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HomeMy WebLinkAbout194780 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 362351 Page 1 of 1 ONE CIVIC SQUARE SUNSHINE MEDICAL CARMEL, INDIANA 46032 31575 GLENDALE CHECK AMOUNT: $173.95 LIVONIAMI 48150 CHECK NUMBER: 194780 CHECK DATE: 2/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239012 96512 173.95 SAFETY SUPPLIES Sunshine Medical Supply, Inc. Invoice 31575 Glendale St. Date Invoice Livonia, MI 48150 734 -293 -7500 fax 734- 293 -7505 2/7/2011 96512 www.sunshinemedicalsupply.net Bill To Ship To Carmel Police Dept Cannel Police Dept 3 Civic Square 3 Civic Square Cannel, Indiana 46032 Carmel, IN 46032 ATTN: Robed. Robinson P.O. Number Terms Rep Ship Via F.O.B. Project Fax Net 15 KMG 2/7/2011 Quantity Item Code Description Price Each Amount 10 SUPRENO- EC -XL... SUPRENO EC NITRILE POWDER FREE 8.50 85.00T GLOVES BY MICROFLEX 50/13X -10 BX /CS SIZE XL EXTENDED CUFF, POLYMER COATED 10 SUPRENO-EC-I,--. SUPRENO EC NITIULE POWDER FREE 8.50 85.00T 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 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 $17 3.9 5 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 96512 42- 390.12 $173.95 I 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, February 10, 2011 Chief 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)) 02/07/11 96512 payment for 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