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184376 04/14/2010
CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1 ONE CIVIC SQUARE LIFESAVERS, INC CARMEL, INDIANA 46032 39 PLYMOUTH STREET CHECK AMOUNT: $444.31 FAIRFIELD NJ 07004 CHECK NUMBER: 184376 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4239012 28808 395.57 SAFETY SUPPLIES 1091 4239012 28992 48.74 SAFETY SUPPLIES Invoice 39 Plymouth Street Date Invoice Fairfield NJ 07004 3/4/2010 28808 Phone: (973)244-9111 Fax: (973)244-1666 Bill To Ship To Carmel Clay Parks Recreation Monon Center Administrative Offices Attn Audrey 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 23170 Net 30 MD 3/4/2010 UPS origin Quantity Item Code Description Price Each Amount IZY527YI0347728178 1 ZY527Y 1 0348927586 1 ZY527Y 1 0346348198 1 ZY527Y 10346974001 I ZY527Y 10348669016 I ZY527Y 10346777224 MAR .2 2 2010 j BY:.......... Purchase P.O. G.L.0 Line Pun hasty Thank you for your business. Inquiries (973) 244 -91 1 I Total $395.57 Page 3 LIFES Invoice 39 Plymouth Street Date Invoice Fairfield NJ 07004 3/4/2010 28808 P hone: (973)244-9111 fax: (973)244 -1666 Bill To Ship To Carmel Clay Parks Recreation Monon Center Administrative Offices Attn Audrey 1411 E. 1 16th Street 1235 Central Park Dr. E' �y Carmel TN 46032 Carmel, IN 46032 1 III PEAR 2 �l BY:... P.O. Number Terms Rep Entered On Ship Via F.O.B. Project 23170 Net 30 MD 3/4/2010 UPS origin Quantity Item Code Description Price Each Amount East Desk l 221 -039 Antiseptic Wipes 50/box 3.80 3.80 5 JF80104 Cold Pack Reuseable Gel 6x9 3.25 16.25 2 216 -002 Ice Pack Certi -Cool JR Bulk 25 /case 15.50 31.00 1 220 -014 Adhesive Vinyl Bandages Jr. XL -100 /box 330 3.30 1 73 -404 CPR Micromask Black Pouch 10.75 10.75 5 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 3.25 1 D3354 Gauze Pad Sterile 4X4 I'S 100 /Bx 8.65 8.65 1 D3242 Gauze 4x4 8ply non sterile 200/bag 2.50 2.50 0 280 -020 Cold Spray 4oz Can 4.50 0.00 4 Glue Glucose Tablets 6 /box 1.99 7.96 1 216- 036 #791X Rescue Blanket Disposable I/ unit 3.60 3.60 Subtotal 91.06 West Desk 1 221 -039 Antiseptic Wipes 50 /box 3.80 3.80 1 213 -021 Insect Sting Wipes 25 /box 4.00 4.00 5 JF80104 Cold Pack Reuseable Gel 6x9 3.25 16.25 5 234 -005 Ice Pack- Certi Cool Large Bulk 25 etn 18.75 93.75 1 220 -205 Adhesive Woven Bandages I "x 3 100/box 5.80 5.80 1 220 -020 Adhesive Vinyl Bandages X Large 2 "x3" 25/box 8.40 8.40 1 220 -014 Adhesive Vinyl Bandages Jr. XL 100/box 3.30 3.30 1 220 -253 Adhesive Bandage Woven Extra -Large 2 x 3 50 /box 10.40 10.40 5 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 3.25 1 D3354 Gauze Pad Sterile 4X4 I'S 100 /Bx 8.65 8.65 2 D3114 Gauze Stretch Roll Sterile 4" 12 /bag 5.95 11.90 3 D3242 Gauze 4x4 8ply non sterile 200 /bag 2.50 7.50 0 280 -020 Cold Spray 4oz Can 4.50 0.00 3 D3562ea I in Cloth Tape I roll 1.00 3.00 1 242 -006 Tweezers Slant End 1.10 1.10 Thank you for your business. Inquiries (973) 244 -91 1 1 Total Pagel 1�IFES INC Invoice 39 Plymouth Street Date Invoice Fairfield NJ 07004 3/4/2010 28808 Phone: (973)244-9111 Fax: (973)244-1666 Bill To Ship To Carmel Clay Parks Recreation Monon Center Administrative Offices Attn Audrey 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 23170 Net 30 MD 3/4/2010 UPS origin Quantity Item Code Description Price Each Amount 2 Gluc Glucose Tablets 6 /box 1.99 3.98 2 216 -036 #791X Rescue Blanket Disposable I/ unit 3.60 7.20 0 21027 Safety Vest 821 OHL Econo Lime ANSI 2 *Specify 13.25 0.00 Size Subtotal 192.28 Fitness Desk 1 221 -039 Antiseptic Wipes 50 /box 3.80 3.80 3 234 -005 Ice Pack- Certi Cool Large Bulk 25 ctn 18.75 56.25 0 JF80104 Cold Pack Reuseable Gel 6x9 3.25 0.00 1 220 -018 Certi -Strip X -Lg 2 "x3" Vinyl 50 /box 8.40 8.40 1 220 -014 Adhesive Vinyl Bandages Jr. XL -100 /box 3.30 3.30 10 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 6.50 1 D3354 Gauze Pad Sterile 4X4 1'S 100 /Bx 8.65 8.65 1 D3114 Gauze Stretch Roll Sterile 4" 12 /bag 5.95 5.95 1 D3242 Gauze 4x4 8ply non sterile 200 /bag 2.50 2.50 0 280 -020 Cold Spray 4oz Can 4.50 0.00 3 D3562ea 1 in Cloth Tape I roll 1.00 3.00 1 PS2089 Gloves Nitrile Blue Xtra large 90 /BX 8.50 8.50 1 242 -006 Tweezers Slant End 1.10 1.10 1 237 -009 Scissors First Aid Kit 4 1/2 0.68 0.68 1 216 -036 #791 X Rescue Blanket Disposable 1/ unit 3.60 3.60 Subtotal 1 12.23 0 MISC Juice Boxes 8 Pack (I Grape, 1 Apple) 3.19 0.00 Subtotal for complete order 0.00 DISC 10.00% 0.00 Uddated 2/10/10 Thank you for your business. Inquiries (973) 244-9111 Total Page 2 Purchase Description 1✓t�st Al SU Invoice G.L.# 1091 423gOi2 3' Plymouth Street Budges Date Invoice Fairfield NJ 07004 Line Descx S Ely SUPP�� �S 3/12/201'0 28992 Phone: (973)244-9111 Fax: (973)244-1666 Purchaser Date Approval Date Bill To Ship To Carmel Clay Parks Recreation q�� Motion Center Administrative Offices g W Attn Audrey 1411 E. 1 16th Street N 1235 Central Park Dr. E. Carmel IN 46032 WEAR 3 0 2010 Carmel, IN 46032 ffi�8 P.O. Number Terms Rep Entered On Ship Via F.O.B. Project 23170 Net 30 MD 3/12/2010 UPS origin Quantity Item Code Description Price Each Amount 0 Gluc Glucose Tablets 6 /box 1.99 0.00 0 216 -036 #791X Rescue Blanket Disposable 1/ unit 3.60 0.00 1 21027 Safety Vest 8210HL Econo Lime ANSI 2 *Specify 13.25 13.25 Size Subtotal 17.75 Fitness Desk 0 221 -039 Antiseptic Wipes 50 /box 3.80 0.00 0 234 -005 Ice Pack- Certi Cool Large Bulk 25 ctn 18.75 0.00 5 JF80104 Cold Pack Reuseable Gel 6x9 3.25 16.25 0 220 -018 Certi -Strip X -Lg 2 "x3" Vinyl 50 /box 8.40 0.00 0 220 -014 Adhesive Vinyl Bandages Jr. XL -100 /box 3.30 0.00 0 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 0.00 0 D3354 Gauze Pad Sterile 4X4 I'S 100 /Bx 8.65 0.00 0 D3114 Gauze Stretch Roll Sterile 4" 12 /bag 5.95 0.00 0 D3242 Gauze 4x4 8ply non- sterile 200 /bag 2.50 0.00 1 280 -020 Cold Spray 4oz Can 4.50 4.50 0 D3562ea 1 in Cloth Tape 1 