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HomeMy WebLinkAbout257120 04/05/16 t. CITY OF CARMEL, INDIANA VENDOR: 361470 j ® ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $••`••••196.00" ,. 4 CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 257120 9.y,«oN�: MEDINA OH 44256 CHECK DATE: 04/05/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 900 4359005 33716 0000278757 196.00 BOOSTER ONBOARD CARSE 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 03/07/16 0000278757 car seats $196.00 1110 900 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 CHILD SOURCE 305 LAKE ROAD IN SUM OF$ MEDINA, OH 44256 $196.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police /B.O#-/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member: 13716 I 0000278757 I 43-590.05 I $196.00 1'110 90o I 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, March 15, 2016 Ole V/Z Cost distribution ledger classification if claim paid motor vehicle highway fund MERCURY Invoice DISTRIBUTING 305 Lake Road,Medina,OH 44256 Ph:330.723.4739 Fax:330.721.6799 Invoice Number: 0000278757 REMITTANCE ADDRESS: Invoice Date: 3/7/2016 WESTERN RESERVE DISTRIBUTING,INC. dba MERCURY DISTRIBUTING or CHILD SOURCE 305 LAKE RD Invoice Due Date: 4/6/2016 MEDINA,OH 44256 Customer: CARMPD Tax ID#82-0563593 Sales Order: 0000153150 Sold�Tok>: Ship To x" CARMEL POLICE DEPARTMENT,CITY CARMEL POLICE DEPT 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL,IN 46032-2584 USA Carmel, IN 46032 USA PO SHIP PER ANN UPS ORIGIN Net 30 Days Item DescriptionQty Ship ep d Unit Price Amount l IC201CHZ OnBoard 35 (4-35 lbs)with adjustable base and up 2 $ 84.0000 $ 168.00 front adjust --------------------------------------------------------------------------------- LAST ITEM --------------------------------------------------------------------------------- Tracking Numbers: 1ZA7T6670391299363, 1ZA7T6670391648155 Subtotal 168.00 Freight 28.00 Sales Tax 0.00 Discount 0.00 PLEASE NOtTE NEW'REMITTANCE, , Payment/CreditAmount 0.00 Y k `. 196.00 ADDRES`S,ABOVE' . Balance Due