HomeMy WebLinkAbout185845 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
10J� ONE CIVIC SQUARE LIFESAVERS, INC CHECK AMOUNT: $155.65
CARMEL, INDIANA 46032 39 PLYMOUTH STREET
FAIRFIELD NJ 07004 CHECK NUMBER: 185845
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 29855 107.65 GENERAL PROGRAM SUPPL
1092 4239012 29922 48.00 SAFETY SUPPLIES
LIF'E* SA LE Invoice
.,44
39 Plymouth Street Date Invoice
Fairfield NJ 07004
4/28/2010 29855
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.
141 1 E. '1 16th Street Carmel, IN 46032
Carmel IN 46032
P.O. Number Terms Rep Entered On Ship Via F.O.B. Project
23411 Net 30 MD 4/28 /2010 UPS origin
Quantity Item Code Description Price Each Amount
0 SN5 N95 Mask (DM -1810) 20 /bx 17.95 0.00
0 221 -035 Peroxide, Hydrogen 3oz, Non Aerosol Spray 3.60 0.00
Subtotal 10.98
GL- Crystal Ethridge
5 231 -208 Gauze Pads 4x4 I Obx 2.00 10.00
0 242 -007 9212NU Splinter Remover 2 pkg 0.79 0.00
0 D3663 Elastic Bandage 3" 1.30 0.00
0 D3662 Dynarex Elastic Bandage 2" 1.00 0.00
0 216 -002 ice Pack Certi -Cool JR Bulk 25 /case 15.50 0.00
0 CT4056 Triangular Bandage (w /pins) 40X40x56 0.65 0.00
0 242 -013 Tweezers Metal Slant End 3.5" 0.88 0.00
4 237 -016 Scissors Bandage 5 1/2" Stainless Steel 2.49 9.96
Subtotal 19.96
Subtotal for entire order 1 19.61
DISC Special17iscnunt 10.00% -11.96
Purchase FI A SUMP LIES OF
Description
P.O. a 3 N l 1 P ok
Budget
Une escr
r
Purchaser Date
Approval Date
Thank you for your business. Inquiries (973) 244-9111
Total $107.65
Page 4
L Z III p Invoice
39 Plymouth Street MAY 1 2010 Date Invoice
Fairfield NJ 07004 4/28/2010 29855
Phone: (973)244-9111 Fax: (973)244 -1666 BY.
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 On Ship Via F.O.B. Project
23411 Net 30 MD 4/28/2010 UPS origin
Quantity Item Code Description Price Each Amount,
GL- 4239012 Jessica Davis
0 220 -220 Knuckle Woven Bandage 50 /box 5.80 0.00
0 220 -253 Adhesive Bandage Woven Extra -Large 9.80 0.00
2 x 3 50 /box
0 221 -039 Antiseptic Wipes 50 /box 4.00 0.00
0 233 -361 Certicporyn Triple Antibiotic Ointment- I gm -50 /box 7.70 0.06
0 PS2088 Glove Nitriles Blue Large 100 /bx 8.50 0.00
0 237 -016 Scissors Bandage 5 1 /2" Stainless Steel 2.49 0.00
0 242 -013 Tweezers Metal Slant End 3.5" 0.88 0.00
0 216 -036 #791 X Rescue Blanket Disposable I/ unit 3.60 0.00
0 216 025 4794 Hydrocortisone Cream I gm. 6 /unit 1.78 0.00
3 229 -048 #665 Certi -Tears eye drops .02oz 5.pkg 3.70 11.10
0 231 -208 Gauze Pads 4x4 IObx 2.00 '0.00
0 231 -211 Gauze Pads 3" x 3" 25 /box 3.10 0.00
Subtotal 11.10
GL- 1081-6-4239012 Jennifer Holder
0 237 -01.6 Scissors Bandage 5 112" Stainless Steel 2.49 0.00
0 220 -103 Adhesive Vinyl Bandages 1 "x 3 100 /box 4.10 .0.00
0 220 -020 Adhesive Vinyl Bandages X Large 2 "x3" 25/box 4.60 0.00
0 PS2088 Glove Nitriles Blue Large 100/bx 8.50 0.00
0 220 -128 Fingertip Bandage Small Woven 50 /bx 6.00 0.00
0 231 -400 Trauma Dressing XL -TD Xtra Large Multi Function 3.70 0.00
0 233 -361 Certicporyn Triple Antibiotic Ointment- 1gm -50 /box 7.70 0.00
0 242 -013 Tweezers Metal Slant End 3.5" 0.88 0.00
3 231 -208 Gauze Pads 4x4 I Obx 100 '6.00
0 240 -009 Adhesive First Aid Tape Waterproof I" x 5yd. Spool 3.10 0.00
