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HomeMy WebLinkAbout326330 06/14/18 J�/ CITY OF CARMEL, INDIANA VENDOR: 361470 ` `� ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*****1,092.50* •i�. ,a; CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 326330 ++i__.._.: MEDINA OH 44256 CHECK DATE: 06/14/18 <roN co' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 101678 0000343538 1,092.50 BOOSTER SEATS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CHILD SOURCE IN SUM OF$ 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 $1,092.50 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 101678 0000343538 50-239.90 $1,092.50 1 hereby certify that the attached invoice(s),or 5/29/18 0000343538 car seats $1,092.50 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,June 4,2018 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer MDISTRIBUTING ERCURIC Invoice 305 Lake Road,Medina,OH 44256 Ph:330.723.4739 Fax:330.721.6799 Invoice Number: 0000343538 REMITTANCE ADDRESS: WESTERN RESERVE DISTRIBUTING,INC. Invoice Date: 5/29/2018 dba MERCURY DISTRIBUTING or CHILD SOURCE 305 LAKE ROAD Invoice Due Date: 6/28/2018 MEDINA,OH 44256 Customer: CARMPD Tax ID#82-0563593 Sales Order: 0000179613 Sold To Ship To CARMEL POLICE DEPARTMENT,CITY TRINITY CLINIC 3 CIVIC SQUARE 1045 W. 146TH ST-SUITE B ATTN: ANN GALLAGHER ANN GALLAGHER CARMEL,IN 46032-2584 USA Carmel,IN 46032 USA Customer P.O. Ship Via, F.O.B Terms 101678 UPS GFP ORIGIN Net 30 Days Item Description_ Qty Shipped _ Unit Price Amount t IC201 CHZ OnBoard 35(4-35 lbs)with adjustable base and up front 4 $78.0000 $312.00 adjust 3472198 SONUS CONVERTIBLE SEAT 2PK 4 $57.7500 $231.00 3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 4 $58.3000 $233.20 (20-1001bs) 3431198 Chase No Harness 40-110 lbs Booster Seat,FSM 2 pack 6 $26.9500 $ 161.70 93-299FSM BACKLESS SHIELDLESS BOOSTER(4 PER PACK) 4 $ 14.9000 $59.60 ---- ———— LAST ITEM ----- ----- -------- Tracking Numbers: 1 ZA7T6670395461956, 1 ZA7T6670396065418, 1 ZA7T6670396880368, 1 ZA7T6670397050315, Subtotal 997.50 Freight 95.00 Sales Tax 0.00 Discount 0.00 Payment/Credit Amount 0.00 Balance Due 1,092.50