HomeMy WebLinkAbout187938 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
0 ONE CIVIC SQUARE LIFESAVERS, INC CHECK AMOUNT: $273.12
CARMEL, INDIANA 46032 39 PLYMOUTH STREET
FAIRFIELDNJ 07004 CHECK NUMBER: 187938
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 30945 194.62 SAFETY SUPPLIES
1082 4239039 30992 78.50 GENERAL PROGRAM SUPPL
ILIFESAYE INC., Invoice
r r r i
39 Plymouth Street Date Invoice
Fairfield NJ 07004 6/21/2010 30992
Phone: {973)244 -911'1 Fax: (973)244-1666
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Attn: Carrie Keaveney
1411 E. 1 16th Street 1235 Central Park Dr E.
Carmel IN 46032 Carmel, IN 46032
P.O. Number Terms Rep Entered On Ship Via F.O.B. Project
11082-1-4239039 Net30 MD 6/21/2010 UPS origin
Quantity Item Code Description Price Each Amount
2 220 -103 Adhesive Vinyl Bandages l "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 #652 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 #647 Gauze Pads 2" x 2" 6 /unit 0.98 9.80
10 213 -011 9663 Certi -Sporyn Antibiotic Cream 1 gm. 10 /unit 1.80 18.00
10 211-027 Gauze Bandage 4" x 6yd. 1 /unit- #635 1.62 16.20
1 ZY527Y 10346795704
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JUN 2 8 2010
Purchase M
Description rr 'l OLtj
P.O.# PorF
Budget
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Purchaser t}
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Approval Date i
Total 578.50
A
S' Invoice
LIFESAVERS
39 Plymouth Street Date Invoice
Fairfiel&NJ 07004 6 /18 /2010 30945
Phone: (973)244-9111 Fax: (973)244-1666
s
Bill To Ship To
'Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Attn: Carrie Keaveney
141 E. 1 l6th Street 1235 Central Park Dr E.
Carmel IN 46032 Carmel, IN-46032
P.O. Number Terms Rep Entered On Ship Via F.O.B. Project
1094- 4239012 Net 30 MD 6/18/2010 UPS origin
Quantity Item Code Description Price Each Amount
15 12- 001059 Hudson Non rebreather Mask 1.75 26.25
2 M5072A Philips Onsite Pediatric Smart Pad Cartridge 95.00 190.00
Subtotal 216.25
DISC Special Discount 10.00% -21.63
ZY527Y 10346219461
ei JA
JUN 2 8 tow
BY
Purchase
Description l c, iq �y 8( w f) J1 LC
P.O. PorF
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Bud at
Line I]escrOA, 1 a
f
Purcha I
ser Date
Approval Rate
Thank you for• your business. Inquiries (973) 244-911 l
Total $194.62
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
6/21110 30992 Program supplies 78.50
6118110 30945 Safety Supplies 194.62
Total 273.12
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
273.12
ON ACCOUNT OF APPROPRIATION FOR
108 ESE /1,9q fflOn )Y
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 30992 4239039 78.50 1 hereby certify that the attached invoice(s), or
1094 30945 4239012 194.62 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
15 -Jul 2010
Signature
273.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund