HomeMy WebLinkAbout250431 1 0/07/1 5 t CITY OF CARMEL, INDIANA VENDOR: 362351
® 1 ONE CIVIC SQUARE SUNSHINE MEDICAL CHECK AMOUNT: S""""""186.95`
?Q CARMEL, INDIANA 46032 31575 GLENDALE CHECK NUMBER: 250431
LIVONIA MI 48150 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 130010 186.95 SAFETY SUPPLIES
Sunshine Medical Supply, Inc. Invoice
31575 Glendale St. --
Livonia, MI 48150 Date Invoice#
734-293-7500 9/17/2015 130010
734-293-7505 (Fax)
Bill To Ship To
Carmel Police Dept Carmel Police Dept
3 Civic Square 3 Civic Square
Carmel,Indiana 46032 Carmel,IN 46032
A1-1-N:Robert Robinson
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 15 KMG 9/17/2015
Quantity Item Code Description Price Each Amount
20 SEC-375-L SUPRENO EC NITRILE POWDER FREE 9.15 183.00T
EXAM GLOVE 13Y 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
Thank you for your business.
Total $186.95
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))
09/17/15 130010 latex gloves $186.95
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.
Sunshine Medical Supply, Inc. ALLOWED 20
IN SUM OF $
31575 Glendale Street
Livonia, MI 48150
$186.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 130010 I 42-390.12 I $186.95 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
Tuesday, September 29, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund