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HomeMy WebLinkAbout324073 04/11/18 s Coq CITY OF CARMEL, INDIANA VENDOR: 361470 1 ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*******602.00* CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 324073 9MTON� MEDINA OH 44256 CHECK DATE: 04/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 900 4359005 101561 0000178626 602.00 BOOSTERS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CHILD SOURCE IN SUM OF$ 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 $602.00 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 invoices)or bill(s)) AMOUNT 101561 0000178626 43-590.05 $602.00 1 hereby certify that the attached invoice(s),or 4/9/18 0000178626 car seats $602.00 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 Tuesday,April 10,2018 &,.,, e�-N.Aw%'3 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 SO-Standard Order Number: 0000178626. MERCURY Order Date: 4/9(20.18 ry DISTRIBUTING Change Order: .0 Confirm No: 305 Lake Road, Medina,OH 44256 Salesperson: Ph: 330123.4739 Pax-,380.721.6799 Customer: CARMPD Customer PO: .ANN 4/9 old To " _ To - - r CARMEL POLICE DEPARTMENT,CITY _ TRINITYCLINIC CIVIC SQUARE 1045 W. 1146TH STREET ATTN:• ANN GALLAGHER SUITE-B C,& 81e,IN 460'3'2-2584 USA Carmel,IN 46032 USA .. I d Contact:, XYZ Phone: (860)292=8240 Ezt: AP I _ I Acknowledged ..-Requested a rTetms" .,1 ° x a .I y... a s :'....5_.a._s.- .;•i..,..,...: `• x x +'Si' �`stR�. w ��W_y •d UPS 4 � 4/10/2018 ORIGIN Net 30 Days t .- � <i M s �c �# QU3lltlty� S'? ; §.s Item .: d�. , Orde>ed* ��'S1npBack�Od_ered iJO1Vi UnitP.rice Amotint 1 IG20]C11Z 3 0 0 Each 578:0000 $234:00 Ongoard 33(4=35' lbs)with adjustable base and up front adj st 2 3472198 2 0 0 Each $57,7500 $_115.50 SONUS CONVERTIBLE SEAT 2PK 3 3102198 2 0 0 Each 5583000 '$116.60 MAESTRO 50 COMBINATION BOOSTER SEAT(20-1'dolb) 4 3431198 2 0 6 Each $26.9500 553.90 i I Chase No Harness 40-110 lbs Booster.Seai,TSM 2 pack i i i I I i- I Prepayments: ! Net Order: 520.00 Discount: 0.00 :Freight: 82.00 APPROVED BY: Sales.Tax: 0.00 Total Sales Order: 602.00 Deposit: r« + .,;_rBalanceDue USD Printed On 419/2018 @ .8:56:36AM f f F�e�rva-