HomeMy WebLinkAbout188538 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 362351 Page 1 of 1
ONE CIVIC SQUARE SUNSHINE MEDICAL
CARMEL, INDIANA 46032 31575GLENDALE CHECK AMOUNT: $173.95
ov a LIVONIAMI 48150 CHECK NUMBER: 188538
CHECK DATE: 813/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 92636 173.95 SAFETY SUPPLIES
Sunshine Medical Supply, Inc. Invoice
31575 Glendale St.
Date Invoice
Livonia, MI 48150
734 293 -7500 fax 734 293 -7505 7/22/2010 92636
www.sunsliinemed"tcalsupply.net
Bill To Ship To
Cannel Police Dept Cannel Police Dept
3 Civic Square 3 Civic Square
Carmel, Indiana 46032 Carmel, IN 46032
ATTM Robert Robinson
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 15 KMG 7/22/2010
Quantity Item Code Description Price Each Amount
10 SUPRLNO EC -M SUPRENO EC NITRILE POWDER FREE EXAM GLOVES 8.50 85.00T
BY MICROFLEX
5OBX -10 BX /CS SIZE M
EXTENDED CUFF, POLYMER COA'T'ING
10 SUPRENO EC -1:... SUPRENO EC NITRILE POWDER FREE 8.50 85.00T
EXAM GLOVE BY MICROFLEX
50BX -10 BX /CS SIZE L
EXTENDED CUFF, POLYMER COATED
MISCALLANEOU... FUEL SURCHARGE 3.95 3.95T
Out -of -state sale, exempt from sales tax 0.00% 0.00
Thank you for your business.
Total $173.95
Prescribed by State 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
Sunshine Medical Supply, Inc. Purchase Order No.
31575 Glendale Street Terms
Livonia, MI 48150 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/22/10 92636 payment for latex gloves 173.95
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
S unshine Medical Supply, Inc. IN SUM OF
31575 Glendale Street
L ivonia, Ml 48150
173.95
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 92636 390 -12 173.95 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 29 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund