185548 05/20/2010 *f CITY OF CARMEL, INDIANA VENDOR: 361470 Page 1 of 1
ONE CIVIC SQUARE CHILD SOURCE
CARMEL, INDIANA 46032 7001 WOOSTER PIKE CHECK AMOUNT: $1,171.90
MEDINA OH 44256 CHECK NUMBER: 185548
on
CHECK DATE: 5/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 21889 151514 71.90 CAR SEATS
900 4359005 21889 151514 1,100.00 CAR SEATS
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rchcl s e Invoice
Invoice Number: 0000151514
7001 Wooster Pike, Medina, OH 44256
Pb: 330.723.4739 Fax: 330.721.6799 Invoice Date: 4/21/2010
REMITTANCE ADDRESS: Invoice Due Date: 5/21/2010
WESTERN RESERVE DISTRIBUTING, INC.
dba CHILD SOURCE Customer: CARMPD
P'O. BOX 73714 Sales Order: 0000092588
CLEVELAND, OH 44193
Tax ID #82- 0563593
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CARMEL POLICE DEPARTMENT, CITY OUR LADY OF MT CARMEL
3 CIVIC SQUARE 1045 W 146TH STREET
CARMEL, IN 46032 -2584 USA ATTN MAGGIE 317 -819 -9772
Cannel, IN 46032 USA
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21889 FEDEX GRND ORIGIN Net 30 Days
.,ry 9p3''�.-N y °j s,„c v� r+ x. ttOp�: ?=i N 1 w l r., It -SAC w' x T 'rA�1►_ i'rM';Y`
ICO34AOB SAFETY I st DESIGNER CARSEAT 5 -22# W /BASE 6 63.9000 i 383.40
I (NORDICA) i
93- 209FSM HIGH BACK BOOSTER FRONT ADJ 2PK
10 47.2000 472.00
2794198 BIG KID NO BACK BOOSTER 40 -100# 8 i I7.5000 140:00
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LAST ITEM
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Tracking Numbers: 066443712001426, 066443712001433 066443712001444, 066443712001457, 066443712001464,
066443712001 066 ,066443712001495, 06644371200 :1501,066443712001518
066443712001525, 066443712001532 ,066443712001549
Subtotal 995.40
Freight 176.50
Sales Tax 0.00
Payment/Credit Amount 0.00
1 2 4 .r 1,171.90
Prescribed by Stale Board of Accwmis City Farm No. 201 (Rev, 1995)
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
Child Source Purchase Order No. 21889F
7001 Wooster Pike Terms
Medina, OH 44256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/21/10 151514 payment for car seats 1,171.90
Total
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
VOUGHEH NU. WAHHAN I NU.
0
ALLOWED 20
hild Source
IN SUM OF
1001 Wooster Pike
ledina, OH 44256
1,171.90
ON ACCOUNT OF APPROPRIATION FOR
c ar seat grant fund police gif fund
Board Members
Poa or INVOICE NO. ACCT /TITLE AMOUNT I hereby cerffy that the attached invoice(s),
or
DEPT. N Y Y
Z1 88 9F 151514 852 71.90 bill(s) is (are) true and correct and that the
F 151514 590 -05 1,100.00 materials or services itemized thereon for
which charge is made were ordered and
received except
Anril 27 20 10
Signature
Chief o Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund