HomeMy WebLinkAbout301773 08/08/16 CITY OF CARMEL, INDIANA VENDOR: 362351
1 ONE CIVIC SQUARE SUNSHINE MEDICAL CHECK AMOUNT: $*******188.95*
CARMEL, INDIANA 46032 315,75 GLENDALE CHECK NUMBER: 301773
LIVONIA MI 48150 CHECK DATE: 08/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 135509 188.95 SAFETY SUPPLIES
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
VOUCHER NO. WARRANT NO.
SUNSHINE MEDICAL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
31575 GLENDALE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
LIVON IA, MI 48150 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$188.95 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
135509 42-390.12 $188.95 1 hereby certify that the attached invoice(s),or 7/28/16 135509 latex gloves $188.95
1110 101 1110 101
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,August 03,2016
Tim Green
Chief of Police
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Sunshine Medical Supply, Inc. Invoice
31575 Glendale St.
Date Invoice#
Livonia, MI 48150
734-293-7500 7/28/2016 135509
734-293-7505 (Fax)
i
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
i
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 15 KMG 7/28/2016
Quantity Item Code Description Price Each Amount
10 SEC-375-L SUPRENO EC NITRILE POWDER FREE 9.15 91.50T
EXAM GLOVE BY MICROFLEX
50BX--10 BX/CS SIZE L.
EXTENDED CUFF,POLYMERS COATED
10 SEC-375-XL SUPRENO EC NITRILE POWDER FREE 9.15 91.50T
GLOVES BY MICROFLEX
50BX--10 BX/CS SIZE'XL
EXTENDED CUFF,POLYMER COATED
Fuel Surcharge Fuel and Handling Charge i 5.95 5.95
Out-of-state sale,exempt from sales tax 0.00% 0.00
Thank you for your business.
Total $188.95