HomeMy WebLinkAbout198629 06/22/2011 CITY OF CARMEL, INDIANA VENDOR 362944 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS, INC
i CHECK AMOUNT: $100.08
CARMEL, INDIANA 46032 39 PLYMOUTH
FniRFieLo NJ 07004 o�oon CHECK NUMBER: 198629
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4239012 37680 100.08 SAFETY SUPPLIES
Invoice
ILIFESSA1 �lElh�.�, dhV�;
39 PIN mouth Street Date Invoice
Fairfield NJ 07004
5/24/2011 37680
Phone Fay 1
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks R Recreation
Administrative Offices Attn: KURIS Baumgartner
141 1 E. 1 16th Street 1235 Central Park Dr E.
Carmel IN 46032 Carmel, IN 46032
P O Number Terms Due Date Rep Ship Via F.O.B.
Net 30 6/23/2011 MD UPS ori;in
Quantity Item Code Description Price Each Amount
15 220 -202 Adhesive Woven Bandages 3/4" x 3" 100 /box 5.30 79.50
Substituted 3 boxes I woven
1 235 -092 Insect Sting Swab 100/box 31.70 31.70
Subtotal 1 1 1.20
DISC 10 0 0 off l ya 10.00% -11.12
IZY527YI0354475580 M
MAY 3 1011 UU
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Purchase
Description
P.O. P F
G.L. I�1 /7��(O(Z
Budget
Line escr 6
Purchaser Date, —t—
Approval L Dste• OI 1 I(
All Discrepancies must be reported within 5 days after receipt of products (973)244-9111
Tota S 1 00.08
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
Terms
362944 LifeSavers, Inc
39 Plymouth Street
Fairfield, NJ 07004
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
100.08
5/24/11 37680 Safety supplies
Total 1 100.08
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.
362944 LifeSavers, Inc. Allowed 20
39 Plymouth Street
Fairfield, NJ 07004
In Sum of
100.08
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO CCT #FrITL AMOUNT Board Members
Dept ept
1091 37680 4239012 10008 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
16 -Jun 2011
Signature
100.08 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund