HomeMy WebLinkAbout183362 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of I
0 ONE CIVIC SQUARE LIFESAVERS, INC CHECK AMOUNT: $1,080.18
CARMEL, INDIANA 46032 39 PLYMOUTH STREET
FAIRFIELD NJ 07004
CHECK NUMBER: 783362
CHECK DATE: 3/1612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 28570 1,080.18 SAFETY SUPPLIES
IJ Invoice
4
39 Plymouth Street Date Invoice
Fairfield NJ 07004
2/18/2010 28570
Phone: (973)244-9111 Fax: (973)244-1666
Bill To Ship To
Carmel Clay Parks Recreation Monon Center
Administrative Offices Carrie Keaveney.
141 1 E. 116th Street 1235 Central Park Dr. E.
Carmel IN 46032 Cannel, IN 46032
P.Q. Number Terms Rep Entered On Ship Via F.O.B. Project
23135 Net 30 MD 2/18/2010 UPS origin
Quantity Item Code Description Price Each Amount
Drink Mix, Sugar Free Powder, Fruit Punch Flavor, Yield
20 Oz, Provides Prevention Of Heat Stress And Fatigue
Through Proper Electrolyte Replacement, Promotes Body
Rehydration By Aiding In Fluid Absorption, 0.1 l Ounces,
Flavors: Fruit Punch, Grape, Lemonade, Berry
Subtotal 1,200.20
DISC 10.00 120.02
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1 ZY527Y 10346339055
1ZY527Y10346900063
I ZY527Y 10346994276
1ZY527Y10348445687
IZY527YI0348758296
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Purchaser Date
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Approval Date
Quote Valid for 90 Days
Tota c$1;080. 18
Page 2
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Invoice
39 Plymouth Street Date Invoice
Fairfield NJ 07004 f 0 11 J 2/18 /2010 28570
Phone: (973)244-9111 Fax: (973)244-1666
Bill To Ship To
Carmel Clay Parks Recreation Monon Center
Administrative Offices Carrie Keaveney.
1411 E. 1 16th Street 1235 Central Park Dr. E.
Carmel IN 46032 Carmel, IN 46032
P.O. Number Terms Rep Entered On Ship Via F.O.B. Project
23135 Net 30 MD 2/18/2010 UPS origin
Quantity Item Code Description Price Each Amount
Aquatics 2010
2 TGt712 Blanket Cotton Thermal 66 "x96" Blue 19.95 39.90
10 216 -036 #791 X Rescue Blanket Disposable I/ unit 3.60 36.00
3 J57 -17 EMT Scissor 7.25" RED 4.35 13.05
10 237 -010 Scissors Bandage, 4" Red Handle *Small scissors to 0.89 8.90
put in first aid kits
10 242 -006 Tweezers Slant End 1.10 11.00
5 220 -205 Adhesive Woven Bandages -1 "x 3" -100 /box 5.80 29.00
5 220 -253 Adhesive Bandage Woven Extra -Large 10.40 52.00
2 x 3 50 /box
3 D3354 Gauze Pad Sterile 4X4 FS 100 /Bx *4x4 Larger size 8.65 25.95
gauze
50 D3501 Gauze Combine ABD Pad 5" x 9" *Large Gauze Pad for 0.35 17.50
high absorbency
10 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 6.50
2 D3562 Tape Cloth I" 12bx 10.75 21.50
10 D3563Pw tin Cloth Tare- l Roll 1.80 18.00
50 508 -016 Eye Wash 5oz Breakaway Top 2.50 125.00
8 234 -005 lee Pack- Certi Cool Large Bulk 25 ctn 18.75 150.00
8 216002 Ice Pack Certi -Cool J R Bulk 25 /case 15.50 124.00
6 PS2087 Gloves Nitrile Blue Medium 100 /bx 8.50 51.00
6 PS2088 Glove Nitriles Blue Large 100 /bx 8.50 51.00
6 PS2089 Gloves Nitrile Blue Xtra large 90 /BX 8.50 51.00
5 221 -027 Antiseptic BZK Towelettes IOWbx 7.10 35.50
10 213 -013 Insect Sting Wipe -Ups 100 /box Same medication on a 13.20 132.00
moist pads, not a breakable ampoule)
5 233 -360 Certicporyn Triple Antibiotic Ointment 100 /box 13.70 68.50
5 233 -376 Burn Cream 100 /box 12.60 63.00
2 MISC Sqwincher Quick Packs for 20oz water bottles 50 /pack 34.95 69.90
Quote Valid for 90 Days
Total
Page 1
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
2!18110 28570 First aid supplies MC 23135 1,080.18
Total 1,080.18
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.
3.52944 LifeSavers, Inc. Allowed 20
39 Plymouth Street
Fairfield, NJ 07004
In Sum of
1,080.18
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
1094 28570 4239012 1,080.18 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
11 -Mar 2010
LLZW—���
Signature
1,080.18 Accounts Payable Coordinator
Cost distribution ledger classification if Titie
claim paid motor vehicle highway fund
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