HomeMy WebLinkAbout221624 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 367226 Page 1 of 1
ONE CIVIC SQUARE MSA CHECK AMOUNT: $815.31
CARMEL, INDIANA 46032 PO BOX 426
«o� PITTSBURGH PA 15230 CHECK NUMBER: 221624
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 97019005 815 . 31 OTHER EXPENSES
M92 Invoice
The Safety Company
Mine Safety Appliances Company
PC Box 426
Pittsburgh, PA 15230-0426
D-U-N-S 00-432-1865
FEI 25-0668780
Sold To: Invoice No.: 97019005
riTV_nG rARRAPI Invoice Date: 03 Jun 2013
CITY OF CARMEL, INDIANA VENDOR: 367226 Page 1 of 1
ONE CIVIC SQUARE MSA
too CARMEL, INDIANA 46032 Po Box 426 CHECK AMOUNT: $815.31
PITTSBURGH PA 15230 CHECK NUMBER: 221624
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER _ AMOUNT DESCRIPTION
651 5023990 97019005 815 . 31 OTHER EXPENSES
Item Qty UM Mat No. Description io
EFTA Batch Qty
I
10 i EA 10028062 235.00 235.00
GAS, 58 L, 40 PPM H2S, IN NITROGEN
UPC code no.641 81 701 2826
-Ceuntr�, of ,Origin: -US -Commodity 'Code-: 0^22.00.6000
Export Control. Class: EAR99
Dangerous Goods ID Number: UN1956
Shipping Info:
UPS - UNITED PARCEL SERVI
1Z1899350341283073
1Z1899350341754680
The Safety Company
Inv®ice
Invoice No.: 97019005 Customer P.O. No.: S13601
PAGE 2 - 3
Item Qty UM Mat No. Description % Unit Price Net Price
EFTA Batch Qty
1Z1899350341283073
1Z1899350341754680
Order 4375425 from 03 Jun 2013
Delivery note 88381398 from 03 Jun 2013
Shipping Info:
UPS - UNITED PARCEL SERVI
1Z1899350341283073
1Z1899350341754680
1Z1899350341283073
1Z1899350341754680
Purch. Order No. S13601 from 31 May 2013
20 1 EA 10028028 235.00 235.00
CYLINDER,20.8% OXYGEN IN NITROGEN
UPC code no.641817012802
Country of Origin: US Commodity Code: 3822.00.6000
Export Control Class: EAR99
Dangerous Goods ID Number: UN1956
Order 4375425 from 03 Jun 2013
Delivery note 88381398 from 03 Jun 2013
Shipping Info:
UPS - UNITED PARCEL SERVI
1Z1899350341283073
121899350341754680
1Z1899350341283073
1Z1899350341754680
Purch. Order No. S13601 from 31 May 2013
30 1 EA 10028032 235.00 235.00
CYLINDER,2.5% METHANE IN AIR
UPC code no.641817012819
r
UUIS�.V�=J
The Safety Company
Invoice
Invoice No.: 97019005 Customer P.O. No.: S13601
PAG E 3 - 3
Item Qty UM Mat No. Description % Unit Price Net Price
EFTA Batch Qty
Country of Origin: US Commodity Code: 3822.00.6000
Export Control Class: EAR99
Dangerous Goods ID Number: UN1956
Order 4375425 from 03 Jun 2013
Delivery note 88381617 from 03 Jun 2013
Shipping Info:
UPS Ground
1Z1881500365143979
Purch. Order No. S13601 from 31 May 2013
I
....................................................................................................................................
Remit Payment to:
Mine Safety Appliances Co. SubTotal: 705.00
P.O. Box 640348 Shipping & Handling: 110.31
Pittsburgh, PA. 15264-0348
Fax: 412-967-3087 Total USD: 815.31
THERE IS A SERVICE CHARGE OF
1.25% ON ALL ITEMS PAST DUE
THANK YOU FOR YOUR ORDER
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
367226
Mine Safety Appliances Purchase Order No.
PO BOX 426 Terms
PITTSBURGH, PA 15230-0426 Due Date 6/25/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/2013 97019005 $815.31
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 er
VOUCHER # 135804 WARRANT # ALLOWED
367226 IN SUM OF $
Mine Safety Appliances
PO BOX 426
PITTSBURGH, PA 15230-0426
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
97019005 01-7202-06 $815.31
Voucher Total $815.31
Cost distribution ledger classification if
claim paid under vehicle highway fund