HomeMy WebLinkAbout331079 10/09/18 �%'�,A�f� CITY OF CARMEL, INDIANA VENDOR: 371010
ONE CIVIC SQUARE WILDMAN BUSINESS GROUP CHECK AMOUNT: $*******319.17*
s. a CARMEL, INDIANA 46032 800 S BUFFALO ST CHECK NUMBER: 331079
.9���TON�°'` WARSAW IN 46580 CHECK DATE: 10/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0575335IN 319.17 OTHER EXPENSES
i� �7 � NT I �.2' Pr.- I:-2J by State 503fd Of ACCOUrfS "`y Ferm No. 201 (Revnr�
ALLOWED 20
Vendor # 371010 IN SUM OF$ AC"COUN T 3 I?AYABLE VOUCHER
WILDMAN FACILITY SERVICES CITY OF CARMEL
800 S BUFFALO ST An invoice or bill to be properly itemized must show: kind of service,where performed,
WARSAW, IN 46580 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
319.17 371010 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR WILDMAN FACILITY SERVICES Terms
Carmel Water Utility 800 S BUFFALO ST Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), WARSAW,IN 46580
PO# ACCT# or bill(s)is(are)true and correct and that
the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0575335-IN 01-6200-03 $319.17 and received except 10/3/2018 0575335-IN
$319.17
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 claim paid motor vehicle highway fund. , 2Q—
Clerk-Treasurer
Page: 1
ILDMAM Invoice
' ' sevice
" Invoice Number: 0575335-IN
Fac. �� r Invoice Date: 9/27/2018
800 S Buffalo St Reference#: R16i00077
Warsaw,IN 46580
Ph:574-269-6072 Order Number:
Order Date
Salesperson: 0016
Customer Number: 30-CWU
Sold To: Ship To:
CARMEL WATER UTILITIES CARMEL WATER UTILITIES
3450 W 131ST STREET 3450 W 131ST STREET
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
FA100673 ELASTIC LARGE PATCH 2X3 25/BOX
Whse: FIN BOX 0 1 0 8.05 8.05
CARMEL WATER UTILITIES
FA103071 ANTISEPTIC WIPES 20 COUNT 20
Whse: FIN BOX 0 2 0 4.23 8.46
CARMEL WATER UTILITIES
FA103150 ALCOHOL WIPES 50 COUNT 20/CA
Whse: FIN BOX 0 1 0 4.83 4.83
CARMEL WATER UTILITIES
FA19868 1/2 OZ EYEWASH BREAK-AWAY, 12
Whse: FIN EACH 0 5 0 2.48 12.40
CARMEL WATER UTILITIES
FA22517 BURN SPRAY 2oz PUMP 12/CASE
Whse: FIN EACH 0 2 0 7.35 14.70
CARMEL WATER UTILITIES
FA23017 COLD SPRAY AEROSOL 4oz 12/CAS
Whse: FIN EACH 0 1 0 10.16 10.16
CARMEL WATER UTILITIES
FA2332 QR WOUND SEAL POUR PACKS FOR E
Whse: FIN EACH 0 2 0 10.30 20.60
CARMEL WATER UTILITIES
FA24417 ANTISEPTIC SPRAY 2oz. PUMP 12/
Whse: FIN EACH 0 1 0 7.35 7.35
CARMEL WATER UTILITIES
FA25706 HYDROGEN PEROXIDE SPRAY PUMP 2
Whse: FIN EACH 0 2 0 5.66 11.32
CARMEL WATER UTILITIES
Continued
�J
Page: 2
A& 11111011111111
�L.D M Invoice
. ' 'A n'
llf* Invoice oice Number: 0575335-IN
Services Invoice Date: 9/27/2018
Warsaw,
S Buffalo Reference#: R1600077Warsaw, IN 465580
Ph:574-269-6072 Order Number:
Order Date
Salesperson: 0016
Customer Number: 30-CWU
Sold To: Ship To:
CARMEL WATER UTILITIES CARMEL WATER UTILITIES
3450 W 131ST STREET 3450 W 131ST STREET
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
FA3060 WATER JEL BURN DRESSING 4"X 4
Whse: FIN EACH 0 1 0 7.43 7.43
CARMEL WATER UTILITIES
FA4103 THERA TEARS 4 CT
Whse: FIN PKG 0 1 0 4.29 4.29
CARMEL WATER UTILITIES
FA60433 3"COTTON TIP APPLICATORS 10
Whse: FIN VIAL 0 1 0 5.15 5.15
CARMEL WATER UTILITIES
FA60501 NON-ST GAUZE ROLL 2"X 5 YD
Whse: FIN EACH 0 2 0 1.40 2.80
CARMEL WATER UTILITIES
FA60901 MEDI-RIP 2"X 5 YD
Whse: FIN EACH 0 1 0 6.24' 6.24
CARMEL WATER UTILITIES
FA62201 NON-ST GAUZE ROLL 4"X 5 YD
Whse: FIN EACH 0 1 0 2.65 2.65
CARMEL WATER UTILITIES
FA62301 ELASTIC WOVEN TAPE 1"X 5 YD
Whse: FIN ROLL 0 1 0 5.96 5.96
CARMEL WATER UTILITIES
FA63101 MEDI-RIP 3"X 5 YD
Whse: FIN EACH 0 1 0 7.58 7.58
CARMEL WATER UTILITIES
FA7021 M ICE PACK LARGE
Whse: FIN EACH 0 1 0 2.51 2.51
CARMEL WATER UTILITIES
Continued
9 Page: 3
IL
D - ' An
Invoice
Invoice Number: 0575335-IN
Fac ��� �rrr�ces.