roll 1.00 0.00 0 PS2089 Gloves Nitrile Blue Xtra large 90 /BX 8.50 0.00 0 242 -006 Tweezers Slant End 1.10 0.00 0 237 -009 Scissors First Aid Kit 4 1/2 0.68 0.00 0 216 -036 #791X Rescue Blanket Disposable 1/ unit 3.60 0.00 Subtotal 20.75 2 MISC Juice Boxes 8 Pack (I Grape, I Apple) 3.19 6.38 Subtotal for complete order 6.38 DISC 10.00% -0.64 Uddated 2/10/10 Thank you for your business. Inquiries (973) 244-9111 Total Page 2 LWES CIE IN C. Invoice 39 Plymouth Street Date Invoice Fairfield NJ 07004 3/12/2010 28992 Phone: (973)244-9111 Fax: (973)244-1666 Bill To Ship To Carmel Clay Parks Recreation Monon Center Administrative Offices I WAR Attn Audrey 141 1 E. 1 16th Street 1235 Central Park Dr. E. Carmel IN 46032 3 0 2010 Carmel, IN 46032 BY: P.O. Number Terms Rep Entered On Ship Via F.O.B. Project 23170 Net 30 MD 3/12/2010 UPS origin Quantity Item Code Description Price Each Amount East Desk 0 221 -039 Antiseptic Wipes 50 /box 3.80 0.00 0 JF80104 Cold Pack Reuseable Gel 6x9 3.25 0.00 0 216 -002 Ice Pack Certi -Cool JR Bulk 25 /case 15.50 0.00 0 220 -014 Adhesive Vinyl Bandages Jr. XL -100 /box 3.30 0.00 0 73 -404 CPR Micromask Black Pouch 10.75 0.00 0 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 0.00 0 D3354 Gauze Pad Sterile 4X4 1'S 100 /Bx 8.65 0.00 0 D3242 Gauze 4x4 8ply non- sterile 200 /bag 2.50 0.00 1 280 -020 Cold Spray 4oz Can 4.50 4.50 0 Gluc Glucose Tablets 6 /box 1.99 0.00 0 216 -036 #791X Rescue Blanket Disposable 1/ unit 3.60 0.00 Subtotal 4.50 West Desk 0 221 -039 Antiseptic Wipes 50 /box 3.80 0.00 0 213 -021 Insect Sting Wipes 25 /box 4.00 0.00 0 JF80104 Cold Pack Reuseable Gel 6x9 3.25 0.00 0 234 -005 Ice Pack- Certi Cool Large Bulk 25 ctn 18.75 0.00 0 220 -205 Adhesive Woven Bandages -1 "x 3" -100 /box 5.80 0.00 0 220 -020 Adhesive Vinyl Bandages X Large 2 "0" -25 /box 8.40 0.00 0 220 -014 Adhesive Vinyl Bandages Jr. XL -100 /box 3.30 0.00 0 220 -253 Adhesive Bandage Woven Extra -Large 2 x 3 50 /box 10.40 0.00 0 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 0.00 0 D3354 Gauze Pad Sterile 4X4 I'S 100 /Bx 8.65 0.00 0 D3114 Gauze Stretch Roll Sterile 4" 12 /bag 5.95 0.00 0 D3242 Gauze 4x4 8ply non- sterile 200/bag 2.50 0.00 1 280 -020 Cold Spray 4oz Can 4.50 4.50 0 D3562ea 1 in Cloth Tape I roll 1.00 0.00 0 242 -006 Tweezers Slant End 1.10 0.00 Thank you for your business. Inquiries (973) 244-9111 Total Page 1 a.��. ■■..�.+�wl� eQ. m.n r.. i i ,n 741 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 3/4/10 28808 First aid supplies 23170 395.57 3/12/10 28992 First aid supplies 23170 48.74 Total 444.31 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 444.31 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1091 28808 4239012 395.57 1 hereby certify that the attached invoice(s), or 1091 28992 4239012 48.74 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 8 -Apr 2010 Signature 444.31 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund