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155381 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 179310 Page 1 of 1 ONE CIVIC SQUARE LAB SAFETY SUPPLY INC CHECK AMOUNT: $969.28 CARMEL, INDIANA 46032 Po eox 5004 JANESViuEwi 53547 -5004 CHECK NUMBER: 155381 CHECK DATE: 1110/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1010329736 89.87 MATERIALS SUPPLIES 651 5023990 S10869 1010692284 879.41 SUPPLIES OrdCr By Phone: 1- 800 -356 -0783 Lab Safely Supply Inc. Order On I ne: w+ ++v.LSS.com FEI k 39- 1 7262 1 8 GST# 894097476RT SM Order By Fax: 1- 800 -543 -9910 401 S. Wriglit Rd. PO Box 1368 TcC11111E11 Suppult: 1- 800 -356 -2501 Janesville W1 U.S.A. 53547 1368 LAB SAFETY SUPPLY PO Box 1368 Janesville, WI USA 53547 -1368 00'4.639 PAGE 1 OF 1 B? CITY OF CARMEL 5,: CITY OF CARMEL ACCOUNTS PAYABLE',I 901 N RANGE LINE RD 760 3RD AVE SW p' HOUSEHOLD• WASTE CARMEL IN 46032 -2072 T:: CARMEL IN 46032 -1361 C}rder No Ta kVo Iravotce No? InvoFCe ;Efate t]ue €C?ate SCO2412444 KELLAM1 520 1 101069 12 01/12/2008 g�Y�r. Carrier 1 retght Terms ship Date .,Payment: TermS;;j KELLAM,BILL CWCE PP ADD 12/13/2007 Net 30 QTY QTY l3NIT:' LINE PRQD1 #C iN J DESCRIPT! ©N ;AMOUNT O AM 1 13617 PH PPR MICRO RFLL 0 -13 PH PH 0 2.00 EA 11.50 23.00 2 13618 PH PPR STD 0 -13 PH PHYDRION 0 2.00 EA 8.90 17.80 3 33275 MNTNC SRBNT SOCK 31 NX 45IN 0 1.00 CS 70.00 70.00 4 121949L GLV EXAM MICRO ONE LATEX LRG 0 20.00 BX 7.40 148.00 5 39198 MNTNC PLTFRM 36 IN WX32 IN D 0 1.00 EA 461.00 461.00 MONTHLY STATEMENT CUSTOMER oEC 9 zco7 SUBTOTAL: 719.80 Thank you for your order. FREIGHT: 159.61 TAXES: 0.00 PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 01/12/2008 879.41 USD ---i ORIGINAL After 90 days from invoice date, Lab Safety Supply, Inc. will not be responsible to show proof of delivery. 1. TITLE TO ALL MERCHANDISE SHIPPED PASSES TO THE PURCHASER UPON DELIVERY TO THE COMMON CARRIER. NO CLAIMS, DEDUCTIONS OR RETURNS ACCEPTED WITHOUT OUR WRITTEN CONSENT. ALL CLAIMS MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS, ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE; PRICES PREVAILING ON TIME OF DELIVERY. THE GOODS COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH THE REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT OF 1938, AS AMENDED. THESE COMMODITIES ARE LICENSED FOR THE ULTIMATE DESTINATION SHOWN. DIVERSION CONTRARY TO THE UNITED STATES LAW IS PROHIBITED. CUSTOMER HEREBY UNCONDITIONALLY AND WITHOUT RESERVATION AGREES THAT LAB SAFETY SUPPLY, INC. IS ENTITLED TO ENFORCE THE TERMS OF THIS SHIPPING ORDER UNDER THE LAWS OF THE STATE OF WISCONSIN AND IN A WISCONSIN FORUM. VOUCHER 076983 WARRANT ALLOWED 179310 �,(9�7 IN SUM OF 1.,AB SAFETY SUPPLY INC. -r,.cct 5208827 P.O. Box 5004 Janesville, WI 5354 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 1010692284 01- 720H -08 $879.41 Voucher Total $879.41 .host 