165377 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 233701 Page 1 of 1
1 ONE CIVIC SQUARE ORR SAFETY CORP
CARMEL, INDIANA 46032 1266 RELIABLE PARKWAY CHECK AMOUNT: $425.00
CHICAGO IL 60686 CHECK NUMBER: 165377
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11408 1187811 425.00 GAS DETECTOR
I'
ORRSafety Louisville, KY/ Indianapolis, IN/ Cincinnati, OH/ Houston, TX
.kvt�ra:SXaryA�f Charleston, WV/ Chicago, IL/ Kansas City, MO/ Fresno, CA
Sherwood Park, Alberta
Bill To: Ship To:
CARMEL WASTEWATER TREAT PLT CARMEL WASTEWATER TREAT PLT
760 THIRD AV SW JEFF COOTER
CARMEL, IN 46032 9609 HAZEL DELL PKWY
1\ INDIANAPOLIS, IN 46280
Invoice INV1187811
Invoice Date: 10/15/2008
Page 1 of 1
PO Customer ID Master PackList Ship Method Payment Terms eCatalog
JEFF COOTER 99611 1,831,880 OSC NET 30 AR
Ordered Shipped Back Orr Item T Customer Item Orr Item Description Unit Ext.
Ordered I I I Price Price
5 5 0 LBRLVICR C R ice a or nstrumentation
$85.00 $425.00
Subtotal $425.00
Misc $0.00
Tax $0.00
Shipping $0.00
Calibrated and tested lea MSA Gas Gard 8 Amount Received $0.00
s/n J03- 1283220 020 -001. Cleaned sensor
lens. Reference RA# 322064. Total Due $425.00
For Orders Call 800 669 -1677 For Billing Inquiries Call 502 774 -6557
Please Remit To: 1266 Reliable Parkway, Chicago, IL 60686
SAFETY SOLUTIONS PROFESSIONAL SERVICES PROTECTION SYSTEMS TECHNICAL SERVICES
An ISO -9001 Certified Corporation
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) E
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
233701
ORR SAFETY CORP Purchase Order No.
1266 Reliable Parkway Terms
Chicago, IL 60686 Due Date 10/22/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22/20M 1187811 $425.00
b
hereby certify that the attached invoice(s), or bill(s) is (are) true and y
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 086548 WARRANT ALLOWED
233701 IN SUM OF
ORR SAFETY CORP
1266 Reliable Parkway
Chicago, IL 60686
P
1 1
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1187811 01- 7362 -06 $425.00
Voucher Total $425.00
Cost distribution ledger classification if
claim paid under vehicle highway fund