334022 01/04/19 y u�C^q�
/ ��� CITY OF CARMEL, INDIANA VENDOR: 361470
ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $*****1,005.50*
:`. CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 334022
9M��TON�o r MEDINA OH 44256 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
900 4359005 357297 1,.005.50 CAR SEAT GRANT FOR CP
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 361470 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHILD SOURCE IN SUM OF$ 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
$1,005.50
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
357297 43-590.05 $1,005.50 1 hereby certify that the attached invoice(s),or 1/1/19 357297 car seats $1,005.50
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
Thursday,January 3,2019
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
DISTRI8UTING
305 Lake Road,Medina;OH 44256
Ph:330:723.4739 Fax:330.721.6799 Invoice Number: 0000357297
REMITTANCE ADDRESS:
WESTERN RESERVE DISTRIBUTING,INC. Invoice Date: 12/26/2018
dba MERCURY DISTRIBUTING or CHILD SOURCE
305 LAKE RD Invoice Due Date: 1/25/2019
MEDINA,OH 44256
Customer: CARMPD
i.
Tax ID#82-0563593
a es Order 0000185283
I 'Til
CARMEL POLICE DEPARTMENT,CITY TRINITY CLINIC
CIVIC SQUARE 1045 W. 146TH ST=SUITE B
ATTN: ANN GALLAGHER -
ANN GALLAGHER
CARMEL,IN 46032-2584 USA Carmel,IN 46032 USA
i
i
i
Customer P O - a_,
Shtp:Via -T
w-�.. ,.. ._
cannel police FEDEX GRND ORIGIN Net 30 Days
a._ Description•' PP_ _ _
; Amount, !
IC261CHZ OnBoard 35(4,35 lbs)with adjustable base and up ^u 6 S. 78.0000 s� S 468.00
6bnt adjust
3472198 SONUS CONVERTIBLE SEAT 2PK2
57.7500 1 S 1.15..50
3162 MAESTRO 50 COMBINATION BOOSTER SEAT 2 S 58.3000 $ 116:60
(20-100lbs)
343.1198 Chase No Harness 40=11.016s Booster Seat,FSM 2 I 4 ( $ 26:9500 $ ]07:80
pack
93-299FSM BACKLESS SHIELDLESS BOOSTER(4 PER 4 $ 14.9006 S 59:60
` PACK)
•---------•------------------- LASTITEM
------------------------f....................... --------•-•------- ----••-•--
Il
I
Tracking Numbers: 784644377474,784644377706, 784644377853, 784644377901, 78464.4378036, 784644378117, 7846443,
Subtotal 867.50
Freight 138.00
Sales Tax 0.00
Discount 0.00
PLEASE NO�TENEW»REMIT�TANCYE Payment/CreditAmount 0.00
ADDRESS �►BOVE "'' *f'@s'z " s
.. .; F.7 ,�._� _:Balance Due
1.005.50