HomeMy WebLinkAbout158073 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 358226 Page 1 of 1
ONE CIVIC SQUARE PARK SURGICAL CO INC
CARMEL, INDIANA 46032 5001 NEW UTRECHT AVE CHECK AMOUNT: $5.50
BROOKLYN NY 11213 CHECK NUMBER: 158073
CHECK DATE: 4/1/2008
6
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239012 57106 5.50 SAFETY SUPPLIES
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03/17/08 09:49 AM EOT via VSI -FAX Page 2 of 2 #57106 DI
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PARK SURGICAL CO., INC. Q
45001 NEW UTRECHT AVENUE BROOKLYN, N.Y. 11219 �3 —1 O INV
1- 800 -633 -7878 1- 718 436 -9200 FAX# 718- 854 -2431 �Qd
N.Y.C.D.C.A. 0807785 DEA RP0159548
t N.Y.S.BD. OF PHARM.# 303138 TAX ID 11- 1169820
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BILL D
TO: ESE CONNIE MURPHY ESE CARMEL CLAY P .KS REC.
1411 EAST 116TH STREET 1235 CENTRAL PARK �IVED
CARMEL IN 46032 CARMEL IN 46032
MAR 1 7 2008
BY:
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1205434 -03 100 12/19/07 130 17903 01/16/08
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CUSTOMER SERVICE IS EXT 4294
VISIT US AT PARKSURGICAL.COM
88 1 CERT270032 EA 5.5000 5.50
CPR PROTECTOR W /GLOVES
CODE EXPLANATION THIS IS YOUR INVOICE SUBTOTAL 5.50
STATE TAX APPLICABLE C CONSIDER CONWLEfE
FED 1011 D DIRECTSMIPNWNT 1 IIII jllll IIII I I.!IIII1011 IIIII MISC CHARGB
sTATE r[DCDAL TAX F RrACTODV MNIMUM 'FR ICy N, !I!) III III I�R' H'.f 1 �T I III
TELE CHARGE
8 BALANCE BACK ORDERED N RETUPNED CYL.
0.00 0.00 FREIGHT'TOTAI 0 00;1
NET TERMS: INV 0 DUE: 01/16/08 FED. /OTHER TAX
STATE TAX
PAYMENT RECD. 0.00
I TOTPL AMT'; DUE::
XLOPTB 8/88 :5:0::
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.
Park Surgical Co., Inc. Date Due
5001 New Utrecht Avenue
Brooklyn, NY 11219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
17- Mar -08 57106 CPR gloves 5.50
Total 5.50
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
✓oucher No. Warrant No.
Allowed 20
Park Surgical Co., Inc.
5001 New Utrecht Avenue
Brooklyn, NY 11219 In Sum of
5.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 57106 4239012 5.50 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
25 -Mar 2008
igna ure
5.50 Busin ss rvices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
