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HomeMy WebLinkAbout320415 01/11/18 1u!,�Aq� CITY OF CARMEL, INDIANA VENDOR: 361470 ® ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*******615.50* i° CARMEL, INDIANA 46032 365 LAKE ROAD CHECK NUMBER: 320415 9'�'IroN�o.` MEDINA OH 44256 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 R5023990 101108 334130 615.50 CARSEATS BOOSTERS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CHILD SOURCE IN SUM OF$ CITY OF CARMEL 305 LAKE ROAD 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. MEDINA, OH 44256 Payee $615.50 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 101108 334130 50-239.90 $615.50 1 hereby certify that the attached invoice(s),or 1/8/18 334130 car seats $615.50 1110reunr ever/ 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 Tuesday,January 9,2018 ac'...' lap.A, Jim Barlow Chief 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer i MERCURY Invoice DISTRIBUTING 305 Lake Road,Medina,OH 44256 Ph:330.723.4739 Fax:330.721.6799 Invoice Number: 0000334130 REMITTANCE ADDRESS: Invoice Date: 1/2/2018 WESTERN RESERVE DISTRIBUTING,INC. dba MERCURY DISTRIBUTING or CHILD SOURCE 305 LAKE RD Invoice Due Date: 2/1/2018 MEDINA,OH 44256 Customer: CARMPD Tax ID#82-0563593 Sales Order: 0000176202 Sold To Ship To CARMEL POLICE DEPARTMENT, CITY TRINITY CLINIC 3 CIVIC SQUARE 1045 W. 146TH ST-STE B ATTN: ANN GALLAGHER ATTN:ANN GALLAGHER CARMEL,IN 46032-2584 USA Carmel,IN 46032 USA rEustomer--RO. _-Sht Via 101108 UPS GFP ORIGIN Net 30 Days Item Description Qty_Shipped Unit Price Amount IC201CHZ OnBoard 35 (4-35 lbs)with adjustable base and up 1 $ 84.0000 $ 84.00 front adjust 3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 4 $ 58.3000 $ 233.20 (20-1001bs) 3431198 Chase No Harness 40-110 lbs Booster Seat,FSM 2 4 $ 26.9500 $ 107.80 pack 3472198 SONUS CONVERTIBLE SEAT 2PK 2 $ 57.7500 $ 115.50 --------------------------------------------------------------------------------. LAST ITEM ----------------------------------------------------------------- --------------- Applied From Transaction Date Discount Taken Applied Amount Total 304520-CR 11/14/2016 0.00 615.50 615.50 615.50 Tracking Numbers: 1ZA7T6670391450537, 1ZA7T6670391589728, 1ZA7T6670392786558, 1ZA7T6670393148147, 1ZA7T66 Subtotal 540.50 Freight 75.00 Sales Tax 0.00 Discount 0.00 PLEASE NOTE NEW REMITTANCE- Payment/CreditAmount 615.50 ADDRESS ABOVE _ ___�____Balanc-e_D_ue 0.00 Sales Order No PACKING :LIST Shipment No I IIII II III I VIII IIII III I IIII VIII I II II I II I IIII I III I II IIII II I II I I I I IIII I III IIII II I II I III 0000176388 0000472180 Mercury Distributing 305 Lake Road, Medina, OH 44256 Ph: 330.723:4739 Fax: 330.721.6799 Customer: CARMPD Ship To: CARMEL POLICE DEPARTMENT,CITY Cust PO No 101226 CARMPD-BLANK CARMEL POLICE DEPARTMENT Ship From: MED' 3 CIVIC SQUARE MEDINA-Mercury Distributing Carmel,IN 46032 USA 305 Lake Rd. Medina,OH 44256 USA '� ��. a gar, a'r.a .� Jha i.°w s •� Y a g,�.:' ��+ Baa�.� S n`pry ,"��, PI z, � `a, Safi° ShipmentSh�„„ a �� Shi Date= _ :�..Y{L ——0600472 f80 --UPS GFP— - I/5/20t87= ---—__ OR4G N� ;Quantity UOM.,Tyr £r Item Number ; . n .. .,fi. a Itempescnption a.. =,x 3 > ' fg 6.0 Each IC201CHZ OnBoard 35 FSF 6.0 Each 3431198 Chase No Harness 40-110 lbs Booster Seat 4.0 Each 3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 6.0 Each 3472198 SONUS CONVERTIBLE SEAT 2PK 4.0 Each 93-299FSM BACKLESS SHIELDLESS BOOSTER(4 PER PACK Comments: