HomeMy WebLinkAbout321265 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 361470;: .
th ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*****1,215.89*
CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 321265
9, MEDINA OH 44256 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 101226 0000334381 1,215.89 CHILD BOOSTERS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHILD SOURCE IN SUM OF$ 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
$1,215.89
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
101226 0000334381 50-239.90 $1,215.89 I hereby certify that the attached invoice(s),or 1/5/18 0000334381 car seats $1,215.89
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
Wednesday,January 17,2018
&� e�jw
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 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: 0000334381
REMITTANCE ADDRESS: Invoice Date: 1/5/2018
WESTERN RESERVE DISTRIBUTING,INC.
dba MERCURY DISTRIBUTING or CHILD SOURCE 2/4/2018
305 LAKE RD Invoice Due Date:
MEDINA,OH 44256 Customer: CARMPD
Tax ID#82-0563593 Sales Order: 0000176388
Sold To Ship To I
CARMEL POLICE DEPARTMENT,CITY CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE 3 CIVIC SQUARE
ATTN: ANN GALLAGHER Carmel,IN 46032 USA
CARMEL,IN 46032-2584 USA
tomer-R.O. Ship-,Via--.-
101226 UPS GFP ORIGIN Net 30 Days
Item Description___ Qty Shipped Unit Price Amount i
IC201CHZ OnBoard 35(4-35lbs)with adjustable base and up 6 $ 84.0000 $ 504.00
front adjust
3431198 Chase No Harness 40-110 lbs Booster Seat,FSM 2 6 $ 26.9500 $ 161.70
pack
3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 4 $ 58.3000 $ 233.20
(20-1001bs)
3472198 SONUS CONVERTIBLE SEAT 2PK 6 $ 57.7500 $ 346.50
93-299FSM BACKLESS SHIELDLESS BOOSTER(4 PER 4 $ 14.9000 $ 59.60
PACK)
LASTITEM ---------------------------------------------------------------------------------
Applied From Transaction Date Discount Taken Applied Amount Total
304520-CR 11/14/2016 0.00 207.31 207.31
207.31
Tracking Numbers: 1 ZA7T6670390081312, 1 ZA7T6670390529366, 1 ZA7T6670391166130, 1 ZA7T6670391353268, 1 ZA7T66'
Subtotal 1,305.00
Freight 118.20
Sales Tax 0.00
Discount 0.00
PLEASE NOTE NEW REMITTANCE Payment/CreditAmount 207.31
ADDRESS ABOVE = - _-Balance Due 1,215.89