HomeMy WebLinkAbout194676 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS, INC
CARMEL, INDIANA 46032 39 PLYMOUTH STREET CHECK AMOUNT: $73.30
FAIRFIELD NJ 07004
CHECK NUMBER: 194676
CHECK DATE: 2/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 35169 73.30 GENERAL PROGRAM SUPPL
LffFES d C� Inv ®ice
39 Plymouth Street 1 1 570 91Y 3 Date Invoice
Fairfield NJ 07004 Q 1/27/2011 35169
Phone: (973)244-9111 Fax: (973)244 -1666 JAM 3 201
FEB 8
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices 13989 Hazel Dell Pkwy
1411 E. 116th Street Carmel, IN 46033
Carmel IN 46032
P.O. Number Terms Due Date Rep Ship Via F.O.B.
Net 30 2/26/2011 MD UPS origin
Quantity Item Code Description Price Each Amount
5 220 -202 Adhesive Woven Bandages 3/4" x 3" 100/box 5.30 26.50
5 220 -253 Adhesive Bandage Woven Extra -Large 2 x 3 50/box 10.40 52.00
DISC 10.00% -5.20
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Purchase a VL u
Description �J
P.O.# I PorF
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Purchaser ate
Approval Dat
Thank you for your business. Inquiries (973) 244-9111
Total $73.30
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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
1127111 35169 First aid supplies 7130
Total 73.30
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
73.30
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO #or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1081 -2 35169 4239039 73.30 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
10 -Feb 2011
Signature
73.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund