Loading...
156757 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 358226 Page 1 of 1 ONE CIVIC SQUARE PARK SURGICAL CO INC CHECK AMOUNT: $1,069.05 CARMEL, INDIANA 46032 5001 NEW UTRECHT AVE BROOKLYN NY 11213 CHECK NUMBER: 156757 CHECK DATE: 2/21/2008 DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4239012 1205434 -01 700.55 SAFETY SUPPLIES 1046 4239012 1205434 -02 368.50 SAFETY SUPPLIES PARK SURGICAL CO., INC. INVOICE 5001 NEW UTRECHT AVENUE BROOKLYN, N.Y. 11219 1- 800 633 -7878 1- 718 436 -9200 FAX# 718 854 -2431 N.Y.C.D.C.A. 0807785 DEA RP0159548 t... N.Y.S.BD. OF PHARM.# 303138 TAX ID 11- 1169820 T JAN 1 8 2008 ENUQIGE .NkFMBEFi INi/f7ECENUMBEfi'..:. c7 ESECAR 1205434 -01 1205434 -01 I To ESE CONNIE MURPHY JAN 2 3 2008 STO: ESE CARMEL CLAY PARKS REC. 1411 EAST 116TH STREET Y 1235 CENTRAL PARK DR. EAST CARMEL IN 46032 0 CARMEL IN 46032 1 it�UOIGE PIUMIBER SL5Mt ©HFJEI� SATE 7fa1<ER TOMEft P4iUM.BER::: fl/aT 1205434 -01 100 12/19/07 130 17903 01/04/08 �NSTRUa T3 ©NS`":';'8:'';':: ART; REcPyE VIA DHL EXPRESS 49103182774/2575 /2671 P 1 Ql3ANF3FY flADEREf7 B O fk?Ef SFkIAPp LISP: STEM CODE Ah1D DE5CRkPTkON uitvl UNIT FR10E ANIOttNt CUSTOMER SERVICE IS EXT #294 VISIT US AT PARKSURGICAL.COM 11 11 TI908110 BX 9.3000 102.30 GAUZE PAD STERILE 3" X 3" 12 PLY 100 /BOX 55 55 DYD3611 BX 2.0000 110.00 ADHESIVE BANDAGE FLEXABLE 3/4" X 3" 100 /BOX 88 1 20 B CERT270032 EA 5.5000 110.00 CPR PROTECTOR W /GLOVES 22 22 CYP25 -94 BX 8.0000 176.00 VINYL EXAM GLOVE MEDIUM N/S 100 /BOX POWDER FREE 11 11 F0021 -31 EA 6.5000 71.50 BACITRACIN /POLYMYXIN 1OZ. OINT.(GENERIC POLYSP 2 2 3M1538 -1 BX 2.0000 48.00 DURAPORE SURGICAL TAPE 1" X 10YD /RL UNITS: 24 RL 11 11 DI140 -05 EA 0.7500 8.25 PEROXIDE 16 OZ CODE F-ARON SUB TOTAL STALE APRICARIE C CONSIDER C IE E TA% -CABLE FED.101"R -CABLE D SIYiTAE- FNT 1 yy y l'+y- MISC.:CH 6 EWE- T E EA TORY M N M STALE A% C UM fREiG�.i B BALANCE BACKORDERED RE TL)RNED CYE. TELE. CHARGE FREIGHT TOTAL' FED. /OTHER TAX STATE TAX: PAYMENT RECD. CONTINUED XLOPTB 8/88 PARK SURGICAL CO INC. INVOICE r 5001 NEW UTRECHT AVENUE BROOKLYN, N.Y. 11219 1- 800 633 -7878 1- 718 436 -9200 FAX# 718- 854 -2431 N.Y.C.D.C.A. 0807785 DEA RP0159548 t... N.Y.S.BD. OF PHARM.# 303138 TAX ID 11- 1169820 T IN VC?I:GEs:NUNIBER. }IVV DICE: N1V46EEt ESECAR 1205434 -01 1205434 -01 BILL SHIP TO: ESE CONNIE MURPHY TO ESE CARMEL CLAY PARKS REC. 1411 EAST 116TH STREET 1235 CENTRAL PARK DR. EAST CARMEL IN 46032 CARMEL IN 46032 N.VQiGE`PJ:UM6E 3 SLSMEV 4fiDF Fi'i�A'TI TAiCEf3 COST OMER R NUMBER :.:.DA: 120543 100 12/19/07 130 17903 01/04/08 INSTfCU:CT�Q£V5: ii T; VIA DHL EXPRESS 49103182774/2575 /2671 P 2 t?RDEREp B,y:IBET;'::;: ;:;..SFtIPl?ECi;... DISP;. ITEM CODE AfVD.l9E5CREPfI(7N ow. UAlIT MDUNT 2 2 3M5122 BX 15.2500 30.50 TEMPADOT FARENHEIT 100 /BOX 22 22 CP03 EA 2.0000 44.00 ELASTIC BANDAGE 3" CODE E- ANAIIDN THIS IS YOUR INVOICE SUBTOTAL 700.55 STATE IAX AT_ICADLE C CONSIDER COKIIREIE FEU.TOI "Ea TAX AjvLICAxLE D DIRECT S—ENr y{ YY MISC. CHARGE. 