160476 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 355237 Page 1 of 1
ONE CIVIC SQUARE MERCURY DISTRIBUTING
a CHECK AMOUNT: $431.88
CARMEL, INDIANA 46032 7001 WOOSTER PIKE
MEDINAOH 44256 CHECK NUMBER: 160476
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
900 4359005 17417 98144 431.88 CAR SEATS
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Invoice
Invoice Number: 0000098144
7001 Wooster Pike, Medina, OH 44256
Ph: 330.723.4739 Fax: 330.721.6799 Invoice Date: 5121/2009
REMITTANCE ADDRESS: Invoice Due Date: 6/20/2008
WESTERN RESERVE DISTRIBUTING, INC.
dba CHILD SOURCE Customer: CARMPD
P.O. BOX 73714 Sales Order: 0000075328
CLEVELAND, OH 44193
Tax ID 482-0563593
777777
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1p
CARMEL POLICE DEPARTMENT, CITY CARMEL POLICE DEPARTMENT, CITY
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032-2584 USA CARMEL, IN 46032-2584 USA
�-711- 7 1,
-FO'B, T'
��Ship �977F
17417. FEDEX GRND ORIGIN Net 30 Days
rice
Descripti _pji
ip Unit p d
3702098 TITAN 5 CARSEAT 50# 2PK 6 61.150 366.90
LAST ITEM
Tracking Numbers: 066443711060943, 066443711060950, 066443711060967
Subtotal 366.90
Freight 64.98
Sales Tax 0.00
Payment/Credit Amount 0.00
E7- '7q7
431.88
PrescrVed 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
Mercury Distributing, Inc. Purchase Order No. 17417F
7001 Wooster Pke Terms
Medina, OH 44256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/21/08 98144 payment for car seats 431.88
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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
Mercury Distributing
IN SUM OF
7001 Wooster Pike
Medina, OH 44256
431.88
ON ACCOUNT OF APPROPRIATION FOR
�3ib XXXXXXXXXXX car seat grant fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
17417F 98144 590 05 431.88 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
May 29 20 08
)b it
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund