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HomeMy WebLinkAbout196565 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 362351 Page 1 of 1 ONE CIVIC SQUARE SUNSHINE MEDICAL CARMEL, INDIANA 46032 31575 GLENDALE CHECK AMOUNT: $173.95 +3 LIVONIAMI 48150 CHECK NUMBER: 196565 CHECK DATE: 4/1312011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239012 97421 173.95 SAFETY SUPPLIES Sunshine Medical Supply, Inc. Invoice 31575 Glendale St. Date Invoice Livonia, MI 48150 734- 293 -7500 fax 734 293 -7505 3/23/2011 97421 www.sunshinem.edicatsupply.net Bill To Ship To Cannel Police Dept Carmel Police Dept 3 Civic Square 3 Civic Square Cannel, Indiana 46032 Carmel, IN 46032 ATTN: Robert Robinson P.O. Number Terms Rep Ship Via F.O.B. Project Net 15 KMG 3/23/2011 Quantity Item Code Description Price Each Amount 10 SUPREMO- EC -XL... SUPRENO EC NITRILE POWDER FREE 8.50 85.00T GLOVES BY MICROFLEX 50BX -10 BX/CS SIZE XL EXTENDED CUFF, POLYMER COA "rED 10 SUPRENO EC -L SUPREMO 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 otal $173.95 VOUCHER NO. WARRANT NO. ALLOWED 20 Sunshine Medical Supply, Inc. IN SUM OF 31575 Glendale Street Livonia, MI 48150 $17 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1110 97421 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 Wednesday, March 30, 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)) 03/23/11 97421 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