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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
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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
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Contact:, XYZ
Phone: (860)292=8240 Ezt: AP
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I Acknowledged ..-Requested a rTetms" .,1
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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
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Chase No Harness 40-110 lbs Booster.Seai,TSM 2 pack
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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
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