HomeMy WebLinkAbout202201 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 179310 Page 1 of 1
ONE CIVIC SQUARE LAB SAFETY SUPPLY INC CHECK AMOUNT: $40.51
CARMEL, INDIANA 46032 PO Box 5004
JANESVILLE WI 53547 -5004 CHECK NUMBER: 202201
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 1017891103 40.51 SAFETY SUPPLIES
Order By Phone: 1 -800- 356 -0783 Lab Safety Supply
Order Online: www.LSS.com FEI 4 39- 1726218
Order By Fax: 1- 800 -543 -9910 401 S. Wright Rd.
Janesville WI U.S.A. 53547
LAB SAFETY SUPPLY®
PO Box 1368
Janesville, WI USA 53547 -1368
001162 PAGE 1 OF 1
B CITY OF CARMEL S CITY OF CARMEL
ACCOUNTS PAYABLE H ATTN: LISA
L 1 CIVIC SQ P 1 CIVIC SQ
T CARMEL IN 46032 -2584 T CARMEL IN 46032 -2584
0 I Vo
Order No. P.O. No. Sold To No. invoice No. Invoice Date Due Date
SC08782357 STEWART091511 5208827 1 1017891103 09/16/2011 10/16/2011
Buyer Carrier Freight Terms Ship Date Payment Terms
STEWART,LISA UPSGNDHAZ LOCKED 09/15/2011 Net 30
QTY. QTY. UNIT
LINE PRODUCT NO. DESCRIPTION B.O. SHIP U.O.M. AMOUNT AMOUNT
1 148725M EYWR OTG CL LENS /FRAME MED 0 2 EA 10.30 20.60
2 148725L EYWR OTG CL LENS /FRAME L 0 1 EA 10.30 10.30
SUBTOTAL: 30.90
Thank you for your order. FREIGHT: 10.01
TAXES: 0.00
PN9637417636 ML
PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 10/16/2011 40.91 USD
These items are sold for domestic consumption in the United States. If exported, purchaser
assumes full responsibility for compliance with US export controls. OR IGI NAL
After 90 days from invoice date, GHC Specialty Brands, LLC 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 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 GHC SPECIALTY BRANDS, LLC IS ENTITLED TO ENFORCE THE TERMS OF THIS SHIPPING ORDER UNDER THE LAWS
OF THE STATE OF ILLINOIS AND IN AN ILLINOIS FORUM.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lab Safety Supply, Inc.
Account #5208827 IN SUM OF
P.O. Box 5004
Janesville, WI 53547 -5004
$40.51
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT
Board Members
1192 I 1017891103 I 42- 390.12 I $40.51 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Frida Septe b 2011
Directo
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/15/11 1017891103 Safety glasses $40.51
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
20
Clerk- Treasurer