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