232356 05/07/14 �tY CITY OF CARMEL, INDIANA VENDOR: 362351
® ii ONE CIVIC SQUARE SUNSHINE MEDICAL CHECK AMOUNT: $********95.45*
:;` ;_� CARMEL, INDIANA 46032 31575 GLENDALE CHECK NUMBER: 232356
M��TON�°. LIVONIA MI 48150 CHECK DATE: 05/07/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 119932 95.45 OTHER MISCELLANOUS
Sunshine Medical Supply, Inc. Invoice
31575 Glendale St. Date Invoice#
Livonia, MI 48150
734-293-7500 fax 734-293-7505 4/28/2014 119.932
www.sunshinemedicalsupply.net
Bill To Ship To
Carmel Police Dept Carmel Police Dept
3 Civic Square 3 Civic Square
Carmel,Indiana 46032 Carmel,IN 46032
ATTN:Robert Robinson
P.O. Number Terms Rep Ship Via F.O.B. Project
quarterkaster Net 15 D 4/28/2014
Quantity Item Code Description Price Each Amount
10 SUPRENO-EC-L-... SUPRENO EC NITRILE POWDER FREE 9.15 91.50T
EXAM GLOVE BY MICROFLEX
50/BX--10 BX/CS SIZE L
EXTENDED CUFF,POLYMER COATED
Fuel Surcharge Fuel and Handling Charge 3.95 3.95
Out-of-state sale,exempt from sales tax 0.00% 0.00
Total $95.45
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sunshine Medical Supply, Inc.
IN SUM OF $
31575 Glendale Street
Livonia, MI 48150
$95.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
i
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 119932 I 42-390.99 I $95.45 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, May 01, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
I
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
05/01/14 119932 latex gloves $95.45
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
20
Clerk-Treasurer