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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