800 S Buffalo S4 Invoice Date: 9/27/2018
Reference#: R16i00077
Warsaw,IN 46580
Ph:574-269-6072 Order Number:
Order Date
Salesperson: 0016
Customer Number: 30-CWU
Sold To: Ship To:
CARMEL WATER UTILITIES CARMEL WATER UTILITIES
3450 W 131ST STREET 3450 W 131ST STREET
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
FA71069 EYE CUPS 6/VIAL
Whse: FIN EACH 0 1 0 4.05 4.05
CARMEL WATER UTILITIES
FA76512 SPLINTER-OUT 10/BOX 50 BX/CS
Whse: FIN BOX 0 8 0 4.51 36.08
CARMEL WATER UTILITIES
FA89701 HEP-AID/BODILY FLUID KIT PLAST
Whse: FIN EACH 0 3 0 28.36 85.08
CARMEL WATER UTILITIES
FA92817 LIQUID SKIN, 100%WATERPROOF B
Whse: FIN EACH 0 5 0 3.04 15.20
CARMEL WATER UTILITIES
FA93373 HYDROCORTISONE CREAM 1%25/BOX
Whse: FIN BOX 0 1 0 7.30 7.30
CARMEL WATER UTILITIES
FA93473 TRIPLE ANTIBIOTIC OINTMENT 25/
Whse: FIN BOX 0 1 0 8.72 8.72
CARMEL WATER UTILITIES
FA62178 EXTRA-LONG FLEXIBLE FABRIC STR
Whse: FIN BOX 0 2 0 10.13 20.26
CARMEL WATER UTILITIES
Net Invoice: 319.17
Less Discount 0.00
Freight 0.00
Sales Tax: 0.00
Invoice Total: 319.17
Thank you for your business!
If there is anything we can do to better serve you, please call us at(574) 269-6072 and let us know.
Signed Receiver
Wildman
800 S. Buffalo St
Warsaw, IN 46580
Ph: (574)269-6072
Signed Receiver: R16i00077
Sold To: Acct: 30-CWU Ship To: CARMEL WATER UTILITIES
CARMEL WATER UTILITIES 3450 W 131ST STREET
3450 W 131ST STREET Westfield, IN 46074
Westfield, IN 46074
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urchaser er � SalesRep Terrns � . �Inub� pate, #ueD
30-0016 30 09/27/2018 10/27/2018
1 FA100673 ELASTIC LARGE PATCH 2X3 25/BOX 8.05 8.05
2 FA103071 ANTISEPTIC WIPES 20 COUNT 20 4.23 8.46
1 FA103150 ALCOHOL WIPES 50 COUNT 20/CA 4.83 4.83
5 FA19868 1/2 OZ EYEWASH BREAK-AWAY 12 2.48 12.40
2 FA22517 BURN SPRAY 2oz PUMP 12/CASE 7.35 14.70
1 FA23017 COLD SPRAY AEROSOL 4oz 12/CAS 10.16 10.16
2 FA2332 QR WOUND SEAL POUR PACKS FOR E 10.30 20.60
1 FA24417 ANTISEPTIC SPRAY 2oz. PUMP 12/ 7.35 7.35
2 FA25706 HYDROGEN PEROXIDE SPRAY PUMP 2 5.66 11.32
1 FA3060 WATER JEL BURN DRESSING 4"X 4 7.43 7.43
1 FA4103 THERA TEARS 4 CT 4.29 4.29
1 FA60433 3"COTTON TIP APPLICATORS 10 5.15 5.15
2 FA60501 NON-ST GAUZE ROLL 2"X 5 YD 1.40 2.80
1 FA60901 MEDI-RIP 2"X 5 YD 6.24 6.24
2 FA62178 EXTRA-LONG FLEXIBLE FABRIC STR 10.13 20.26
1 FA62201 NON-ST GAUZE ROLL 4"X 5 YD 2.65 2.65
1 FA62301 ELASTIC WOVEN TAPE 1"X 5 YD 5.96 5.96
1 FA63101 MEDI-RIP 3"X 5 YD 7.58 7.58
1 FA7021 M ICE PACK LARGE 2.51 2.51
1 FA71069 EYE CUPS 6NIAL 4.05 4.05
8 FA76512 SPLINTER-OUT 10/BOX 50 BX/CS 4.51 36.08
3 FA89701 HEP-AID/BODILY FLUID KIT PLAST 28.36 85.08
5 FA92817 LIQUID SKIN, 100%WATERPROOF B 3.04 15.20
1 FA93373 HYDROCORTISONE CREAM 1%25/BOX 7.30 7.30
1 FA93473 TRIPLE ANTIBIOTIC OINTMENT 25/ 8.72 8.72
CARMEL WATER UTILITIES: 48 Units 319.17
Amount Tendered 0.00
Sales Amount 319.17
Sales Tax 0.00
c On Acct 319.17
Total 319.17