HomeMy WebLinkAbout190485 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1
ONE CIVIC SQUARE STATE SAFETY COMPLIANCE LLC
i CHECK AMOUNT: $141.75
CARMEL, INDIANA 46032 5338 VICTORY DRIVE STE A
INDIANAPOLIS IN 46203 CHECK NUMBER: 190485
CHECK DATE: 9/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9740063 106.88 MATERIALS SUPPLIES
651 5023990 9740667 34.87 MATERIALS SUPPLIES
INVOICE
State Safety Compliance, LLC.
INVOICE
Branch: 701 Indianapolis 9740667
5338 Victory Dr Invoice Date Page
Suite A 9/10 /2010 15:14:33 1 of 1
Indianapolis, IN 46203 ORDER NUMBER
3518791
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
Cu--turner 113. 109095
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
JEFF COOPER 9.9. 10 0.5% 10 net 30 10/10/10 09/20/10 0.14
Order Date Pick Ticket No Primary Salesrep Name Taker
9/9/2010 10:05:50 5744976 Gary Collins JCHANEY
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM a Item Description Unit Size Price Price
unit Size
Delivery Instructions: UPS GROUND PREPAY ADD GARY WILL
TAKE THE COVERALLS
Carrier: UPS Ground PPA Tracking I Z203YOA0351984543
3.0000 3.0000 0.0000 EA PLTH9A EA 9.2900 27.87
1.0 EAR MUFF NRR25db OTH YELLOW (10 /CS) 1
OVER THE HEAD YELLOW NRR25 db
PELTOR EAR MUFF (10 /CASE) UPC
4093045080915
Total Lines: I SUB- TOTAL: 21.87
Total Freight In: 0.00 Total Freight Out: 7.00 TOTAL FREIGHT: 7.00
TAX: 0.00
AMOUNT DUE: 34.87
ORIGINAL
INVOICE
State Safety Compliance, LLC.
INVOICE
Branch: 701 Indianapolis 9740063
5338 Victory Dr Invoice Date Page
Suite A 9/9/2010 10:24:44 1 of 1
Indianapolis, IN 46203 ORDER NUMBER
3518791
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 :L:- 109095
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
JEFF COOPER 9.9. 10 0.5% 10 net 30 10/09/10 09/19/10 0.53
Order Date Pick Ticket No Primary Salesrep Name Taker
9/9/2010 10:05:50 5744435 Gary Collins JCHANEY
Quantities Pricing
Item ID UOM Unit Extended
Ordered Skipped Remaining UOM 4 Item Description Unit Size Price Price
Unit Size I A
Delivery Instructions: UPS GROUND PREPAY ADD GARY WILL
TAKE THE COVERALLS
Carrier: please Deliver Tracking gary 2 del
1.0000 1.0000 0.0000 CS TY127SWH002500 -2XL CS 106.8800 106.88
1.0 COVERALL TYVEK ZPR ELS WRS /ANK HD (25/C) 1
Total Lines: I SUB- TOTAL: 106.88
TAX. 0.00
AMOUNT D UF: 106.88
i
ORIGINAL
VOUCHER 106236 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
9740063 01- 7202 -05 $106.88
Voucher Total $$11 Gr6
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 9/16/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9]16/2010 9740063 $106.88
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 r