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185336 05/11/2010
CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1 ONE CIVIC SQUARE LIFESAVERS, INC CARMEL, INDIANA 46032 39 PLYMOUTH STREET CHECK AMOUNT: $824.03 s 'ti l FAIRFIELD NJ 07004 CHECK NUMBER: 185336 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 29707 824.03 GENERAL PROGRAM SUPPL Invoice 3 Plyn �outlFStreet Date Invoice Fairfield NJ 07004) C 4/21/2010 29� 707 Phone: (973)244-9111 Fax: (973)244-1666 Bill To Ship To Carmel Clay Parks Recreation Carmel Clay Parks Recreation Administrative Offices 1235 Central Park Dr E. 1411 E. 1 16th Street Carmel, IN 46032 Carmel IN 46032 P.O. Number Terms Rep Entered On Ship Via F -0:°: 23411 Net 30 MD 4/21/2010 UPS origin Quantity Item Code Description Price Each Amount 4 SN5 N95 Mask (DM -1810) 20 /bx 17.95 71.80 4 221 -035 Peroxide, Hydrogen 3oz, Non- Aerosol Spray 3.60 14.40 Subtotal 222.32 GL- Crystal Ethridge 0 231 -208 Gauze Pads 4x4 IObx 2.00 0.00 10 242 -007 #212NU Splinter Remover 2 pkg 0.79 7.90 3 D3663 Elastic Bandage 3" 1.30 3.90 2 D3662 Dynarex Elastic Bandage 2" 1.00 2.00 1 216 -002 Ice Pack Certi -Cool JR Bulk 25 /case 15.50 15.50 5 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 3.25 5 242 -013 Tweezers Metal Slant End 3.5" 0.88 4.40 0 237 -016 Scissors Bandage 5 1 /2" Stainless Steel 149 0.00 Subtotal 36.95 Subtotal for entire order 915.59 DISC Special Discount 10.00% -91.56 1 ZY527Y 10346130654 Purchase I- I (AID S u Ppu Description ra IDS) qv. 6-1 G.E.# '&FLIT MAY 2Q10 t+ 1 H 1,75 Bud Line D escr Purchaser Date 7 19 3 Approval Date 9 U 1 .g 3 Thank you for your business. Inquiries (973) 244 -91 1 1 Total C: :1 Page 4 L1FE5 N Invoice 39 Plymouth Street 9 1d .9 Date Invoice Fairfield NJ 07004 MY a 4 201{ 4/21/2010 29707 Phone: (973)244-9111 Fax: (973)244-1666 Bill To Ship To Carmel Clay Parks Recreation Cannel Clay Parks Recreation Administrative Offices 1235 Central Park Dr E. 1411 E. 116th Street Cannel, IN 46032 Carmel IN 46032 P.O. Number Terms Rep Entered On Ship Via F.O.B. Project 23411 Net 30 MD 4/21/2010 UPS origin Quantity Item Code Description Price Each Amount GL- 4239012 Jessica Davis 1 220 -220 Knuckle Woven Bandage 50 /box 5.80 5.80 1 220 -253 Adhesive Bandage Woven Extra -Large 9.80 9.80 2 x 3 50 /box 1 221 -039 Antiseptic Wipes 50 /box 4.00 4.00 1 233 -361 Certicpoiyn Triple Antibiotic Ointment Igin -50 /box 7.70 7.70 4 PS2088 Glove Nitriles Blue Large 100 /bx 8.50 34.00 2 237 -016 Scissors Bandage 5 1/2" Stainless Steel 2.49 4.98 2 242 -013 Tweezers Metal Slant End 3.5" 0.88 1.76 l 216 -036 9791X Rescue Blanket Disposable I/ unit 3.60 3.60 5 216 -025 #794 Hydrocortisone Cream 1 gm. 6 /unit 1.78 8.90 0 229 -048 #665 Certi -Tears eye drops .02oz 5.pkg 3.70 0.00 3 231 -208 Gauze Pads 4x4 IObx 100 6.00 1 231 -211 Gauze Pads 3" x 3" 25 /box 3.10 3.10 Subtotal 89.64 GL- 1081 -6- 4239012 Jennifer Holder 4 237 -016 Scissors Bandage 5 I:/2" Stainless Steel __-2,49- 2 -49• 9:96 1 220 -103 Adhesive Vinyl Bandages I "x 3 I00 /box 4.10 4.10 1 220 -020 Adhesive Vinyl Bandages X Large 2 "x3" -25 /box 4.60 4.60 1 PS2088 G love Nitri les B lue Large 100 /bx 8.50 8.50 2 220 -128 Fingertip Bandage Small Woven 50 /bx 6.00 12.00 9 231 -400 Trauma Dressing XL -TD Xtra Large Multi Function 3.70 33.30 1 233 -361 Certicporyn Triple Antibiotic Ointment- I gm -50 /box 7.70 -7.70 4 242 -013 Tweezers Metal Slant End 3.5" 0.88 3.52 2 231 -208 Gauze Pads 4x4 I Obx 2.00 4.00 8 240 -009 Adhesive First Aid Tape Waterproof I" x 5yd. Spool 3.10 24.80 1 216 -002 Ice Pack Certi -Cool JR Bulk 25 /case 15.50 15.50 0 216 -036 9791X Rescue Blanket Disposable 1/ unit 3.60 0.00 0 216 -025 #794 Hydrocortisone Cream I gm. 6 /unit 1.78 0.00 Thank you for your business. Inquiries (973) 244-9111 Total Page 1 �L�IFESAIR invoice 39 Plymouth Street Date Invoice Fairfield NJ 07004 4/21 /2010 29707 Phone: (973)244-9111 Fax: (973)244-1666 Bill To Ship To Carmel Clay Parks Recreation Carmel Clay Parks Recreation Administrative Offices 1235 Central Park Dr E. 1411 E. 1 16th Street Carmel, IN 46032 Carmel IN 46032 P.O. Number Terms Rep Entered On Ship Via F.O:B 23411 Net 30 MD 4/21/2010 UPS origin Quantity Item Code Description Price Each Amount 10 216 -080 4904x Red Bio- Hazard Bags /Antiseptic Towelettes 6 /unit 2.60 26.00 10 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 6.50 4 80 -1057 Heartsaver First Aid Quick Reference Guide 5.00 20.00 9 D3663 Elastic Bandage 3" 1.30 11.70 10 270 -036 CPRotector w/2 Latex Gloves Black Pouch 7.00 70.00 Subtotal 262.18 GL- Valeska Simmonds 2 220 -103 Adhesive Vinyl Bandages I "x 3 100 /box 4.10 8.20 2 220 -100 Adhesive Vinyl Bandages -3/4 "x 3" -100 /box 3.90 7.80 5 216 -003 9652 Adhesive Tape 1/2" x 2 1/2 yd. 2 /unit 1.10 5.50 5 215 -008 #660 Certicaine Burn Cream 1/8 oz. 6/ unit 2.60 13.00 10 211 -029 9647 Gauze Pads 2" x 2" 6 /unit 0.98 9.80 5 213-011 #663 Certi- Sporyn Antibiotic Cream 1gm. 10 /unit 1.80 9.00 10 216- 036 9791X Rescue Blanket Disposable 1/ unit 3.60 36.00 10 211-027 Gauze Bandage 4" x 6yd. I /unit- #635 1.62 16.20 Subtotal 105.50 GL- James Dowell 2 233 -361 Certicporyn Triple Antibiotic Ointment Igm -50 /box 7.70 15.40 3 220 -103 Adhesive Vinyl Bandages I "x 3 100 /box 4.10 1230 3 220 -100 Adhesive Vinyl Bandages -3/4 "x 3" -100 /box 3.90 11.70 4 220 -020 Adhesive Vinyl Bandages X Large 2 "x3" -25 /box 4.60 18.40 3 PS2088 Glove Nitri les Blue Large 100 /bx 8.50 25.50 5 242 -013 Tweezers Metal Slant End 3.5" 0.88 4.40 0 237 -016 Scissors Bandage 5 1/2" Stainless Steel 2.49 0.00 8 240 -009 Adhesive First Aid Tape Waterproof I" x 5yd. Spool 3.10 24,80 10 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 6.50 1 232 -108 Certi -Cet Plus 500 mg. Acetaminophen 125/2's /box 13.50 13.50 2 D3103 Gauze stretch 3" non sterile 12 /bag 435 8.70 Thank you for your business. Inquiries (973) 244 -91 1 l Total Page 2 LIFES AIEM. INC. Invoice 39 Plymouth Street Date Invoice Fairfield NJ 07004 4/21/2010 29707 Phone:(973)244 -9111 Fax:(973)244 -1666 Bill To Ship To Carmel Clay Parks Recreation Carmel Clay Parks Recreation Administrative Offices 1235 Central Park Dr E. 1411 E. 116th Street Carmel, IN 46032 Carmel IN 46032 P.O. Number Terms Rep Entered Ship Via F °O 'B. Pro;ect_ 23411 Net 30 MID 4/21/2010 UPS origin Quantity Item Code Description Price Each Amount 0 231 -208 Gauze Pads 4x4 l Obx 2.00 0.00 4 231-211 Gauze Pads 3" x 3" 25 /box 3.10 12.40 0 216 -036 4791 X Rescue Blanket Disposable I/ unit 3.60 0.00 1 80 -1034 Family Friends First Aid for Children (5) 7.50 7.50 Subtotal 161.10 GL- 4239012 Eric Purnell 0 216 -036 #791X Rescue Blanket Disposable I/ unit 3.60 0.00 1 221 -039 Antiseptic Wipes 50 /box 4.00 4.00 1 233 -361 Certicporyn Triple Antibiotic Ointment Igm -50 /box 7.70 7.70 2 PS2088 Glove Nitrites Blue Large 100 /bx 8.50 17.00 0 237 -016 Scissors Bandage 5 1/2" Stainless Steel 149 0.00 2 221 -035 Peroxide, Hydrogen 3oz, Non Aerosol Spray 3.60 7.20 2 D3662 Dynarex Elastic Bandage 2" 1.00 2.00 Subtotal 37.90 GL- Charles Iman 2 PS2099 Glove Nitrites Blue Large 100 /bx 8.50 17.00 4 220 -266 Adhesive Bandage Assortment Blue Metal Detectible 6.20 24.80 2 221 -038 Antimicrobial Wipes 50 /box 7.40 14.80 8 240 -009 Adhesive First Aid Tape Waterproof I" x 5yd. Spool 3.10 24.80 0 237 -016 Scissors Bandage 5 1/2" Stainless Steel 2.49 0.00 4 242 -013 Tweezers Metal Slant End 3.5" 0.88 3.52 8 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 5.20 4 228 -347 Elastic Cohesive Bandage, Certi -Rip 3 "x 5yd. 3.75 15.00 4 D3663 Elastic Bandage 3" 1.30 5.20 3 231-211 Gauze Pads 3" x 3" 25 /box 3.10 9.30 0 231 -208 Gauze Pads 4x4 I Obx 2.00 0.00 3 233 -358 Certi Sporyn Antibiotic Cream 25 /bx 4.30 12.90 4 216 -002a Certi -Cool J 1 each 0.90 3.60 Thank you for your business. Inquiries (973) 244-9111 Total Page 3 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 4121/10 29707 First aid supplies 23411 51.22 4121/10 29707 First aid supplies 23411 90.67 4/21/10 29707 First aid supplies 23411 141.75 4/21/10 29707 First aid supplies 23411 94.95 4/21/10 29707 First aid supplies 23411 193.64 4121110 29707 First aid supplies 23411 41.83 4/21110 29707 First aid supplies 23411 209.97 Total 824.03 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 824.03 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -10 29707 4239039 51.22 1 hereby certify that the attached invoice(s), or 1081 -11 29707 4239039 90.67 bill(s) is (are) true and correct and that the 1081 -6 29707 4239039 141.75 materials or services itemized thereon for 1081 -4 29707 4239039 94.95 which charge is made were ordered and 1081 -7 29707 4239039 193.64 received except 1081 -9 29707 4239039 41.83 1081 -3 29707 4239039 209.97 5 -May 2010 Signature 824.03 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund