HomeMy WebLinkAbout155709 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00351190 Page 1 of 1
ONE CIVIC SQUARE E M P
CARMEL, INDIANA 46032 1711 PARAMOUNT COURT CHECK AMOUNT: $135.87
WAUKESHA WI 53186 CHECK NUMBER: 155709
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 1020257 135.87 SPECIAL DEPT SUPPLIES
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INVOICE_
ENfROu 0Y 901jwA4 PROW l Division of EMP
Ph: 800 -558 -6270 www.BuyEMP.com Ph: 866-558-0686 www.schoolkidshealtheare.com
Bill to: City of Carmel Fire Dept. Ship to: City of Carmel Fire Department
Mark Hulett Mark Hulett
2 Carmel Civic Sq. 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Date Page
Thank you for your order! 01/07/2008 1 of 1
PO Number Customer No. Shipping Method Payment Terms INVOICE NUMBER
Mark 1741 UPS DEST Net 30 Days INV1020257
Item Number Description Ordered Shipped BIO U of M Unit Price Ext Price
932480 -1 SAGE P2 HI -RISK GLOVE, 50 PAIRIBOX, MEDIUM 1 1 0 BOX $45.29 $45.29
932483 -1 SAGE P2 HI -RISK GLOVE 50 PAIRIBX, LARGE 1 1 0 BOX $45.29 $45.29
932486 -1 SAGE P2 HI -RISK GLOVE, 50 PAIRlBOX, EXTRA LARGE 1 1 0 BOX $45.29 $45.29
Please call our office 800 558 -6270
to verify who your current medical Subtotal Handling Fee Freight Trade Disc. Sales Tax Total
director is currently. $135.87 $0.00 $0.00 $0.00 $0.00 $135.87
Remit To: 1711 Paramount Court, Waukesha WI 53186
Fax 800 -558 -1551
Proscribed by Stale 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
Purchase Order No.
Terms
Date Due
4
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
n G
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
c
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund