HomeMy WebLinkAbout207522 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 179310 Page 1 of 1
ONE CIVIC SQUARE LAB SAFETY SUPPLY INC CHECK AMOUNT: $54.94
CARMEL, INDIANA 46032 PO Box 5004
JANESVILLE WI 53547 -5004 CHECK NUMBER: 207522
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1018545660 54.94 MATERIALS SUPPLIES
Order By Phone: 1- 800 356 -0783 Lab Safety Supply
Order Online: www.LSS.coin FEI 39- 1726218
Order B Fax: 1- 800 -543- 9910 401 S. Wright Rd.
By Janesville WI U.S.A. 53547 -1368
LAB SAFETY SUPPLY®
PO Box 1368
Janesville, WI USA 53547 -1368
001001 PAGE 1 OF 1
B CITY OF CARMEL S CITY OF CARMEL
ACCOUNTS PAYABLE H ATTN: BELL, WILLIAM
L 760 3RD AVE SW P 5484 E 126TH ST
T CARMEL IN 46032 -2072 T CARMEL IN 46033 -9289
0 o
Order No. P.O. No. Sold To No. Invoice No. Invoice Date Due Date
SC09351851 BELL021712 5208827 1 1 1018545660 02/17/2012 03/18/2012
Buyer Carrier Freight Terms Ship Date Payment Terms
BELL,WILLIAM UPSGGND LOCKED 1 02/17/2012 Net 30
QTY. QTY. UNIT
LINE PRODUCT NO. DESCRIPTION B. 0. SHIP U.O.M. AMOUNT AMOUNT
1 122476 -12 KNEE BOOT MN 12M STEEL BLK 1 0 1 PR 37.70 37.70
SUBTOTAL: 37.70
Thank you for your order. FREIGHT: 17.24
TAXES: 0.00
PN9758089263 ML
PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 03/18/2012 54.94 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 I G I NAL
Ater 90 clays from invoice dare, GKG Spec €city Brands, LL(' will not be responsible to show proof of delivery.
TITLE TO ALL Pti4i :RCHANDISE 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 It93 3 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.
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
179310
LAB SAFETY SUPPLY Purchase Order No.
ACCT 6078343 Terms
PO BOX 5004 Due Date 3/20/2012
JANESVILLE, WI 53547 -5004
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/20/2012 1018545660 $54.94
hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited s ame in accordance with IC 5- 11- 10 -1.6
I t
Date Officer
VOUCHER 114020 WARRANT ALLOWED
179310 IN SUM OF
LAB SAFETY SUPPLY
ACCT 6078343
PO BOX 5004
JANESVILLE, WI 53547 -5004
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1018545660 01- 6200 -03 $54.94
Voucher Total $54.94
Cost distribution ledger classification if
claim paid under vehicle highway fund