The URL can be used to link to this page

Home My WebLink About198179 06/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 179310 Page 1 of 1 ONE CIVIC SQUARE LAB SAFETY SUPPLY INC CARMEL, INDIANA 46032 Po Box 5004 CHECK AMOUNT: $11.88 JANESVILLE WI 53547 -5004 CHECK NUMBER: 198179 ON CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1017135374 11.88 OTHER EXPENSES Order By Phone: 1- 800 356 -0783 Lab Safety Supply Order Online: wutiv.LSS.com FGI 39- 1726218 Fax: 1- 800 -543 -9910 401 S. Wright Rd. Order B 4 22 D a Y Janesville WI U.S.A. 53547 -1368 LAB SAFETY SUPPLY® PO Box 1368 Janesville, WI USA 53547 -1368 001839 PAGE 1 OF 1 B CITY OF CARMEL S CITY OF CARMEL ACCOUNTS PAYABLE H 3450 W 131ST ST L 3450 W 131ST ST P CARMEL IN 46074 -8267 T WESTFIELD IN 46074 -8267 T 0 0 Order No. P.O. No. Sold To No. Invoice No. Invoice Date Due Date SCO8139695 5208827 1 1017178044 04/13/2011 05/13/2011 Buyer Carrier Freight Terms Ship Date Payment Terms RAYLE,JACEN UPSGND LOCKED 04/04/2011 Net 30 QTY. QTY. J1 UNIT LINE PRODUCT N07 DESCRIPTION B.O. SHIP U.O.M. AMOUNT AMOUNT 1 158051 -10 SFTY TOE HIKER SZ 10 0 1 PR 114.00 114.00 RMA: RM00601280 PO: RAYLE04042011 Order SCO8139695 2 158051 -8P5 SFTY TOE HIKER SZ 8.5 0 1 PR 114.00 114.00 RMA: RM00601280 PO: RAYLE04042011 Order SCO8139695 SUBTOTAL: 228.00 Thank you for your order. FREIGHT: 0.00 TAMES: 0.00 ML PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 05/13/2011 228.00 USD ORIGINAL After 90 days from invoice date, GHC 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. Order By Phone: 1 -800 -356 -0783 lab Safety Supply Ch'dLrOnline: www.LSS.com FEI9 39- 1726218 Order By Fax: 1 -800 -543 9910 401 S. Wright Rd. Janesville WI U -S -A 53547-1368 LAB SAFETY SUPPLY® PO Box 1368 Janesville, Wl USA 53547 -1368 I 001714 PAGE 1 OF 1 6 CITY OF CARMEL S CITY OF CARMEL L ACCOUNTS PAYABLE H i ATTN: JERRY CLOUD L 3450 W 131ST ST P 3450 W 131ST ST T WESTFIELD IN 46074 -8267 T CARMEL IN 46074 -8267 0 0 i Order No. P.O. No_ c Sold To No. Invoice No. I Invoice Date Due Date SCO8139695 RAYLE04042011 5208827 1 1 1017135374 1 04/05/2011 05/05/2011 i Buyer Carrier Freight Terms Ship Date Payment Terms l RAY LE,JACEN UPSGND LOCKED 04/04/2011 Net 30 QTY. QTY. UNIT LINE PRODUCT NO. DESCRIPTION B.O. SHIP U.O.M. AMOUNT AMOUNT 1 158051 -10 SFTY TOE HIKER S 10 0 1 PR 114.00 114.00 2 158051 -8P5 SFTY TOE HIKER S 8.5 0 1 PR 114.00 114.00 i I 1 1 SUBTOTAL: 228.00 Thank you for your order. FREIGHT: 11.88 TAXES: 0.00 PN9502955504 tI, PAYMENT TERMS: Net 30 DUE BY 05/05/2011 239.88 USD These items are sold for domestic consumptiori'`� tes. If exported, purchaser A� 7� T assumes full responsibility for compliance Wrt ORIGI V' After 90 days from invoice date, GHC 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. I i t 1 I E 1 J 1 1 1 1 i r I� 1 f 1 I 1 1 I I 1 1 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 179310 LAB SAFETY SUPPLY Purchase Order No. ACCT 6078343 Terms PO BOX 5004 Due Date 5/31/2011 JANESVILLE, WI 53547 -5004 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/31/2011 1017135374 $11.88 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 Officer VOUCHER 111309 WARRANT ALLOWED 179310 WATER IN SUM OF LAB SAFETY SUPPLY OPERA77pNS ACCT 6078343 PO BOX 5004 JANESVILLE, WI 53547 -5004 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code (pogo •s 1017135374 el 7-77 $11.88 Voucher Total $11.88 Cost distribution ledger classification if claim paid under vehicle highway fund