HomeMy WebLinkAbout328495 08/09/18 %`��p''� CITY OF CARMEL, INDIANA VENDOR: 361470
ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*****1,320.10*
:9� �a� CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 328495
�'��TON�°. MEDINA OH 44256 CHECK DATE: 08/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
900 4359005 101820 0000347785 1,320.10 CAR SEATS AND BOOSTER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHILD SOURCE IN SUM OF$ 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
$1,320.10
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
101820 0000347785 43-590.05 $1,320.10 1 hereby certify that the attached invoice(s),or 7/30/18 0000347785 car seats $1,320.10
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,August 7,2018
&--" e� �
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
MERCURY
Invoice
—40M
DISTRIBUTING
305 Lake Road,Medina,OH 44256
Ph:330.723.4739 Fax:330.721.6799 Invoice Number: 0000347785
REMITTANCE ADDRESS: Invoice Date: 7/30/2018
WESTERN RESERVE DISTRIBUTING,INC.
dba MERCURY DISTRIBUTING or CHILD SOURCE 8/29/2018
305 LAKE RD Invoice Due Date:
MEDINA,OH 44256 Customer: CARMPD
Tax ID#82-0563593 Sales Order: 0000181360
Sold To Ship To i
CARMEL POLICE DEPARTMENT, CITY TRINITY CLINIC
3 CIVIC SQUARE 1045 W. 146TH ST SUITE-B
ATTN: ANN GALLAGHER ATTN:ANN GALLAGHER
CARMEL,IN 46032-2584 USA Carmel,IN 46032 USA
--Customer—P.—O—.—:.--=--_ — — Ship=Vta F:O:B= _ ;y_ -'"-berms
101820 UPS GFP ORIGIN Net 30 Days
Item Description Qty Shipped Unit Price Amount
IC201CHZ OnBoard 35 (4-35 lbs)with adjustable base and up 6 $ 78.0000 $ 468.00
front adjust
3472198 SONUS CONVERTIBLE SEAT 2PK 8 $ 57.7500 $ 462.00
3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 4 $ 58.3000 $ 233.20
(20-100lbs)
3431198 Chase No Harness 40-110 lbs Booster Seat,FSM 2 2 $ 26.9500 $ 53.90
pack
LASTITEM ---------------------------------------------------------------------------------
Tracking Numbers: 1ZA7T6670395180778, 1ZA7T6670395622111, 1ZA7T6670396217754, 1ZA7T6670396232166, 1ZA7T66,
Subtotal 1,217.10
Freight 103.00
Sales Tax 0.00
Discount 0.00
PLEASE NOTE NEW REMITTANCE Payment/CreditAmount 0.00
ADDRESS ABOVE — Balance_Due 1,320.10