HomeMy WebLinkAbout193831 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 179310 Page 1 of 1
ONE CIVIC SQUARE LAB SAFETY SUPPLY INC CHECK AMOUNT: $245.57
CARMEL, INDIANA 46032 Po BOX 5004
s ary JANESVILLE wi 53547 -5004 CHECK NUMBER: 193831
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238000 1016523718 245.57 SMALL TOOLS MINOR E
Order By Phone: 1- 800 356 -0783 Lab Safety Supply
Order Online- www.LSS.com FEI 39- 1726218
Order By Fax: 1- 800 -543 -9910 0.01 S. Wright Rd. Janesville WI U.S .A. 53547 -1368
LAB SAFETY 5UPPZY® D
PO Box 1368
Janesville, WI USA 53547 -1368 D EC
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8 CARMEL CLAY PARKS RECREATION ]BY: CLAY PARRS RECREATION
H
ACCOUNTS PAYABLE I ATTN: ATTN TERRY MYERS
L 1411 E 116TH ST P 1235 CENTRAL PARR DR E
T CARMEL IN 46032 -3455 T CARMEL IN 46032
0 0
Order No. P.O. No. Sold To No. Invoice No. Invoice Date Due Date
SC07608704 10934238000 6260182 2 1016523718 12/08/2010 01/07/2011
Buyer Carrier Freight Terms Ship Date Payment Terms
GARSKE,SERRA UPSGND LOCKED 12/07/2010 Net 30
QTY. QTY. UNIT
FLINETPRODUCT NO. DESCRIPTION I B. 0. SHIP U.O.M. AMOUNT AMOUNT
1 57577 SMPLNG POLE SLUDGE JUDGE II 0 1 EA 165.00 165.00
2 57579 SMPLNG POLE ACC BOTTOM SECTI 0 1 EA 69.80 69.80
Purchase
Description
P.O.# PorF
G.L.
Budget
Line Descr
Purchaser_ Date
Approval Date (C)
SUBTOTAL: 234.80
Thank you for your order. FREIGHT: 10.77
TAXES: 0.00
PN9411277891 ML
PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 01/07/2011 245.57 USD
These items are sold for domestic consumption in the United States. If exported, Purchaser
assumes full responsibility for compliance with US export controls. ORIG
After 90 days from invoice date, CHC Specialty Brands, LLC will not be responsible to show proof of delivery.
TITLE TO ALL MERCHANDISE SHIPPED PASSES TO THE PURCHASER UPON DELIVERY TO THE COMMON CARRIER.
NO CLAIMS DEDUCTIONS OR RETURNS ACCEPTED WITHOUT OUR WRITTEN CONSENT. ALL CLAIMS MUST BE MADE
WITHIN 15 DAYS AFTER RECEIPT OF GOODS. ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE: PRICES
PREVAILING ON TIME OF DELIVERY. THE GOODS COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE
WITH THE REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT OF 1938 AS AMENDED.
THESE COMMODITIES ARE LICENSED FOR THE ULTIMATE DESTINATION SHOWN. DIVERSION CONTRARY TO THE
UNITED STATES LAW IS PROHIBITED. CUSTOMER HEREBY UNCONDITIONALLY AND WITHOUT RESERVATION AGREES
THAT GHC SPECIALTY BRANDS, LLC IS ENTITLED TO ENFORCE THE TERMS OF THIS SHIPPING ORDER UNDER THE LAWS
OF THE STATE OF ILLINOIS AND IN AN ILLINOIS FORUM,
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
179310 Lab Safety Supply Terms
Account 6260182
P.O. Box 5004
Janesville, WI 53547 -5004
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12!811 1016523718 Maintenanc tools 245.57
Total 245.57
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
20_
Clerk- Treasurer
ti
Voucher No. Warrant No.
179310 Lab Safety Supply Allowed 20
Account 6260182,
P.10. Box 5004
Janesville WI 53547: -5004: In Sum of
"anew address
245.57
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1093 1016523718 4238000 245.57 1 hereby certify that the attached invoice(s). or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
13 -Jan 2011
Signature
245.57 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund