HomeMy WebLinkAbout182919 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS, INC
CARMEL, INDIANA 46032 39 PLYMOUTH STREET CHECK AMOUNT: $83.76
FAIRFIELD NJ 07004 CHECK NUMBER: 182919
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4239012 28355 83.76 SAFETY SUPPLIES
i Y Invo
V
39 Plymouth Street Date Invoice
CF`airf IQNJ- 07004
E$ 2/5/201.05 r- 28355
Phone: (973)244-9111 Fax: (973)244 -1666 A
Bill To Ship To
Carmel Clay Parks Recreation Monon Center
Administrative Offices Attn: Michelle Compton
1411 E. 1 16th Street 1235 Central Park Dr E
Cannel IN 46032 Carmel, IN 46032.
P.O. Number Terms Rep Entered On Ship Via F.O.B. Project
C__ 2311 ;32. 1 Net 30 MD 2/5/2010 UPS origin
Quantity Item Code Description Price Each Amount
1 209 -039 FAC -3 Empty Metal 3 Shelf Cabinet 39.95 39.95
2 220 -205 Adhesive Woven Bandages -1 "x 3" -100 /box 5.80 11.60
1 220 -220 Knuckle Woven Bandage 50 /box 5.80 5.80
1 22.0 -213 Woven Fingertip Bandage Medium -50 /box 5.80 5.80
2 CT4056 Triangular Bandage (w /pins) 40X40x56 0.65 1.30
1 D3562ea I in Cloth Tape I roll 1.00 1.00
1 032 -365 Conforming Bandage Sterile 2 "x 4.1 Yd 1 1 pkg 0.55 0.55
1 D3353 Gauze Sterile 3 X 3 12 Ply -100 bx 4.65 4.65
1 D3501 Gauze Combine ABD Pad 5" x 9" 0.35 0.35
1 221 -039 Antiseptic Wipes 50 /box 3.80 3.80
1 233 -375 Burn Cream 25 /bx 4.75 4.75
1 233 -358 Certi -Sporyn Antibiotic Cream 25 /bx 4.00 4.00
1 242 -013 Tweezers First Aid Kit 0.88 0.88
1 237 -010 Scissors Bandage, 4" Red Handle 0.89 0.89
1 901030 Nitrile Powder Free Exam Glove -LG 100 /bx 7.75 7.75
Subtotal 93.07
nrcc- '.0.034:0 93.1
1 ZY527Y 10348041612
Purchase
Description rI Y o Al cJ l -M o
P.O. 1 P o nO
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UN B ud
300 i oo a 9r�
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Purchaser Date
Approv Date
Thank you for your business. Inquiries (973) 244-9111
Total
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Purchase Order No.
362944 LifeSavers, Inc. Terms
39 Plymouth. Street
Fairfield, NJ 07004
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
215110 28355 First aid supplies MC 23132 83.76
Total 83.76
1 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.
362944 LifeSavers, Inc. Allowed 20
39 Plymouth Street
Fairfield, NJ 07004
In Sum of
83.76
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
INVOICE NO. 4CCT #/TlTLE AMOUNT
Dept
1091 28355 4239012 83.76 1 hereby certify that the attached invoice(s), or
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
25 -Feb 2010
l
Signature
83.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund