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HomeMy WebLinkAbout333127 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 372923 ONE CIVIC SQUARE LION FIRST RESPONDER PPE INC CHECK AMOUNT: $*****2,270.00* 9� a CARMEL, INDIANA 46032 7200 POE AVE CHECK NUMBER: 333127 SUITE 400 CHECK DATE: 12/11/18 DAYTON OH 45414 DEPARTMENT ACCOUNT PO NUMBER ' INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239011 102089 30143999 2,270.00 LIQUID SMOKE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 372923 LION FIRST RESPONDER PPE INC IN SUM OF$ CITY OF CARMEL 7200 POE AVE J An invoice or bill to be properly itemized must show:kind of service,where performed,dates service SUITE 400 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. DAYTON, OH 45414 Payee $2,270.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 102089 30143999 42-390.11 $2,270.00 1 hereby certify that the attached invoice(s),or 11/29/18 30143999 Liquid Smoke $2,270.00 1120 101 1120 101 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 Monday, December 3,2018 David Haboush Fire 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 1 of 1 Remit To: LION Invoice L-3505 COLUMBUS OH 43260 Phone: (800)548-6614 Billed To: Shipped To: 279734 279734 CARMEL FIRE DEPARTMENT CARMEL FIRE DEPT HEADQUARTERS 2 CIVIC SQUARE 2 CIVIC SQUARE Carmel IN 46032 Carmel IN 46032 TERMS Invoice Number 30143999 INVOICE DATE 30 NET 19-DEC-18 11/19/2018 CUSTOMER NO. CUSTOMER ORDER NO. ORDER NO. SHIP VIA SHIP DATE 279734 __ -102089 400586 - — - - - - --- -- - --- 11/19/2018 No Lot Number Item Description Qty Qty Qty Unit Price Amount Ordered Shipped Back Ord 1 SL050G Smoke Liquid(50 Gallon Drum) 1 1 0.00 0.00 2 SL050G Smoke Liquid(50 Gallon Drum) 1 1 1,995.00 1,995.00 WE DO NOT ALLOW DEDUCTIONS FOR ALTERATIONS.NO RETURNS ACCEPTED WITHOUT OUR PERMISSION. We hereby certify that these goods were produced in compliance with all applicable requirements of Section 6,7 and 12 of the Fair Labor Standards Act of 1938,as amended and all regulations and orders of the Gross Sale 1,995.00 Administrator of the Wage and Hour Division issued under Section 14 thereof. AFTER 90 DAYS FROM INVOICE DATE,LION WILL NOT BE RESPONSIBLE TO SHOW PROOF OF DELIVERY. Sales Tax 0.00 Freight Handling Chg. 275.00 Amount Due USD 2,270.00