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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