HomeMy WebLinkAbout326330 06/14/18 J�/ CITY OF CARMEL, INDIANA VENDOR: 361470
` `� ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*****1,092.50*
•i�. ,a; CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 326330
++i__.._.: MEDINA OH 44256 CHECK DATE: 06/14/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 101678 0000343538 1,092.50 BOOSTER SEATS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHILD SOURCE IN SUM OF$ 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