HomeMy WebLinkAbout201018 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1
e ONE CIVIC SQUARE STATE SAFETY COMPLIANCE LLC
CARMEL, INDIANA 46032 5338 VICTORY DRIVE STE A CHECK AMOUNT: $87.53
INDIANAPOLIS IN 46203 CHECK NUMBER: 201018
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9831188 87.53 OTHER EXPENSES
INVOICE
State Safety Compliance, LLC.
INVOICE
Branch: 701 Indianapolis 9831188
5338 Victory Dr Invoice Date Page
Suite A 8/8/2011 15:23:04 1 of 1
Indianapolis, IN 46203 ORDER NUMBER
3573043
317- 423 -7724
Bill To: Ship To:
City of Carmel Utilities City of Carmel Utilities
Wastewater Carmel W.W.T.P (JEFF COOPER 8 -2 -11)
760 Third Ave. SW, Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, In 46280
customer !1):.109095
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
JEFF COOPER 8 -2 -11 0.5% 10 net 30 09/07/11 08/18/11 0.35
Order Date Pick Ticket No Primary Salesrep Name Taker
8/2/2011 10:21:18 5836310 Gary Collins JCHANEY
Quantities Pricin
Item ID UOM Unit Extended
Ordered Slipped Rearaining U7= F"t It em Description Unit Size Price Price
Unit Size
Delivery! Instructions: UPS GROUND PREPAY ADD
Carrier: UPS Ground PPA Tracking IZ203YOA0355219416
24.0000 24.0000 0.0000 PR R1184423 PR 2.9429 70.63
1.0 GLOVES COWHIDE DOUBLE PALM YELLOW BACK]
FLEECE, COTTON LINED, DOUBLE
LEATHER, 2 -PIECE PALM CONSTRUCTION;
3" CUFF
Tolal Lines: l SUB- TOTAL: 70.63
Toiui Freighi In. 0,00 Totai"Freight Out: 16.90 TOTAL FREIGHT. 16.90
TAX: 0.00
AMOUNT DUE: 87.53
ORIGINAL
VOUCHER 115726 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
9831188 01- 7202 -06 $87.53
Voucher Total $87.53
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 8/19/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/19/2011 9831188 $87.53
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