HomeMy WebLinkAbout191728 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS, INC
0 CHECK AMOUNT: $101.07
CARMEL, INDIANA 46032 39 PLYMOUTH STREET
FAIRFIELD NJ 07004 CHECK NUMBER: 191728
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 33073 101.07 GENERAL PROGRAM SUPPL
�LIIF'ESAY1 d1VC Invoice
39 Plymouth Street 0('T I Z 2010 Date Invoice
Fairfield NJ 07004 9/30/2010 33073
Phone: (973)244 -91 1 1 Fax: (973)244 -1666 [BY:
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Attn: ESE
141 1 E. 1 16th Street 12415 Shelbourne Rd.
Carmel IN 46032 Carmel, IN 46032
P.O. Dumber Terms Due Date Rep Ship Via F:O -B
23987 Net 30 10/30/2010 MD UPS origin
Quantity Item Code Description Price Each Amount
5 220 -103 Adhesive Vinyl Bandages I "x 3 100 /box 4.10 20.50
1 213 -019 #711 Insect Sting Swabs 10 /unit 3.40 3.40
4 PS2088 Glove Nitriles Blue Large 100 /bx 8.50 34.00
6 220 -266 Adhesive Bandage Assortment Blue Metal Detectible 6.20 37.20
4 233 -358 Certi Sporyn Antibiotic Cream 25 /bx 4.30 17.20
Subtotal 112.30
DISC Special Discount -10% 10.00% -11.23
I ZY527Y 10354768442
Purchase F1Rsr/ai SLIP PUE5 GV\)
Description
P.Q. 39 P o F
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Apprtiv* Date
Thank you for your business. inquiries (973) 244-9111
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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
9130110 33073 First aid supplies CW 23987 101.07
Total 101.07
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$
101.07
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. 4,CCT #/TITLE AMOUNT Board Members
Dept
1081 -3 33073 4239039 101.07 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
4 -Nov 2010
Signature
101.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund