HomeMy WebLinkAbout192605 12/08/2010 CITY OF CARMEL, INDIANA VENDOR: 362351 Page 1 of 1
0 tl ONE CIVIC SQUARE SUNSHINE MEDICAL CHECK AMOUNT: $173.95
CARMEL, INDIANA 46032 31575GLENDALE
LIVONIA MI 48150 CHECK NUMBER: 192605
CHECK DATE: 12/8/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
1110 4239099 95030 173.95 OTHER MISCELLANOUS
Sunshine Medical Supply, Inc. Invoice
31575 Glendale St.
Date Invoice
Livonia, MI 48150
734 293 -7500 fax 734 293 -7505 11/23/2010 95030
www.sunshinemedicalsupply.net
Bill To Ship To
Carmel Police Dept Carmel Police Dept
3 Civic Square 3 Civic Square
Carmel, Indiana 46032 Carmel, IN 46032
ATTN: Robert Robinson
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 15 KMG 11/23/2010
Quantity F— Item Code Description Price Each Amount
20 SUPRENO EC -L SUPRENO EC NITRILE POWDER FREE 8.50 170.00T
EXAM GLOVE BY MICROFLEX
50 /BX -10 BX /CS SIZE L
EXTENDED CUFF, POLYMER COATED
MISCELLANEOU... fuel surcharge 3.95 3.95T
Out -of -state sale, exempt from sales tax 0.00% 0.00
i
0
Thank you for your business.
Total $173.95
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sunshine Medical Supply, Inc.
IN SUM OF
31575 Glendale Street
Livonia, MI 48150
$173.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT
Board Members
1110 95030 42- 390.99 $173.95 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
Thursday, December 02, 2010
&�A"2 I A
C of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/23/10 95030 latex gloves $173.95
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