HomeMy WebLinkAbout302084 08/22/16 '`%��4q,�f. CITY OF CARMEL, INDIANA VENDOR: 361470
® �� ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*******644.00*
s ;?Q; CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 302084
, IrSx�o, MEDINA OH 44256 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 34051 293568 644.00 CAR SEAT BASE
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
CHILD SOURCE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
305 LAKE ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
MED I NA, OH 44256 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$644.00 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
34051 j 0000293568 50-239.90 $644.00 1 hereby certify that the attached invoice(s),or 8/1/16 0000293568 car seats $644.00
1110 852 1110 852
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
Monday,August 15,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MERCURY
Invoice
DISTRIBUTING
305 Lake Road,Medina,OH 44256
Ph:330.723.4739 Fax:330.721.6799 Invoice Number: 0000293568
REMITTANCE ADDRESS: Invoice Date: 8/1/2016
WESTERN RESERVE DISTRIBUTING,INC.
dba MERCURY DISTRIBUTING or CHILD SOURCE 8/31/2016
305 LAKE RD Invoice Due Date:
MEDINA,OH 44256 Customer: CARMPD
Tax ID#82-0563593 Sales Order: 0000158673
Sold To Ship To
CARMEL POLICE DEPARTMENT,CITY CARMEL POLICE DEPARTMENT,CITY
3 CIVIC SQUARE 3 CIVIC SQUARE
ATTN: ANN GALLAGHER ATTN: ANN GALLAGHER
CARMEL,IN 46032-2584 USA CARMEL, IN 46032-2584 USA
Customer P.0 _ Shi Via - — . . F:O.B --
34051 UPS ORIGIN Net 30 Days
Item Description Qty Shipped Unit Price Amount
61472.73 CHICCO-KeyFit 30 Infant Car Seat/Base-Surge 4 $ 148.5000 $ 594.00
--------------------------------------------------------------------------------- LAST ITEM ---------------------------------------------------------------------------------
Tracking Numbers: 1ZA7T6670397341466, 1ZA7T6670397743899, 1ZA7T6670398828886, 1ZA7T6670399056075
Subtotal 594.00
Freight 50.00
Sales Tax 0.00
Discount 0.00
PLEASE NOTE NEW REMITTANCE Payment/CreditAmount 0.00
ADDRESS ABOVE k� Balance Due 644.00
Sales Order No PACKING N G LIST Shipment No
I III IIIIIII II IIII II I II VIII I Illillll II IIIIIIIIII IIIIIIIIIIIIIIIIIII IIII IIIIIIIIIIIIIIIIIII
0000158673 0000432762
Mercury Distributing
305 Lake Rd, Medina, OH 44256
Ph: 330.723.4739 Fax: 330.721.6799
Customer: CARMPD Ship To: CARMEL POLICE DEPARTMENT,CITY
Cust PO No 34051 CARMPD
Ship From: MED
CARMEL POLICE DEPARTMENT,CITY
3 CIVIC SQUARE
MEDINA-Mercury Distributing ATTN: ANN GALLAGHER
305 Lake Rd. CARMEL,IN 460322584 USA.,
Medina,OH 44256 USA
pShtp Via Ship pDate _ F 4, F O` B:'
Shi ment
=_
—0000432762-- 8/1/201-6--- — �O iGIN -
Quantt
Y . UOMs' item Number ltem'Deseription
k
4.0 Each 61472.73 KeyFit 30 Infant Car Seat/Base-Surge
Comments: