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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