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Home My WebLink About187719 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00352626 Page 1 of 1 ONE CIVIC SQUARE BOUND TREE MEDICAL LLC a CARMEL, INDIANA 46032 2144 RELIABLE PARKWAY CHECK AMOUNT: $86.6D CHICAGO iL 60686 -0021 CHECK NUMBER: 187719 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 1110 4239012 80440467 86.60 SAFETY SUPPLIES B ound"Tree I N S O I C� Inuoice 80440467 _medic p e 1 Alnkin�; Yrccinres d7iuntev Currut r r F 0 s. 5000 Tuttle Crossing Blvd BOUND. TREE MEDICAL ;'L r ate 06128/20 LC. Dublin, OH 43016 2144 RELIABLE 'PARKWAY PHONE: (800) 533 -0523 FAX: (800) 257 -5713 Chicago, IL;60G86 =0021 Cusfomer www.boundtree.com TIN# 31 1739487 Ship To: SHIP001 CARMEL POLICE DEPT CARMEL POLICE DEPT 3 CIVIC SO 3 CIVIC SO CARMEL, IN 46032 -2584 RECEIVING CARMEL, IN 46032 -2584 P0'Number Sales Order Number Account Manager Shipping Method Ship Date Payment Terms 92626627 T FIRKS BEST WAY 06!28!2010 NET 30 Item Number Deser�ption Ordered Shipped B!O Unit Pace 'Ext Price 290326 GLOVES LATEX FREE NITRILE POWDER 10 10 0 $8.66 $86.60 FREE TEXTURED HIGH RISK MEDIUM 501BX 10BX /CS SUPRENO EC Tracking Numbers: 1Z8685910374578021 Indicates that sales tax vas applied to this item. "Merchandise 'Misr .[Tale" Tax 'Freight` Deposit y Total 'Me 86.60 0.00 0.00 0A0 0.00 $89.60 Prescribed by Stale Board of Accounts City Form 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 Bound Tree Medical LLC Purchase Order No. 2144 Reliable Parkway Terms Chicago, IL 60686 -0021 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/28/10 80440467 pavment for latex gloves 86.60 s 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 IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Bw,ind Tree Medical LLC IN SUM OF 21.44 Reliable Parkway Chicago, IL 60686.0021 86.60 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT I here y DEPT. hereby certify that the attached invoice( s or 1110 80440467 390 -12 86.60 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 July 13 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund CITY OF CARMEL, INDIANA VENDOR: 00352626 Page 1 of 1 ONE CIVIC SQUARE BOUND TREE MEDICAL LLC CHECK AMOUNT: $86.60 CARMEL, INDIANA 46032 2144 RELIABLE PARKWAY CHICAGO IL 60666 -0021 CHECK NUMBER: 187719 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239012 80440467 86.60 SAFETY SUPPLIES Bou nd"Tree INVOICE Invoice 80440467 Aluking Precious Afillwec G,nnL_ ID "ate.'' 06/28/2010 5000 Tuttle Crossing Blvd BOUND, TREE MEDICAL,' LLC. Dublin, OH 43016 2144RELIABLE;PARKNIAY_ PHONE: (800) 533 -0523 FAX: (800) 257 -5713 Chicago,lL. 60686' =0021; 'Customer www.boundtree.com TIN# 31- 1739487 Ship To: SHIP001 CARMEL POLICE DEPT CARMEL POLICE DEPT 3 CIVIC SQ 3 CIVIC SQ CARMEL, IN 46032 -2584 RECEIVING CARMEL, IN 46032 -2584 PO Number Sales Order.Number Account Manager Shipping Method Ship Date -;Payment Terms 92626627 T FIRKS BEST WAY 06128/2010 NET 30 Item Number. Description Ordered Shipped B/O Unit Price Ext Price 290326 GLOVES LATEX FREE NITRILE POWDER 10 10 0 $8.66 $86.60 FREE TEXTURED HIGH RISK MEDIUM 50 /BX 10BX /CS SUPRENO EC Tracking Numbers: 1Z8685910374578021 Indicates that sales lax vas applied to this item. ;Merchandise Misc Sales °Tax Freiq t Deposit Total Due 86.60 0.00 0.00 0.00 0.00 $86.60 Prescribed by Stale Board of Accounts City Form 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 Bound Tree Medical LLC Purchase Order No. 2144 Reliable Parkway Terms Chicago, IL 60686 -0021 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/2 10 80440467 payment for latex gloves 86.60 m 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 IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ti ALLOWED 20 BoVnd Tree Medical LLC IN SUM OF 2144 Reliable Parkway Chicago, IL 60686 -0021 86.60 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT_ I hereby certify that the attached invoice(s), or 1110 80440467 390 -12 86.60 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 July 13 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund