HomeMy WebLinkAbout182101 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 362351 Page 1 of 1
1 .iti ONE CIVIC SQUARE SUNSHINE MEDICAL
CARMEL, INDIANA 46032 31575 GLENDALE CHECK AMOUNT: $170.00
c lv LIVONIAMI 48150 CHECK NUMBER: 182101
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 88950 170.00 SAFETY SUPPLIES
re
Sunshine Medical Supply, Inc. Invoice
31575 Glendale St.
Livonia, MI 48150
Date Invoice
734 293 -7500 fax 734 -293 -7505 1 /14 /2010 88950
www. sunshinemedicalsupply. net
Bill To Ship To
Carmel Police Dept Carmel Police Dept
3 Civic Square 3 Civic Square
Carmel, Indiana 46032 Carmel, IN 46032
ATTN: Robert Robinson
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 15 KMG 1/14/2010
Quantity Item Code Description Price Each Amount
10 SUPRENO EC -L SUPRENO EC NITRILE POWDER FREE 8.50 85.00T
EXAM GLOVE BY MICROFLEX
50BX -10 BX /CS SIZE L
EXTENDED CUFF, POLYMER COATED
10 SUPRENO- EC -XL... SUPRENO EC NITRILE POWDER FREE 8.50 85.00T
GLOVES BY MICROFLEX
50BX -10 BX /CS SIZE XL
EXTENDED CUFF, POLYMER COATED
Out -of -state sale, exempt from sales tax 0.00% 0.00
Thank you for your business.
Tota I $170.00
P gibed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Sunshine Medical Supply, Inc.
Purchase Order No.
31575 Glendale Street Terms
Livonia, MI 48150 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/4/10 88950:i payment for latex gloves 170.00
Total
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
Clerk- Treasurer
VOUCHER NO. ._WARRANT NO.
ALLOWED 20
Sunshine Medical Supply, nc. IN SUM OF
31575 Glendale Street
Livonia, MI 48150
170.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
D PT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 88950 390 -12 170.00 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
January 27 20 10
_____4itikeLe-e D -41
Signature i
Chief of Pnlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund