HomeMy WebLinkAbout185542 05/20/2010 CITY OF CARMEL, INDIANA VENDOR: 00352626 Page 1 of 1
0 ONE CIVIC SQUARE BOUND TREE MEDICAL LLC
CARMEL, INDIANA 46032 2144 RELIABLE PARKWAY CHECK AMOUNT: $197.38
CHICAGO IL 60686 -0021
CHECK NUMBER: 185542
CHECK DATE: 5120/2010
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 80413958 197.38 SAFETY SUPPLIES
ID I N V OI CE
/O I C �invoice>w."� 80413958
NEW REMIT TO AD
�medlcal,_
MnkixgPrcciousM inulescou,,L.. ^t i ?B UNDTHE M CAL;LLC t. °`Dater 413 012 0 1 0
5000 Tutfle Crossing Blvd f _f 's
,,214 RE LIABLE PA,KWALY� TIN# 31- 1739487
Dublin, OH 43016 9
EaChica o, IL 60686 -002,r
PHONE: (800) 533 -4523 FAX: (800) 257 -5713
www,boundtree.com
Bill To: 101078 Ship To: SHIP001
III 11IJI 111II111111 III IIII'Il III it III III IIIt uIII rtIIIIn II III
5
Police Dept CARMEL POLICE DEPT
3 Civic Sq 296 3 CIVIC SQ
Carmel IN 46032 -7570 RECEIVING
CARMEL, IN 46032 -2584
k PO N umber Sales Order Number Accou _M "e °r i 1 Shipping =o Sh(p�D l r f a enf -term
_L l 9� L r
9241.0156 T FIRKS I BEST WAY 04130!2010 NE T 30
�Itein Des p F Ordered$ hipped ,Unt
290327 GLOVES LATEX FREE NITRILE POWDER 20 20 0 $8.66 $173.20
FREE TEXTURED HIGH RISK'LARGE 50 113X
10BXlC8 SUPRENO EC
Tracking Numbers:
1ZE30A490346588332
Indicates that sales tax was applied to this item.
'Merchatidls"e °Mlsc� 'Sales Tax u Frei`ht De ositi TatallDue s
$173,201 $0.00 1 $0.00 1 $24.181 $0.00 $197.38
Prescnbad by Stale Board of Accounts City Form No, 201 (Rev. 7995)
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
Bound Tree Medical Purchase Order No.
2144 Reliable Parkway Terms
Chicago, 7L 60686 -0021 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/30/1 80413958 paymen for late gl oves 197.38
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 1C 5- 11- 10 -1.6.
20
Clerk- Treasurer
vvvv vv. YY/'�e 1l 1l1iV I IVV.
ALLOWED 20
B ound Tree Medical, LLC
IN SUM OF
2144 Reliable Parkway
Chicago, TL 60686 -0021
197.38
ON ACCOUNT OF APPROPRIATION FOR
p_olice_generLa fund
Board Members
PON J7
EP or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT
I hereby certify that the attached invoice or
1110 80413958 390.12 197.3.8 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
May 7 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund