Loading...
169506 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 179310 Page 1 of 1 ONE CIVIC SQUARE LAB SAFETY SUPPLY INC CHECK AMOUNT: $2,968.99 CARMEL, INDIANA 46032 Po eox 5004 •w,_ JANESVILLE WI 53547 -5004 CHECK NUMBER: 169506 CHECK DATE: 3!412009 DEPA AC PO NUMBER INVOIC NUMB AMOUNT DE SCRIPTION 2201 4463500 1012884646 2,887.00 GROUNDS MAINT EQUIPME 1192 4239012: 1012920557 81.99 SAFETY SUPPLIES n. S' Order By Phone: I -800- 356 -4783 I.ab Safety Supply Inc. Order Online: www.I,SS.com FP I 39- 1726218 SM Order By Fax: 1- 800 541 -9910 894097476RT 4 401 S. Wright ltd. PO Box 1368 Technical Support: 1- 800 356 -2501 Janesville WI U.S.A. 53547 -1368 LAB SAFETY SUPPLY PO Box 1368 Janesville, WI USA 53547 -1368 002643 PAGE 1 OF 1 B CITY OF CARMEL .V CITY OF CARMEL ff a, ACCOUNTS PAYABLE 1 3400 W 131ST ST 3400 W 131ST ST WESTFIELD IN 46074 -8267 E WESTFIELD IN 46074 -8267 7 0 g- [}rder P U S ©10E: E Q N' Invoice Ir�ualce Date< Dtr� LZake SC04290249 SHOP 8970652 1 1012884646 02/06/2009 03/08/2009, t3u�r CorfrOr ogh 1 re 7er:xts �ahtp Date paj±mertt Term, PRIVETT,SHAUN CWCE ESTIMATE 01/26/2009 Net 30 LII�I PFt13t7UC Na C� SCRIP IQN HiP U.O M A C3UI T AMOUNT 1 66312 CNTNMNT SHLVNG STRTR GALV ST 0 4 EA 681.00 2,724.00 SUBTOTAL: 2,724.00 Thank you for your order. FREIGHT: 163.00 TAXES: 0.00 PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 03/08/2009 2,887.00 USD ORIGINAL A PLEASE DETACH THIS PORTION AND RETURN WITH YOUR PAYMENT (DO NOT STAPLE) FOR COMMENTS OR CHANGE OF ADDRESS, CHECK BOX AND ENTER INFORMATION ON REVERSE SIDE CITY OF CARMEL LAB SAFETY,: SUPPLY, IIAC ACCOUNTS PAYABLE Araaur t :;;...897,0652 L.: 3400 W 131ST ST PO EOX T�Ofli9 WESTFIELD IN 46074 -8267 REMIT ,7ANESVIL W� X3547 '.5Q04 T;> TO: :o lid i uolce. €o :.i;StH Eb.N6 ,4t13ottrlt'Rue SC04290249 1012884646 8970652 1 2,887.00 USD After 90 days from invoice date, Lab Safety Supply, Inc. will not be responsible to show prool 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 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. l..] This change affects all buyers NAME at the location to the right. r I This change affects only this COMPANY buyer. (Please choose one.) O Buyer is no longer with STREET ADDRESS this company O Buyer has a new address L I �I P.O. BOX (D Address correction Anv questions Call 1- 800 .356 -07$3 CITY STATE ZIP COMMENTS REGARDING CHANGE OF ADDRESS 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)) 02/06/09 1012884646 $2,887.00 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 VOUC N WARRAN NO. ALLOWED 20 Lab Safety Supply Inc Account :8970652 IN SUM OF P. O. Box 5004 Janesville, WI 53547 -5004 $2,887.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 1012884646 2201 $2,887.00 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 0 Fri y, b nary 27, 2009 Stcfll'� Title Cost distribution ledger classification if claim paid motor vehicle highway fund Order By Phone: 1 -800- 356 -0783 1 _�ib Safety Supply Inc. Order Online: www,1.SS.com 1'1;1 N 39- 1726218 Order 13y Fax: 1 -800- 543 -9910 GS'IT 894097476RT SM 401 S. Wright Rd. YO Box 1368 I'ecluiical Support: 1- 800 356 -2501 Janesville WI U.S.A. 53547 -1368 LAB SAFETY SUPPLY 1'0 Box 1368 Janesville, WI USA 53547 -1368 002948 PAGE 1 OF 1 B> CITY OF CARMEL S; CITY OF CARMEL ai H> ACCOUNTS PAYABLE ;.1;_ 1 CIVIC SQ L' 1 CIVIC SQ? CARMEL IN 46032 -2584 CARMEL IN 46032 2584 7 U: ':Order No..:> P:fl, No S ©4d:; To Na lnuotce N+J.... Inuotce date Due 13aCe SC04447509 LUX02112009 5208827 1 1012920557 02/12/2009 03/14/2009 8�ygr Carr ter.: i:E'r 1^ratghl $hrp bat8 Payment Terms LUX,PAM UPSGND LOCKED 02/12/2009 Net 30 LI11EE. PFtQDUCT. Np DESCRIPT[QI11 B Q S1- 1tP.... U.Q. M A�/tQ:UNT...... AMOUNT 1 48089 SHOE CVR SKID -RES BULK PP XL 0 1 CS 58.30 58.30 2 144377XL GLV IND PWDR LATEX XLRG 90 /B 0 1 BX 12.20 12.20 SUBTOTAL: 70.50 Thank you for your order. FREIGHT: 11.49 TAXES: 0.00 PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 03/14/2009 81.99 USD ORIGINAL After 90 days from invoice date, Lab Safety Supply, Inc. will not be responsible to show prpof 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 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. 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)) 02/12/09 1012920557 inspector supplies $81.99 1 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 VOUCHER NO. WARRANT N Lab Safety Supply, Inc. ALLOWED 20 Account #520$827 IN SUM OF P.O. Box 5004 Janesville, WI 53547 -5004 $81.99 ON ACCOUNT OF APPROPRIATION FOR Carmel DOGS Department PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1192 1012920557 42- 390.12 $81.99 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 Monday, March 02, 2009 irector, CS Title Cost distribution ledger classification if claim paid motor vehicle highway fund