HomeMy WebLinkAbout198765 06/22/2011 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: $121.54
INDIANAPOLIS IN 46203
CHECK NUMBER: 198765
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9812568 121.54 OTHER EXPENSES
INVOICE
State Safety Compliance, LLC.
INVOICE
Branch: 701 Indianapolis 9812568
5338 Victory Dr �C/ Invoice Date Page
Suite A �fl �i? 5/31 /201.1 15:40:30 1 of 1
Indianapolis, IN 46203 G lL Q r �i\ ORDER NUMBER
317 -423 -7724 1 3560686
*DIRECT SHIPMENT"
Bill To: Ship To:
City of Carmel Utilities City of Carmel Utilities
Wastewater Carmel W.W.T.P (PO 512512)
760 Third Ave. SW, Suite 110 9609 Hazel Dell Parkway (JEFF COOPER)
Carmel, IN 46032 Indianapolis, In 46280
Customer ID: 109095
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
512512 0.5% 10 net 30 06/30/11 06/10/11 0.56
Order Date Pick Ticket No Primary Salesrep Name Taker
5/20/2011 12:52:37 5817344 Gary Collins JCHANEY
Quantities Pricif
Ite►n ID 90 C 7 u Extended
Ordered Shipped Remaining UOM a Item Description Unit Size Price Price
Unit Size O
Delivery Instructions: UPS GROUND PREPAY ADD
Carrier: UPS Ground PPA Tracking
6.0000 6.0000 0.0000 EA M39P EA 1.9700 11.82
1.0 SIGN FIRE EXTINGUISHER 24X4 PS I
6.0000 6.0000 0.0000 EA M39R EA 2.7700 16.62
1.0 SIGN "FIRE EXTINGUISHER" RP 24X4 1
24 4 RIGID PLASTIC "FIRE EXTINGUISHER"
6.0000 6.0000 0.0000 EA M24RB EA 5.5100 33.06
1.0 SIGN "EXIT" 10X14 1
6.0000 6.0000 0.0000 EA NMCGL12R EA 8.2900 49.74
1.0 SIGN "EXIT" 7X10 GLOWS PLASTIC 1
Total Lures: 4 SUB- TOTAL: 111.24
Total Freight In: 0.00 Total Freight Out: 10.30 TOTAL FREIGHT: 10.30
TAX: .0.00
AMOUNT D UE: 121.54
ORIGINAL
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 6/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2011 9812568 $121.54
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 /o
Date 0 ff i Wr
VOUCHER 115285 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
9812568 01- 7202 -05 $121.54
Voucher Total $121.54
Cost distribution ledger classification if
claim paid under vehicle highway fund