HomeMy WebLinkAbout199572 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
Is ONE CIVIC SQUARE LIFESAVERS, INC
CARMEL, INDIANA 46032 39 PLYMOUTH STREET CHECK AMOUNT: $159.30
FAIRFIELD NJ 07004 CHECK NUMBER: 199572
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 38296 159.30 SAFETY SUPPLIES
Invoice
39 Plymouth Street Date Invoice
Fairfield N.1 07004 p� 2 ,T 201, 6/17/201 I 38296
Phone: (973)244-9111 Fax: (973)244-1606
BY:
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Attn: Carrie Keaveney
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 7/17/2011 MD UPS origin
Quantity Item Code Description Price Each Amount
1 M5070A Philips Heartstart Onsite FRX 4yr Battery 153.00 153.00
1 FRCHG Freight 6.30 6.30
IZY527YI0353587210
Purchase
Description
P.O.# PorF
G.L. �j M I6 lZ
Budget
Line Descr
Purchaser Date
Approval Date UJ! —o 1
All Discrepancies must be reported within 5 days after receipt of products (973)244-9111
Total $159.30
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
362944 LifeSavers, Inc. Terms
39 Plymouth Street
Fairfield, NJ 07004
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/17/11 38296 AED batteries 159.30
Total E$ 159.30
1 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
159.30
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 38296 4239012 159.30 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
12 -Jul 2011
Signature
159.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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