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 t performed, dates of service rendered, by whom, rates. per day, number of units, price per unit, etc. Payee 179310 LAB SAFETY SUPPLY INC. Purchase Order No. Acct 5208827 Terms P.O. Box 5004 Due Date 12/29/2007 Janesville, W1 53547 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/29/200 1010692284 $879.41 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 Order By Phone: 1 -800- 356 -0783 1,ab SI&IV Supph' InC. OrderOniine: wmv.LSS.com FEI #39-1726218 SM Order 13%- 1 ax. 1- 800 -543 -9910 GSTN 894097476RT 401 S. Wright Rd. PO Box 1368 Technical Support: I- 800 356 -2501 Janesville NVI tJ.S.A. 53547 -1.368 LAB SAFETY SUPPLY PO Box 1368 Janesville, NVI USA 53547 -1368 002025 PAGE 1 OF 1 8? CITY OF CARMELj CITY OF CARMEL ACCOUNTS PAYABLEr, 3450 W 131ST ST L' 3450 W 131ST ST WESTFIELD IN 46074 -8267 T WESTFIELD IN 46074 -8267 r> jr ;:;:::x: f116 P {7 11€o Soic; Ta No Invoke EVo. 1r1UDfCe, Qate L)ue ¢ate SCO2088814 METERSHOP 6078343 1 1010329736 10/09/2007 11/08 /2007 r Buyer CarrrEr frgrgfit Terms Shcp Date. Pyrnrtt Tsr;: BUCRSOT,BRUCE UPSGND LOCKED 10/09/2007 Net 30 QTY QTYJNI f LWE 'RQt7UCT NQ DESCRIP 1 ON ;I B 4 SH1F U :C1 M. AMOUNT.]. ;'AMQUI417....:' 1 58242 HAND CLNR MULTI -GREEN 2000 M 0 4.00 EA 19.10 76.40 SUBTOTAL: 76.40 Thank you for your order. FREIGHT: 13.47 TAXES: 0.00 PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 11/08/2007 89.87 USD ORIGINAL After 90 days from invoice date, Lab Safety Supply, Inc. will not be responsible to show proof of delivery. TITLE TO ALL MERCHANDISE SHIPPED PASSES TO THE PURCHASER UPON DELIVERY TO THE COMMON CARRIER. NO CLAIMS, DEDUCTIONS OR RETURNS ACCEPTED WITHOUT OUR WRITTEN CONSENT. ALL CLAIMS MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE; PRICES PREVAILING ON TIME OF DELIVERY, THE GOODS COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH THE REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT OF 1936, AS AMENDED. THESE COMMODITIES ARE LICENSED FOR THE ULTIMATE DESTINATION SHOWN. DIVERSION CONTRARY TO THE UNITED STATES LAW IS PROHIBITED. CUSTOMER HEREBY UNCONDITIONALLY AND WITHOUT RESERVATION AGREES THAT LAB SAFETY SUPPLY, INC. IS ENTITLED TO ENFORCE THE TERMS OF THIS SHIPPING ORDER UNDER THE LAWS OF THE STATE OF WISCONSIN AND IN A WISCONSIN FORUM. VOUCHER 074251 WARRANT ALLOWED N 179310 IN SUM OF LAB SAFETY SUPPLY��� ACCT 8078343 PO BOX 5004 0 R N JANESVILLE, WI 53547 -5004 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR 0 Board members PO INV ACCT AMOUNT Audit Trail Code 1010329736 01- 6200 -06 $89.87 Voucher Total $89.87 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 4 179310 LAB SAFETY SUPPLY Purchase Order No. ACCT 6078343 Terms PO BOX 5004 Due Date 12/27/2007 JANESVILLE, WI 53547 -5004 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/27/200' 1010329736 $89.87 r 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