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HomeMy WebLinkAbout322677 03/12/18 a CITY OF CARMEL, INDIANA VENDOR: 361470'. CHECKAMOUNT: $*****1,266.60* ONE CIVIC SQUARE CHILD.SOURCECARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 322677 MEDINA OH 44256 CHECK DATE: 03/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 900 4359005 101404 0000337369 1,266.60 CAR SEATS BOOSTERS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CHILD SOURCE IN SUM OF$ 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 $1,266.60 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 101404 0000337369 43-590.05 $1,266.60 1 hereby certify that the attached invoice(s),or 2/26/18 0000337369 car seats $1,266.60 1110 900 1110 900 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 Friday, March 2,2018 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: 0000337369 REMITTANCE ADDRESS: WESTERN RESERVE DISTRIBUTING,INC. Invoice Date: 2/26/2018 dba MERCURY DISTRIBUTING or CHILD SOURCE 305 LAKE ROAD Invoice Due Date: 3/28/2018 MEDINA,OH 44256 Customer: CARMPD Tax ID#82-0563593 Sales Order: 0000177590 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 46032 USA Customer P.O. Ship'Via ROM Terms 101404 UPS GFP ORIGIN Net 30 Days Item DescriptiontyShip ed < Unit Price Amount ' IC201CHZ OnBoard 35(4-35 lbs)with adjustable base and up front 6 $78.0000 $468.00 adjust 3431198 Chase No Harness 40-110 lbs Booster Seat,FSM 2 pack 2 $26.9500 $53.90 3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 4 $58.3000 $233.20 (20-100lbs) 3472198 SONUS CONVERTIBLE SEAT 2PK 6 $57.7500 $346.50 93-299FSM BACKLESS SHIELDLESS BOOSTER(4 PER PACK) 4 $ 14.9000 $59.60 --------- ----------- LAST ITEM ----- ----- -------- Tracking Numbers: 1ZA7T6670395296528, 1ZA7T6670395965395, 1ZA7T6670396122347, 1ZA7T6670396172963, Subtotal 1,161.20 Freight 105.40 Sales Tax 0.00 Discount 0.00 Payment/Credit Amount 0.00 1,266.60 Balance'Due