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