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HomeMy WebLinkAbout200498 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 365619 Page 1 of 9 ONE CIVIC SQUARE J B MEDICAL SUPPLY CARMEL, INDIANA 46032 50496 W PONTIAC TRAIL CHECK AMOUNT: $759.96 rpq c WIXOM Ml 4$393 CHECK NUMBER: 200498 CHECK DATE: 811712011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 01238588 759.96 SPECIAL DEPT SUPPLIES Invoice Page: 1 J B MEDICAL SUPPLY, 4, 50496 W. PONTIAC TRAIL Inv Number MEDICALSUPPLY WIXOM MI 48393 .,,.5ET1',f L NNG TILE S...... 01238588 Tel: 248- 896 -6210 Fax: 248 -960 -7985 Bill -to: 113885 Ship -to: 001 CITY OF CARMEL FIRE CITY OF CARMEL FIRE DEPARTMENT DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Invoice Date. 08/09/11 Salesman: BILL HINDS Ship Date: 08/04/11 Ship Via: FEDEX GROUND Our Order No: 01126137999 Customer Order 140133 Terms: NET 30 Special Attn: Mark Hulett EMS Division Instructions: Chief Bill Hinds Per Mark Hulett Line Item Number Description Ordered UM Shipped UM 13 /0 Qty Unit Price Uml Extension 1 UTUBGM ULTRA TRAK ULTIMATE 20 EA 20 EA 0 0.000 A 0.00 METER 2 UTUBGS ULTRA TRAK ULTIMATE 40 BX 40 BX 0 16.500 X 660.00 TEST STRIPS 50 /BOX 3 UTUPCS ULTRA TRAK ULTIMATE 12 BX 12 BX 0 8.330 X 99.96 CONTROL SLTN HIGH LOW SUB TOTAL 759.96 INVOICE TOTAL $759.96 Cartons: o Weight: 1 0 Non Taxable VOUCHER NO. WARRANT NO. ALLOWED 20 J B Medical Supply IN SUM OF 50496 W. Pontiac Trail Wixom, MI 48393 $759.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 I 01238588 1 102 390.11 J $759.96 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 AUG 15 N11 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 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 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01238588 $759.96 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