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Home My WebLink About304520 10/31/16 1�r,C�q� CITY OF CARMEL, INDIANA VENDOR: 361470 �/ 4� ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*****2,363.24* ,. Via; CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 304520 '''��r6i�°� MEDINA OH 44256 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 34167 0000300789 1,355.74 POLICE DEPARTMENT 900 4359005 34384 299181 1,007.50 MAESTRO 50/ON13OARD 35 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) CHILD SOURCE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 305 LAKE ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service MEDINA, OH 44256 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,355.74 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due R®# ACCT# DATE INVOICE# DESCRIPTION PT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT ~'34:167 0000300789 50-239.90 $1,355.74 I hereby certify that the attached invoice(s),or 10/12/16 0000300789 carseats $1,355.74 -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 Friday, October 21,2016 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 MERCURY Invoice DISTRIBUTING 305 Lake Road,Medina,OH 44256 Ph:330.723.4739 Fax:330.721.6799 Invoice Number: 0000300789 REMITTANCE ADDRESS: Invoice Date: 10/12/2016 WESTERN RESERVE DISTRIBUTING,INC. dba MERCURY DISTRIBUTING or CHILD SOURCE 11/11/2016 305 LAKE RD Invoice Due Date: MEDINA,OH 44256 Customer: CARMPD Tax ID#82-0563593 Sales Order: 0000162301 ti 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 �Custoriefl`.O ��Y �,. Ship Via 34167 UPS ORIGIN Net 30 Days Item Description Qty_Shipped Unit Price . 5 Amount IC201CHZ OnBoard 35 (4-35 lbs)with adjustable base and up 7 $ 84.0000 $ 588.00 front adjust 3702098 TITAN 5 CARSEAT 50#2PK 6 $ 57.7500 $ 346.50 3701198 TITAN 5 CARSEAT 50# 1 P 1 $ 57.7500 $ 57.75 3431198 Chase No Harness 40-110 lbs Booster Seat, FSM 2 2 $ 26.9500 $ 53.90 pack 3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 2 $ 58.3000 $ 116.60 (20-l 00lbs) --------------------------------- --------------------------------- LAST ITEM --------------------------------------------------------------------------------- Tracking Numbers: 1ZA7T6670395375228, 1ZA7T6670395387304, 1ZA7T6670396069049, 1ZA7T6670396266273, 1ZA7T66 Subtotal 1,162.75 Freight 192.99 Sales Tax 0.00 Discount 0.00 ". P�LEASE NOTE NEW<REMITTANCE Payment/CreditAmount 0.00 Balance-Due 1,355.74 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 MEDINA, OH 44256 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,007.50 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Police Terms Date Due ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT ejaV 0000299181 43-590.05 $1,007.50 1 hereby certify that the attached invoice(s),or 9/26/16 0000299181 car seats $1,007.50 1110 900 1110 900 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, October 24,2016 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 MERCURY Inv®ice DISTRIBUTING 305A44 Road.Melina,OH 4.4256 Ph:330.723.4739 Fax!330.721.8799 Invoice Number: 0000299181 REMITTANCE ADDRESS: _ Invoice Date: 9/26/2016 WESTERN RESERVEDISTRIBUTING;INC. tlba MERCURY DISTRIBUTING or CHILD SOURCE 305 LAKE ROAD Invoice Due Date: 1.0/26/2016 MEDINA,OH 44256 Customer: CARMPD Tax.1D.#.$2-4563393 Sales.Ordert 0000161963 Sold�To^ Shi`p'�o TRWITl`CONIC TRINITY CLINIC 1045 W 146th STREET SUITE B 1045 W 146TH STREET SUITE B ATTN: ANN GALLAGHER ATTN A GALLAGHER 317-571-2720 CARMEL,IN 46032 USA Carmel,IN 46032 USA :OB: Temps 1 UPS ORIGIN Net 30 Days att Sht v IC20.ICHZ I OnBoard 35(4-35-ft)iWth adjustable base and io ! 5 S 84.0000 $ 420.00 front ad3ust ` 3702098 TITAN 5 CARSEAT 501.21'K I 4 S 57.7500 S 231:00 a 3102798 MAEST-*0 SA COMBINATION BOOSTER SEAT 4 I S 58:3000 S 233.20 (zo-�oobs� LAST ITEM �j f f i i t Tracking Numbers: 1ZA7T6670395551671, 1ZR7T6670397205014, 1ZA7T6670397752656, 1Z47T6670397872393, 1ZA7T66 Subtotal 884.20 Freight 123.30 Sales Tax 0.00 i Discount 0.00 Pavment/Credit Amount 0.00 Piras"noe Du 1.007 50 L