HomeMy WebLinkAbout331144 10/17/18 { CITY OF CARMEL, INDIANA VENDOR: 361470
® ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*****1,319.90*
r =� CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 331 144
tM,�TaN�°` MEDINA OH 44256 CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 101967 0000352348 591.70 CAR SEATS AND BOOSTER
900 4359005 101968 0000352443 728.20 CAR SEATS AND BOOSTER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHILD SOURCE IN SUM OF$ 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
$591.70
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
101967 0000352348 50-239.90 $591.70 1 hereby certify that the attached invoice(s),or 9/28/18 0000352348 car seats $591.70
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
Friday, October 12,2018
ac,,, VSs,
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 Inv®ice
DISTRIBUTING
305 Lake Road,Medina,OH 44256
Ph:330.723.4739 Fax:330.721.6799 Invoice Number: 0000352348
REMITTANCE ADDRESS: Invoice Date: 9/28/2018
WESTERN RESERVE DISTRIBUTING,INC.
dba MERCURY DISTRIBUTING or CHILD SOURCE 10/28/2018
305 LAKE RD Invoice Due Date:
MEDINA,OH 44256 Customer: CARMPD
Tax ID#82-0563593 Sales Order: 0000183155
.,Sold To: ` ,.-; '"`�-.�."�"- �,—F_-••-..-r� � .-:Slop To ,o � - � �` - �---i
CARMEL POLICE DEPARTMENT,CITY CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE 3 CIVIC SQUARE
ATTN: ANN GALLAGHER Carmel,IN 46032 USA'
CARMEL,IN 46032-2584 USA
�:_�r =Custom:P O f ��r �: t �:°� -'Shin Vsa"� 4��'_f_:� FOB - ,. ,� —Terms �� �:•�
101967 FEDEX GRND ORIGIN Net 30 Days
' Item;: _ Description. ty Shipped _ _Umt Price_—A ount
IC201 CHZ OnBoard 35(4-35 lbs)with adjustable base and up 2 $ 78.0000 $ 156.00
front adjust
3472198 SONUS CONVERTIBLE SEAT 2PK 2 $ 57.7500 $ 115.50
3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 4 $ 58.3000 $ 233.20
(20-100lbs)
--------------------------------------------------------------------------------- LAST ITEM ---------------------------------------------------------------------------------
Tracking Numbers: 782989297408, 782989297669, 782989298047, 782989298389, 782989298919
Subtotal 504.70
Freight 87.00
Sales Tax 0.00
Discount 0.00
PLEASE NOTE NEW REMITTANCE Payment/CreditAmount 0.00
ADDRESSABOVE� s :_ Balance_� iie 591.70
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
$728.20
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
101968 0000352443 43-590.05 $728.20 1 hereby certify that the attached invoice(s),or 10/1/18 0000352443 car seats $728.20
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
Friday, October 12,2018
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
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MERCURY Invoice
DISTRIBUTING
305 Lake Road,Medina,OH 44256
Ph:330.723.4739 Fax:330.721.6799 Invoice Number: 0000352443
REMITTANCE ADDRESS: Invoice Date: 10/1/2018
WESTERN RESERVE DISTRIBUTING,INC.
dba MERCURY DISTRIBUTING or CHILD SOURCE 10/31/2018
305 LAKE RD Invoice Due Date:
MEDINA,OH 44256 Customer: CARMPD
Tax ID#82-0563593 Sales Order: 0000183156
Sold To Ship To
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
_r _Customer-P:O-.-— • --Ship Via -- ;- -=F:O.B—- _ :A aT ,; Terans- --. -- --—
101968 FEDEX GRND ORIGIN Net 30 Days
i Item Description __ Qty Ship ed Unit Price Amount
IC201CHZ OnBoard 35 (4-35 lbs)with adjustable base and up 2 $ 78.0000 $ 156.00
front adjust
3472198 SONUS CONVERTIBLE SEAT 2PK 4 $ 57.7500 $ 231.00
3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 4 $ 58.3000 $ 233.20
(20-100lbs)
LASTITEM ---------------------------------------------------------------------------------
Tracking Numbers: 783015812092, 783015812519, 783015813099, 783015813423, 783015813504, 783015813949
Subtotal 620.20
Freight 108.00
Sales Tax 0.00
Discount 0.00
PLEASE NOTE NEW REMITTANCE Payment/CreditAmount 0.00
ADDRESS ABOVE. LL Balance Due 728.20