HomeMy WebLinkAbout326592 06/28/18 +ui_C�Fb
`/ :F• CITY OF CARMEL, INDIANA VENDOR: 367046
j ONE CIVIC SQUARE MEDICAL WAREHOUSE CHECK AMOUNT: $*******436.42*
9 �; CARMEL, INDIANA 46032 72 GRAYS BRIDGE ROAD CHECK NUMBER: 326592
4q�rON.�p. BROOKFIELD CT 06804 CHECK DATE: 06/28/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 192527 436.42 SAFETY SUPPLIES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 367046 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Medical Warehouse, Inc. Payee
72 Grays Bridge Road
Brookfield, CT 06804 In Sum of$ Purchase Order#
367046 Medical Warehouse, Inc. Terms
$ 436.42 72 Grays Bridge Road Date Due
Brookfield, CT 06804
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
pO#ornvolce Description
Dept# INVOICE NO. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 192527 4239012 $ 436.42 Board Members 6/14/18 192527 First Aid Trauma Bags 51552 $ 436.42
I hereby certify that the attached invoice(s),or
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
$ 436.42 Total $ 436.42
June 20,2018
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
Cost distribution ledger classification if 1P*0A"KVU
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Medical ecialists, Involicre
1 ` i�r +�"' +" Inaoice Date:
72 GraysBridgeRaad � '� JuR Eli
n14 20'18
Bkfeld, CT 058.0 JUN i 9 2018 Page.
1
Voice: 800-969-6945 Sales Order#:
�Y:.................
Fax: 203-775-4054 ............. 83982
www.EMSstuffcom
Sold To: Ship to:
CARMEL CLAY PARKS & RECREATION CARMEL CLAY PARKS & RECREATION
1411 EAST 116 STREET 1235 CENTRAL PARK DRIVE EAST
ATTN: A/P-PAULA SCHLEMMER ATTN: TERESE McANINCH
CARMEL, IN 46032 CARMEL, IN 46032
317 573-4023
Customer ID Customer PO Payment Terms
CAR116 51552 Net 30 Days
Ship-Date ShippingAUthod_ Due Dale
6/14/18 UPS GROUND 7/14/18
Quantity Item Description Qty B/O Unit Price Extension
2.00 FTX8455ORD FTX 02/TRAUMA/AED BACKPACK-RED 207.70 415.40
1.00 SHIPG GROUND SHIPPING CHARGE 21.02 21.02
Our Federal ID# 13-3839937
Subtotal 436.42
Sales Tax
ALL AUTHORIZED RETURNS WITHIN 30 DAYS OF SALE MAYBE Total Invoice Amount 436.42
SUBJECT TO A RESTOCK FEE OF 25%.SPECIAL ORDER,
CUSTOM ITEMS AND UNAUTHORIZED RETURNS ARE NOT Payment/Credit Applied
REFUNDABLE. — s
*TOTAL — = 43`6: 2
Please reference Invoice number on your remittance check. Thank you.