HomeMy WebLinkAbout228711 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 363840 Page 1 of 1
ONE CIVIC SQUARE STATE SAFETY&COMPLIANCE LLC
CARMEL, INDIANA 46032 5338 VICTORY DRIVE STE A CHECK AMOUNT: $65.62
INDIANAPOLIS IN 46203
CHECK NUMBER: 228711
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10106533 65 . 62 OTHER EXPENSES
INVOICE
State Safety & Compliance, LLC.
INVOICE .
Branch: 701 Indianapolis 10106533
5358 Victory Dr Invoice Date Page
Indianapolis, IN 46203 1/17/2014 13:19:221 1 of 1
ORDER NUMBER
3749220
317-423-7724
Bill To: Ship To: **DIRECT SHIPMENT**
Carmel Waste Water Treatment Carmel Waste Water Treatment
Attn: Paul Arnone CRAIG 12-10-13
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, In 46280
Customer ID: 109095
PO Number Terms Description Net Due Date I Disc Due Date Discount Amount
CRAIG 12-10-13 0.5% 10 net 30 02/16/14 01/27/14 0.25
Order Date Pick Ticket No Primary Salesrep Name Taker
12/10/2013 10:21:14 6112614 Gary Smith JCHANEY
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM Item Description Unit Size Price Price
Unit Size O
Delivery Instructions: UPS GROUND PREPAY&ADD
Carrier: UPS Ground- PPA Tracking#:IZ09X9240370121920
1.0000 1.0000 0.0000 EA OCC-LUX-TJBJ-2XL EA 50.4900 50.49
1.0 JACKET BOMBER YLW CL 3; RFLTV STRIPES I
Total Lines:I SUB-TOTAL: 50.49
Total Freight In:0.00 Total Freight Out:15.13 TOTAL FREIGHT. 15.13
TAX. 0.00
AMOUNT DUE: 65.62
ORIGINAL
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 1/24/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/2014 10106533 $65.62
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
VOUCHER # 137282 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
10106533 01-7202-05 $65.62
Voucher Total $65.62
Cost distribution ledger classification if
claim paid under vehicle highway fund