/24/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/24/2010 9733536 $65.02
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