HomeMy WebLinkAbout186925 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS, INC CHECK AMOUNT: $14.84
CARMEL, INDIANA 46032 39 PLYMOUTH STREET
FAIRFIELD NJ 07004 CHECK NUMBER: 186925
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4239012 30753 14.84 SAFETY SUPPLIES
LIFESAY "R NC. Invoice
39 Plymouth Street Date Invoice
Fairfield NJ 07004 6/9/2010 30753
Phone:( 973)_44 -9111 Fax:(973)244 -1666
I JUN 14 20
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
1091 4239012 Net 30 MD 6/9/2010 UPS origin
Quantity Item Code Description Price Each Amount
2 213 -021 Insect Sting Wipes 25 /box 4.00 8.00
2 221 -039 Antiseptic Wipes 50 /box 3.80 7.60
DISC Special Discount 10.00% -0.76
1 ZY527Y 10347898306
Purchase �j npey
Description
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Purchaser Data
Approv Date
Thank you for your business. Inquiries (973) 244-9111
Total $14.84
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
619110 30753 Safety supplies 14.84
Total 14.84
I 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
j In Sum of
14.84
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 30753 4239012 14.84 1 hereby certify that the attached invoice(s), or
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
17 -Jun 2010
Signature
14.84 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund