156988 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 00352626 Page 1 of 1
ONE CIVIC SQUARE BOUND TREE MEDICAL LLC
CHECK AMOUNT: $198.35
fo CARMEL, INDIANA 46032 23531 NETWORK PLACE
CHICAGO IL 60673.1235 CHECK NUMBER: 156988
ATOM
CHECK DATE: 3/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 80058013 198.35 SAFETY SUPPLIES
I NVOI CE
Invoice 80058013
Pages 7 1
^n
BOUNDTREE MEDICAL; LLCM
NetUr Place d a 2!13!2008
4 ,a a ±n" Date g.A,'
PHONE: (800) 533 -0523 FAX: (800) 257 -5713 ChIC�db'J] 60673 1235 ,b'
www.boundtree.com
Bill To: 101078 Ship To: SHIP001
POLICE DEPT 4
3 CIVIC SQ CARMEL POLICE DEPT
CARMEL IN 46032 -7570 334 3 CIVIC SQ
RECEIVING
CARMEL IN 46032 -2584
PurchaseOrder;No., a.«. SalestOrder ii .Sales erson SFti iii .Via .,.w.. ..-sShi 'Date. f Pakment Terms
90,824,516 JOHN CORNEJO BEST WAY 2/13/2008 NET 30
Item =Nurrtiber. Desc "ri lion r °3 Ordered .x i' i'BIO� Y U.of.
Sh edx IVI� Unit P.nce Z Pnce..
290325 GLOVES LATEX FREE NITRILE POWDER FI 10 10 0 BX $8.600 $86.00
290328 GLOVES LATEX FREE NITRILE POWDER FI 10 10 0 BX $8.600 $86.00
i
A Merch andiie E „1VI i s C f FpTax Frei ght :11, ,Deposit x o Total
Bo ci lree $172.001 $0,001 $0.00 1 $26.351 $0.00 $198.35
.medice7
m4Ai An— t C ..4 SHIP NO FRT Date: 2/1312008
PHONE: (800) 533 -0523 FAX (800) 257 -5713 Account: 101078
www.boundtree.com
TIN 31 1739487 Invoice 80058013
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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, LLC Purchase Order No.
23537 Network Place Terms
Chicago, IL 60673 -1235 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/13/08 80058013 payment for latex gloves 198.35
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 20
B ounf Tree Medical, LLC IN SUM OF
23537 Network Place
Chicago, IL 60673 -1235
198.35
ON ACCOUNT OF APPROPRIATION FOR
p olice general ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 80058013 390-12 19 8 35 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
February 21 2008
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund