HomeMy WebLinkAbout321838 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 361470
ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*******272 00*
CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 321838
?y`........- MEDINA OH 44256 CHECK DATE: 02/13/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 101305 335570 272.00 ONBOARD 35 (4-35LBS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHILD SOURCE IN SUM OF$ 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
$272.00
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
101305 335570 50-239.90 $272.00 1 hereby certify that the attached invoice(s),or 1/29/18 335570 car seats $272.00
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
Monday, February 5,2018
G.W 1v
Jeffrey Homer
Deputy 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: 0000335570
REMITTANCE ADDRESS: Invoice Date: 1/29/2018
WESTERN RESERVE DISTRIBUTING,INC.
dba MERCURY DISTRIBUTING or CHILD SOURCE
305 LAKE RD Invoice Due Date: 2/28/2018
MEDINA,OH 44256
Customer: CARMPD
Tax ID#82-0563593 Sales Order: 0000177011
Sold To Ship To
CARMEL POLICE DEPARTMENT, CITY TRINITY CLINIC
3 CIVIC SQUARE 1045 W. 146TH STREET
ATTN: ANN GALLAGHER SUITE-B
CARMEL,IN 46032-2584 USA Carmel,IN 46033 USA
101305 UPS ORIGIN Net 30 Days
Item Description Qty Shipped Unit Price Amount
IC201CHZ OnBoard 35 (4-35 lbs)with adjustable base and up 3 $ 78.0000 $ 234.00
front adjust
--------------------------- ------------------------------------------ LAST ITEM ------ ---------------------------------------------------------------
Tracking Numbers: 1ZA7T6670391385288, 1ZA7T6670392444471, 1ZA7T6670394562894
Subtotal 234.00
Freight 38.00
Sales Tax 0.00
Discount 0.00
PLEASE NOTE NEW REMITTANCE Payment/CreditAmount 0.00
ADDRESS ABOVE -Balance-Dad 272.00