159793 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00352626 Page 1 of 'I
ONE CIVIC SQUARE BOUND TREE MEDICAL LLC
y CHECK AMOUNT: $189.68
CARMEL, INDIANA 46032 23637 NETWORK PLACE
CHICAGO IL 60673 -1235
y
CHECK NUMBER: 159793
CHECK DATE: 512812008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 80098588 189.68 SAFETY SUPPLIES
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wn BD dTir e e
INVOICE
��.Inuoice 80098588
Pa F
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medical 1
5/7/2008
BOUND�TREE„MEDICAL, LLC
ffaking PreciousAlrnutes CounG..Tir 23537 Network Place
PHONE: (800) 533 -0523 FAX: (800) 257 -5713 Chicago; ILA 60673 1235
www.boundtree.com
Bill To: 101078 Ship To: SHIP001
POLICE DEPT 4 CARMEL POLICE DEPT
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 -7570 281 RECEIVING
CARMEL, IN 46032 -2584
PO Number F a a Sales a Order Number Account Mariag`erh b vShi In Method Ship Date Payment,Terms
a t..
90988433 1 J CORNEJO BEST WAY 05/07/2008 NET 30
:I,tem Number _,,,Descnption'{ h Ordered,Shlpped, BJO'Urnt P ricewWExt Pnce
290325 GLOVES LATEX FREE NITRILE POWDER 10 10 0 $8.60. $86.00
FREE TEXTURED HIGH RISK SMALL 50 /BX
10BX /CS SUPRENO EC
290326 GLOVES LATEX FREE NITRILE POWDER 10 10 0 $8.60 $86.00
FREE TEXTURED HIGH RISK MEDIUM 50 /13X
10BX /CS SUPRENO EC
Tracking Numbers:
1ZE30A490354862298
Indicates that sales tax was applied to this item.
Merchandise.,. ;Misc,�p. �Sales,Taz _ti Freighter ,_,FDeposit eTotalsDue
$172.00 $0.00 $0.00 $17.681 $0.00 $189.68
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
Bound Tree Medical, Inc. Purchase Order No.
"f
23537 Network Place Terms
Chicago, IL 60673 -1235 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/7/08 1 80098588 payment for latex gloves 189.68
Total
I 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.
ALLOWED 2p
Bound Tree Medical, LLC IN SUM OF
23537 Network Place
Chicago, IL 60673 -1235
189.68
ON ACCOUNT OF APPROPRIATION FOR
police g ufn
Board Members
PO #or INVOICE NO. ACCT #CfITLE AMOUNT
DEPT, I hereby certify that the attached invoice(s), or
1110 80098588 390 -12 189.68 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
Mai 20 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund