249208 09/09/15 +i�'C,N4
;� CITY OF CARMEL, INDIANA VENDOR: 361470
b I ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $ .....'85.41'
:. =4 CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 249208
�,y,TON La, MEDINA OH 44256 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 263135 85.41 OTHER EXPENSES
I
--VoMERCURY Invoice
DISTRIBUTING
305 Lake Road, Medina, OH 44256
Ph: 330.723.4739 Fax:330.721.6799 Invoice Number: 0000263135
REMITTANCE ADDRESS:
Invoice Date: 8/25/2015
WESTERN RESERVE DISTRIBUTING, INC.
dba MERCURY DISTRIBUTING or CHILD SOURCE
305 LAKE RD Invoice Due Date: 9/24/2015
MEDINA.OH 44256
Customer: CARMPD
Tax ID#82-0563593 Sales Order: 0000143719
Sold To Ship To
CARMEL POLICE DEPARTMENT, CITY TRINITY CLINIC
3 CIVIC SQUARE 1045 W 146TH ST SUITE B
CARMEL, IN 46032-2584 USA ATTNANN GALLAGHER
Cannel, IN 46032 USA
Customer P.O. Ship Via 1 . F:O.B Terms
33016&33017 UPS ORIGIN Net 30 Days
Item Description Qty Shipped Unit Price Amount
IC201DFC Safety 1st OnBoard 35 (4 -35 lbs)with adjustable 1 $ 77.4000 $ 77.40
base and up front adjust
--------------------------------------------------------------------------------. LAST ITEM ---------------------------------------------------------------------------------
Tracking Numbers: 1ZA7T6670397899721
Subtotal 77.40
Freight 8.01
Sales Tax 0.00
Discount 0.00
PLEASE NOTE NEW REMITTANCE Pavment/CreditAmount 0.00
ADDRESS ABOVE Balance Due 85.41
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
08/25/15 0000263135 car seats $85.41
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Child Source
IN SUM OF $
7001 Wooster Pike
Medina, OH 44256
$85.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
852 I 0000263135 I -852.00 I $85.41 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
Wednesday, September 02, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund