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HomeMy WebLinkAbout219042 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1 t, ONE CIVIC SQUARE STATE SAFETY&COMPLIANCE LLC CARMEL, INDIANA 46032 5338 VICTORY DRIVE STE A CHECK AMOUNT: $1,005.00 INDIANAPOLIS IN 46203 CHECK NUMBER: 219042 CHECK DATE: 4/912013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 9992147 101 . 18 OTHER EXPENSES 651 5023990 9992148 903 . 82 OTHER EXPENSES 03/29/13 04: 41 PH 317-788-1645 www. haggard—stacking. com Page 2 of 3 #28478 ©= INVOICE State Safety& Compliance, LLC. INVOICE Branch: 701 Indianapolis 9992148 5338 Victory Dr Invoice Date Page Suite A 1/18/2013 10:59:431 1 of 2 Indianapolis,IN 46203 ORDER NUMBER 3672772 317-423-7724 Bill To: Ship To: **DIRECT SHIPMENT" Carmel Waste Water Treatment Carmel Waste Water Treatment Attn:Paul Arnone Carmel W.W.T.Attn:Blaine Mallaber 9609 Hazel Dell Parkway 9609 Hazel Dell Parkway(POS13437) Indianapolis,IN 46280 Indianapolis,In 46280 Customer ID: 109095 PO Nwnber Terms Description Net Due Date Disc Due Date DiscountAmount S13437 0.5% 10 net 30 02/17/13 01/28/13 4.30 Order Date Pick Ticket No Primary Salesrep Name Taker 1/3/2013 10:34:10 5998156 Gary Smith JCHANEY Quantities Pricing Item ID UOM Unit Extended Ordered Shi ¢d Remainin UOM h Item Description Price Price PP S Unit Size A Dnit Size Delivery Instructions: MOST ECONOMICAL METHOD PREPAY & ADD Carrier: Most Economical-PPA Tracking#:IZ09X9240377020937 4.0000 4.0000 0.0000 EA OCC-LUX-TJBJ-L EA 50.5900 202.36 1.0 JACKET BOMBER YLW CL 3;RFLTV STRIPES 1 100% ANSI POLYESTER W/ PU COATING; WATERPROOF; REMOVABLE FLEECE LINER -JACKET SLEEVES;ZIPPER &SNAP CLOSER 6.0000 6.0000 0.0000 EA OCC-LUX-TJBJ-XL EA 50.5900 303.54 1.0 JACKET BOMBER YLW CL 3;RFLTV STRIPES 1 100% ANSI POLYESTER W/ PU COATING; WATERPROOF; REMOVABLE FLEECE LINER -JACKET SLEEVES;ZIPPER &SNAP CLOSER 6.0000 6.0000 0.0000 EA OCC-LUX-TJBJ-2XL EA 50.5900 303.54 1.0 JACKET BOMBER YLW CL 3;RFLTV STRIPES 1 100% ANSI POLYESTER W/ PU COATING; WATERPROOF; REMOVABLE FLEECE LINER -JACKET SLEEVES;ZIPPER &SNAP CLOSER * * *REPRINT 03/29/13 04: 41 PM 317-788-1645 www. haggard—staCking. com Page 3 of 3 #28478 ©_ INVOICE State Safety& Compliance, LLC. INVOICE Branch: 701 Indianapolis 9992148 5338 Victory Dr Invoice Date Page Suite A 1/18/2013 10:59:43 2 of 2 Indianapolis,IN 46203 ORDER NUMBER 3672772 317-423-7724 Quantities Pricin 8 Item ID UOM Unit F-un d Ordered Shi ed Remainin UOM Item Description Price Price PP g Unit Size q Unit Size 1.0000 1.0000 0.0000 EA OCC-LUX-TJBJ-4XL EA 50.5900 50.59 1.0 JACKET BOMBER YLW CL 3;RFLTV STRIPES 1 100% ANSI POLYESTER W/ PU COATING; WATERPROOF; REMOVABLE FLEECE LINER -JACKET SLEEVES;ZIPPER &SNAP CLOSER Total Lines.4 SUB-TOTAL: 860.03 Total Freight Gi:0.00 Total Freight Out:43.79 TOTAL FREIGHT. 43.79 TAX. 0.00 AMOUNT DUE: 903.82 *REPRINT 03/29/13 04: 58 PH 317-788-1645 www. haggard—Stacking. com Page 2 of 2 SZO477 ®_ INV®ICE State Safety& Compliance, LLC. nwolcE Branch: 701 Indianapolis 9992147 5338 Victory Dr Invoice Date I Page Suite A 1/18/2013 10:57:47 1 of 1 Indianapolis,IN 46203 ORDER NUMBER 3672772 317-423-7724 Bill 23 Ship To: **DIRECT SHIPMENT** Carmel Waste Water Treatment Carmel Waste Water Treatment Attn:Paul Arnone Carmel W.W.T. Attn:Blaine Mallaber 9609 Hazel Dell Parkway 9609 Hazel Dell Parkway(POS13437) Indianapolis,IN 46280 Indianapolis,In 46280 Customer ID: 109095 PO Number Tenns Description Net Due Date Disc Due Date Discount.Amount 513437 0.5°0 10 net 30 02/17/13 01/28/13 0.51 Order Date Pick Ticket No Primary Salesrep Name Taker 1/3/2013 10:34:10 5998154 Gary Smith JCHANEY Quantities pricing Item ID UOM Unit Extended Ordered Shipped Rraaiuin g UOM Item Description Unit Size Price Price Unit S Delivery Instructions: MOST ECONOMICAL METHOD PREPAY & ADD Carrier: Most Economical -PPA Tracking#:1Z09X9240377845092 2.0000 2.0000 0.0000 EA OCC-LUX-TJBJ-3XL EA 50.5900 101.18 1.0 JACKET BOMBER YLW CL 3;RFLTV STRIPES 1 100% ANSI POLYESTER W/ PU COATING; WATERPROOF; REMOVABLE FLEECE LINER -JACKET SLEEVES;ZIPPER &SNAP CLOSER Total Lines:I SUB-TOTAL: 101.18 TAX: 0.00 AMOUNT DUE: 101.18 *REPRINT VOUCHER # 135264 WARRANT # ALLOWED 363840 IN SUM OF $ STATE SAFETY & COMPLIANCE LLC 5338 VICTORY DRIVE STE A INDIANAPOLIS, IN 46203 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 9992148 01-7202-06 $903.82 g999Iw,1 Oi 7000-Ob l01, P9 Ij005.oO Voucher Total 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 363840 STATE SAFETY& COMPLIANCE LLC Purchase Order No. 5338 VICTORY DRIVE STE A Terms INDIANAPOLIS, IN 46203 Due Date 4/4/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/4/2013 9992148 $903.82 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