221218 06/18/2013 ».f CITY OF CARMEL, INDIANA VENDOR: 366758 Page 1 of 1
ONE CIVIC SQUARE RITZ SAFETY
CARMEL, INDIANA 46032 PO BOX 713139 CHECK AMOUNT: $923.31
ti„yo��o` CINCINNATI OH 45271-3139 CHECK NUMBER: 221218
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1477983 923 . 31 OTHER EXPENSES
INVOICE
Ritz Safety, LLC INVOICE
Branch: 50 Ritz Safety- Indianapolis
1477983
REMIT TO Invoice Date Page
PO BOX 713139 The Safety People 5/24/2013 08:16:01 1 of 1
CINCINNATI, OH 45271-3139 ORDER NUMBER
AR a RITZSAFETY.COM 1411270
800-451-3077 ORDERS
Bill To: Ship To:
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL, IN 46074 CARMEL, IN 46074
US
Attn: Kerri Loveall Ordered By: Kerri Loveall
-- Customer ID:-41184
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
KERRI BOMBER ORDERT Net 30 6/23/2013 6/23/2013 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
5/23/2013 15:04:30 1437630 Mitch Wilson RACHEL.MIMMS
Quantities Pricin
S
Itent ID UOM Unit Extended
Ordered Shipped Remaining UOM 4 Item Description Unit Size Price Price
Unit Size O
Carrier: UPS Ground Tracking#:1Z78FO380351341382
9.00 9.00 0.00 EA RTZ751301XL EA 34.9500 314.55
1.0 CLASS III LIME BOMB JACKET SZ XL 1.0
3.00 3.00 0.00 EA RTZ7513012X EA 34.9500 104.85
1.0 CLASSIII LIME BOMB JACKET SZ 2X 1.0
5.00 5.00 0.00 EA RTZ7513013X EA 34.9500 174.75
1.0 CLASS Ill LIME BOMBER JACKET SZ 3X 1.0
8.00 8.00 0.00 EA RTZ7513014:i EA 34.9500 279.60
1.0 CLASS III LIME BOMB JACKET 4X 1.0
Total Lines:4 SUB-TOTAL: 873.75
Total Freight In:0.00 Total Freight Out:49.56 TOTAL FREIGHT. 49.56
TAX. 0.00
AMOUNT DUE: 923.31
U.S. Dollars
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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
366758
RITZ SAFETY LLC Purchase Order No.
PO BOX 713139 Terms
CINCINNATI, OH 45271-3139 Due Date 6/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2013 1477983 $923.31
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 Off'
VOUCHER # 131787 WARRANT # ALLOWED
366758 IN SUM OF $
RITZ SAFETY LLC
PO BOX 713139
CINCINNATI, OH 45271-3139
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1477983 01-6200-03 $269.43
1477983 01-6200-06 $653.88
Voucher Total $923.31
Cost distribution ledger classification if
claim paid under vehicle highway fund