158069 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 233701 Page 1 of 1
ONE CIVIC SQUARE ORR SAFETY CORP
CARMEL, INDIANA 45032 1266 RELIABLE PARKWAY CHECK AMOUNT: $280.64
CHICAGO IL 60686 CHECK NUMBER: 158069
CHECK DATE: 411/2008
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMB AMOUNT DESCRIPTION
651 5023990 S11082 1025252 280.64 MONITOR
Louisville, KY/ Indianapolis, IN/ Cincinnati, OH/ St, Louis, MO/
PRRSafefy Charleston, Chicago, IL/ Kansas City, MO/ Fresno, CA
Houston, TX/ Midland, MI
Bil T Ship To:
CARMEL WASTEWATER TREAT PLT CARMEL WASTEWATER TREAT PLT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
Invoice 1 N V -4 90 -2 5 2 2
Invoice Date: 03/14/2008
Page 1 of 1
PO Customer ID Master PackList Ship Method Payment Terms eCatalog
S11082 99611 1,638,139 OSO4396131 UPS GROUND NET 30 AR
Ordered Shipped Back Ordered Orr Item Customer Item Orr Item Description Unit Ext.
Price Price
A- alt4- s003nu00 Monitor, Altair
1 1 0 MSAAH2S 4 Gas $275.00 $275.00
Subtotal $275.00
Misc $0.00
Tax $0.00
Shipping $5.64
On behalf of Orr Safety, thank you for your business. Please contact us with any Amount Received $0.00
questions at 800 669 -1677 x6612 or Email: custsery @orrcorp.com. Sincerely, Total Due $280.64
Jasmin Coddington
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
VOUCHER 085154 WARRANT ALLOWED
233701 IN SUM OF
ORR SAFETY CORP
12'66 Reliable Parkway
Chicago, IL 60686
r,
Fi
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1025252 01- 7202 -05 $275.00
1025252 01- 7202 -05 $5.64
4
.F
t
Voucher Total $280.64
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1996)
ACCOUNTS PAYABLE VOUCHER 4
CITY OF CARMEL
r
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,11- 60686 Due Date 3/25/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/25/2008 1025252 $280.64
rra
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