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
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`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: