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HomeMy WebLinkAbout321838 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 361470 ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*******272 00* CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 321838 ?y`........- MEDINA OH 44256 CHECK DATE: 02/13/18 co' .�v DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 101305 335570 272.00 ONBOARD 35 (4-35LBS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CHILD SOURCE IN SUM OF$ 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