HomeMy WebLinkAbout332637 11/21/18 (� "'�F. CITY OF CARMEL, INDIANA VENDOR: 361470
® ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*****1,258.70*
''' �'a 305 LAKE ROAD CHECK NUMBER: 332637
9� jr, CARMEL, INDIANA 46032 MEDINAOH 44256 CHECK DATE: 11/21/18
��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
900 4359005 102009 000354246 1,258.70 CAR SEATS BOOSTERS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHILD SOURCE IN SUM OF$ CITY OF CARMEL
305 LAKE ROAD An invoice or bill to be property 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
$1,258.70
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
102009 000354246 43-590.05 $1,258.70 1 hereby certify that the attached invoice(s),or 10/29/18 000354246 car seats $1,258.70
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, November 16,2018
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: 0000354246
REMITTANCE ADDRESS: Invoice Date: 10/29/2018
WESTERN RESERVE DISTRIBUTING,INC.
dba MERCURY DISTRIBUTING or CHILD SOURCE 11/28/2018
305 LAKE RD Invoice Due Date:
MEDINA,OH 44256 Customer: CARMPD
Tax ID#82-0563593 Sales Order: 0000183748
Sold To Ship To
CARMEL POLICE DEPARTMENT,CITY TRINITY CLINIC
3 CIVIC SQUARE 1045 W 146TH ST-STE B
ATTN: ANN GALLAGHER ATTN:ANN GALLAGHER
CARMEL,IN 46032-2584 USA Carmel,IN 46032 USA
– —_—Customer P O _._ :T - Shi :ia- w =_- E,O:B w -
102009 FEDEX GRND 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 4 $ 57.7500 $ 231.00
3102198 MAESTRO 50 COMBINATION BOOSTER SEAT 6 $ 58.3000 $ 349.80
(20-100lbs)
3431198 Chase No Harness 40-110 lbs Booster Seat,FSM 2 2 $ 26.9500 $ 53.90
pack
LASTITEM ---------------------------------------------------------------------------------
Tracking Numbers: 783477720237, 783477720524, 783477721336, 783477721520, 783477721884, 783477722928, 7834777;
Subtotal 1,102.70
Freight 156.00
Sales Tax 0.00
Discount 0.00
PLEASE NOTE NEW REMITTANCE Payment/CreditAmount 0.00
ADDRESS ABOVE Balance Due 1,258.70