HomeMy WebLinkAbout200122 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1
ONE CIVIC SQUARE STATE SAFETY COMPLIANCE LLC
CHECK AMOUNT: $427.07
i•. �j�o CARMEL, INDIANA 46032 5330 VICTORY DRIVE STE A
INDIANAPOLIS IN 46203 CHECK NUMBER: 200122
CHECK DATE: 8/312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9823015 362.16 OTHER EXPENSES
651 5023990 9825060 64.91 OTHER EXPENSES
INVOICE
State Safety Compliance, LLC.
INVOICE
Branch: 701 Indianapolis 9823015
5338 Victory Dr Invoice Date Page
Suite A 7/8/2011 16:13:01 1 of 1
Indianapolis, IN 46203 ORDER NUMBER
3568191
317 423 -7724
Bill To: Ship To:
*DIRECT SHIPMENT"
City of Carmel Utilities City of Carmel Utilities
Wastewater Carmel W.W.T.P (PO S12612)
760 Third Ave. SW, Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, In 46280
rLStnn..�r !D- 109495
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
512612 0.5% 10 net 30 08/07/11 07/18/11 1.68
Order Date Pick Ticket No Primary Salesrep Name Taker
7/5/2011 08:04:09 5827997 Gary Collins JCHANEY
Quantities Pricing
Item ID UOM Unit Extended
Price Price
Ordered Shipped Remaining UOM Item Description Price
Size
Unit Size C
Delivery Instructions: UPS GROUND PREPAY ADD
Carrier: UPS Ground PPA Tracking
2.0000 2.0000 0.0000 EA UASB90320 EA 167.5000 335.00
1.0 EYEWASH STATION 16 GAL GRAVITY FLOW I
Total Lines: I SUB- TOTAL: 335.00
i oial Freight In: 0.00 Ti)tal Freight Out: 27.1;5 TOTAL FREIGHT. 27.16
TAX: 0.00
AMO UN T.0 .0 UE 362.16
ORIGINAL
INVOICE
State Safety Compliance, LLC.
INVOICE
Branch: 701 Indianapolis 9825060
5338 Victory Dr Invoice Date Page
Suite A 7/18/2011 10:20:51 1 of 1
Indianapolis, IN 46203 ORDER NUMBER
3568363
3
317 42-7724
317 2 3 Ship Ta: "DIRECT SHIPMENT"
City of Carmel Utilities City of Carmel Utilities
Wastewater Carmel W.W.T.P (JEFF COOPER 7 -6 -11)
760 Third Ave. SW, Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, In 46280
PO Numher Terms Description Net Due Date Disc Due Date Discount Amount
JEFF COOPER 7 -6 -11 0.5% 10 net 30 08/17/11 07/28/11 0.29
Order Date Pick Ticket No Primary Salesrep Name Taker
7/6/2011 11:35:58 5829910 Gary Collins JCHANEY
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM a
It Description Unit Size Price Price
Unit Size O
Delivery Instructions: UPS GROUND PREPAY ADD
Carrier: UPS Ground PPA Tracking
1.0000 1.0000 0.0000 PR TI 12 (11) PR 57.4400 57.44
1.0 BOOT HIP W /STEEL TOE SIZE 11 1
Total Lines: I SUB- TOTAL: 57.44
Total Freight In: 0.00 Total Freight Out: 7.47 TOTAL FREIGHT. 7.47
TAX: 0.00
„J10 UA1T 0 UE: 6 54.91
ORIGINAL
VOUCHER 115555 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
9825060 01- 7202 -06 $64.91
c� c6
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 7/25/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/25/2011 9825060 $64.91
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