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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