HomeMy WebLinkAbout257307 04/05/16 9�� CITY OF CARMEL, INDIANA VENDOR: 362351
ONE CIVIC SQUARE SUNSHINE MEDICAL CHECK AMOUNT: $*******187.95*
9 �� CARMEL, INDIANA 46032 31575 GLENDALE CHECK NUMBER: 257307
M���oN�, LIVONIA MI 48150 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 133055 187.95 SAFETY SUPPLIES
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))
03/08/16 133055 latex gloves $187.95
1110 101
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
SUNSHINE MEDICAL ALLOWED 20
31575 GLENDALE IN SUM OF$
LIVONIA, MI 48150
$187.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member:
I 133055 I 42-390.12 I $187.95 1 hereby certify that the attached invoice(s), or
1110 101
I bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
t
received except
�I
I
Monday, March 14, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Sunshine Medical Supply, Inc. Invoice
31575 Glendale St. Date Invoice#
Livonia, MI 48150
734-293-7500 3/8/2016 133055
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
ATTN:Robert Robinson
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 15 KMG 3/8/2016
Quantity Item Code Description Price Each Amount
10 SEC-375-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
10 SEC-375-M SUPRENO EC NITRILE POWDER FREE EXAM GLOVES 9.15 91.50T
BY MICROFLEX
50BX--10 BX/CS SIZE M
EXTENDED CUFF,POLYMER COATING
Fuel Surcharge Fuel and Handling Charge 4.95 4.95
Out-of-state sale,exempt from sales tax 0.00% 0.00
Thank you for your business.
Total $187.95