218977 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 233701 Page 1 of 1
ONE CIVIC SQUARE ORR SAFETY CORP
CARMEL, INDIANA 46032 1266 RELIABLE PARKWAY CHECK AMOUNT: $501.64
CHICAGO IL 60686 CHECK NUMBER: 218977
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 INV2504594 501 . 64 OTHER EXPENSES
Louisville,KY 1 Indianapolis,IN/Cincinnati,01-11 Houston,TX/Charleston,VW
01715Mety Chicago,ILI Kansas City,MO/Fresno,CAI LaPlace,La ITupelo,MS
Decatur,AL Sherwood Park,Alberta
Bill To: Ship To:
CARMEL WASTEWATER TREAT PLT CARMEL WASTEWATER TREAT PLT
760 THIRD AV SW 9609 HAZEL DELL PKWY
CARMEL, IN 46032 INDIANAPOLIS, IN 46280
Invoice.#:- INV2504594
IInvoice,Date: 03/05/2013
i
PO# Customer ID PackList# Ship Method . Payment Terms Ordered By
S13474 4015589 OS05087945 UPS GROUND NET 30/AR jeff cooper
Ordered Shipped Back Orr Item# Customer Item# Orr Item Description Unit Ext.
pp Ordered Price Price
1 1 0 MILFLABOR Factory Labor Fall Protection $480.00 $480.00
Subtotal $480.00
Misc $0.00.
Tax $0.00
Shipping $21.64
On behalf of Orr Safety, thank you for your business. Please contact us with any Amount Received $0.00
questions at 1-800-669-1677 or Email: debbieh @orrcorp.com Sincerely, Debbie
Horan i +etal DU l 501.64 I
For Orders Call 800-669-1677 For Billing Inquiries -Call 502-774-6557
Please Remit To: 1266 Reliable Parkway_, Chicago, IL 60686
SAFETY SOLUTIONS PROFESSIONAL SERVICES PROTECTION SYSTEMS TECHNICAL SERVICES
An ISO-9001 Certified Corporation
VOUCHER # 135122 WARRANT # ALLOWED
233701 IN SUM OF $
ORR SAFETY CORP
1266 Reliable Parkway
Chicago, IL 60686
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
INV2504594 01-7360-02 $501.64
Voucher Total $501.64
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
233701
ORR SAFETY CORP Purchase Order No.
1266 Reliable Parkway Terms
Chicago, IL 60686 Due Date 3/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2013 I NV2504594 $501.64
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