0 216 -002 Ice Pack Certi -Cool JR Bulk 25 /case 15.50 0.00
1 216 -036 9791X Rescue Blanket Disposable I/ unit 3.60 3.60
3 216 -025 #794 Hydrocortisone Cream I gm. 6 /unit 1.78 5.34
Thank you for your business. Inquiries (973) 244-9111
Total
Page 1
L KE invoice
39 Plymouth Street Date Invoice
Fairfield N3 07004 4/28/2010 29855
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. Project
23411 Net 30 MD 4/28/2010 UPS origin
Quantity Item Code Description Price Each Amount
10 231 -208 Gauze Pads 4x4 I Obx 2.00 20.00
0 231-211 Gauze Pads 3" x 3" 25 /box 3.10 0.00
6 216 -036 9791X Rescue Blanket Disposable I/ unit 3.60 21.60
0 80 -1034 Family Friends First Aid for Children (5) 7.50 0.00
Subtotal 54.05
GL-4239012 Eric Purnel I
1 216 -036 4791X Rescue Blanket Disposable 1/ unit 3.60 3.60
0 221 -039 Antiseptic Wipes 50 /box 4.00 0.00
0 233 -361 Certicporyn Triple Antibiotic Ointment Igm -50 /box 7.70 0.00
0 PS2088 Glove Nitriles Blue Large 100 /bx 8.50 0.00
2 237 -016 Scissors Bandage 5 1/2" Stainless Steel 2.49 4.98
0 221 -035 Peroxide, Hydrogen 3oz, Non- Aerosol Spray 3.60 0.00
0 D3662 Dynarex Elastic Bandage 2" 1.00 0.00
Subtotal 8.58
GL- Charles Iman
0 PS2088 Glove Nitrites Blue Large 100 /bx 8.50 0.00
0 220 -266 Adhesive Bandage Assortment Blue Metal Detectible 6.20 0.00
0 221 -038 Antimicrobial Wipes 50 /box 7.40 0.00
0 240 -009 Adhesive First Aid Tape Waterproof 1 x 5yd. Spool 3.10 0.00
2 237 -016 Scissors Bandage 5 1/2" Stainless Steel 2.49 4.98
0 242 -013 Tweezers Metal Slant End 3.5" 0.88 0.00
0 CT4056 Triangular Bandage (w /pins) 40X4Ox56 0.65 0.00
0 228 -347 Elastic Cohesive Bandage, Certi -Rip 3"x 5yd. 3.75 0.00
0 D3663 Elastic Bandage 3" 1.30 0.00
0 231-211 Gauze Pads 3" x 3" 25 /box 3.10 0.00
3 231 -208 Gauze Pads 4x4 IObx 2.00 6.00
0 233 -358 Certi -Sporyn Antibiotic Cream 25 /bx 4.30 0.00
0 216 -002a Certi -Cool JR l each 0.90 0.00
Thank you for your business. Inquiries (973) 244-9111
Total
Page 3
LFFE d�VC�o Invoice
39 Plymouth Street o X07 V Date Invoice
Fairfield NJ 07004 V
MAY 4/30/2010 29922
Phone: (973)244-9111 Fax: (973)244-1666 MAY 1 12010
to
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Linda Acosta
1411 E. 116th Street 1235 Central Park Dr E.
Carmel IN 46032 Carmel, IN 46032
P.O. Number Terms Rep Er tered On Ship Via F.O.B. Project
23411 Net 30 MD 4/30/2010 UPS origin
Quantity Item Code Description Price Each Amount
24 JF80104 Cold Pack Reuseable Gel 6x9 2.00 48.00
*Speical Pricing
1 ZY527Y 10346588214
Purchase
Description a)PPU
P.O. �-1 CP'�r F
B .L. udge
Budge
Line Descr
Purchaser Date
Approval Date v
Thank you for your business. Inquiries (973) 244-9111
Total S48.00
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
4/28/10 29855 First aid supplies 23411 107.65
4130/10 29922 First aid supplies 48.00
Total 155.65
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
155.65
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -6 29855 107.65 1 hereby certify that the attached invoice(s), or
1092 29922 4239012 48.00 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
20 -May 2010
Signature
155.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund