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