215758 12/18/2012 a CITY OF CARMEL, INDIANA VENDOR: 366758 Page 1 of 1
ONE CIVIC SQUARE RITZ SAFETY CHECK AMOUNT: $237.11
CARMEL, INDIANA 46032 PO BOX 713139
° + CINCINNATI OH 45271-3139 CHECK NUMBER: 215758
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 1444256 237 . 11 OTHER MAINT SUPPLIES
INVOICE
Ritz Safety, LLC INVOICE
Branch: 50 Ritz Safety- Indianapolis
1444256
REMIT TO Invoice Date Page
PO BOX 713139 The Safety People 12/10/2012 16:40:19 1 of 1
CINCINNATI, OH 45271-3139 ORDER NUMBER
AR @RITZSAFETY.COM 1379680
800-451-3077 ORDERS
Bill To: Ship To:
CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT
3400 W. 131ST STREET 3400 W. 131ST STREET
CARMEL, IN 46032 CARMEL, IN 46032
UNITED STATES UNITED STATES
Attn: Bonnie Callahan Ordered By: Mr. SCOTT TOWNSON_
Customer ID: 39762
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
SAFETY Net 30 1/9/2013 1/9/2013 T 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
12/4/2012 09:44:02 1405573 Todd Denney LINDSEY.SHAFI
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM y Item Description Unit Size Price Price
Unit Size O
Delivery Instructions: CALL SCOTT WHEN IN 733-2001
Carrier: Will Call/Customer Pick-Up Tracking#:
1.00 1.00 0.00 EA DB11107981 EA 237.1100 237.11
1.0 HARNESS FULL BODY EXOFIT XL BUGRAY 1.0
BACK D-RING
Total Lines:I SUB-TOTAL: 237.11
TAX: 0.00
AMOUNT DUE: 237.11
ORIGINAL
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ritz Safety
IN SUM OF $
P.O. Box 713139
Cincinnati, OH 45271-3139
$237.11
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 1444256 I 42-389.00j $237.11 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
Friday, December 14, 2012
Street Commissioner
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))
12/10/12 1444256 $237.11
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