5 S STAIE 1. FED- TAX F FAC TORY MINI M 11. IT -ANCE RACK ORDERED R RE NRNED CYL. TELE. CHARGE 0.00 0 FREIGHT TOTAL 0.00. NET TERMS: INV 0 DUE: 01/04/08 FED. /OTHER TAX STATE TAX PAYMENT REC'D. 0.00 TOTAL AMT DUE' XLOPTB 8/88 7 0 0 5 5 PARK SURGICAL CO., INC. INVOICE e 5001 NEW UTRECHT AVENUE BROOKLYN, N.Y. 11219 1- 800 633 -7878 1- 718- 436 -9200 FAX# 718- 854 -2431 N.Y.C.D.C.A. 0807785 DE:A RP0159548 t... N.Y.S.BD. OF PHARM.# 303138 TAX ID 11. 1169820 EIVUQIGENIfMBER... J QI� 2��8 #NV�ICE#TlunnBEEi f U ESECAR 1205434 -02 i 1205434 -02 BILL SHIP-== C TO: ESE CONNIE MURPHY TO ESE CARMEL CLAY PARKS REC. 1411 EAST 116TH STREET 1235 CENTRAL PARK DR. EAST CARMEL IN 46032 CARMEL IN 46032 I�l -07 i IRlVC1JGE NUiu18Et SLSMN::.,, ©FDER. iAT E' TAa£Ef3 £USTOMER I? >4J 1V�fMBE�t HATE 1205434 -02 100 12/19/07 130 17903 01/04/08 aN ST3tuCTaiJR3S pRT PAGE Nq: VIA DHL EXPRESS 49103185176 P 1 1 i.` UAAlIITY is i i 22`21 i iii; `i si' "i` i i is :'ii i iiiii `i ii :i i ii: iii ii i:;<;i`; i:i:Y i i i i i vii i %i i i ?:i :i :ii i i ii i RISP> kTEM GdDE AND: QE$cRfPTfON: uim 11A3kT FRiGE AN3aUNi CUSTOMER SERVICE IS EXT #294 VISIT US AT PARKSURGICAL.COM 88 1 67 CERT270032 EA 5.5000 368.50 CPR PROTECTOR W /GLOVES CODE. EXRLANARON THIS IS YOUR INVOICE SUB TOTAL 368 5 0 STAR lA% AfPLICARLE C CONSIDER COMREIE FEDJOER TAX -CABLE D DIRECT SHPMENr hr 1, TM MISC :CHARGE. STATE 6 FEDERAL TAX F FACTORY .1-11. F ^E;�G.1'.i ?.'I "1Gf'tT B BALANCE BACK ORDERED n RETIMNED CVL. i....._...........:........... ii:i TELE. CHARGE O OO 0.00 FREIGHT TOTAL O O'O>. NET TERMS: INV 0 DUE: 01/04/08 FED. /OTHER TAX STATETAX PAYMENT RECD. 0.00 TOTAL:: ?AMT DUE: XLOPTB 8/88 j6 8. 50 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 -I; 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 Ave. Brooklyn, NY 11219 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/4/08 1205434 -01 1st aid supplies 700.55 1/4/08 1205434 -02 1st aid supplies 368.50 Total 1,069.05 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 Park Surgical Co., Inc. 5001 New Utrecht Ave. Brooklyn, NY 11219 In Sum of 1,069.05 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 1205434 -01 4239012 700.55 1 hereby certify that the attached invoice(s), or 1046 1205434 -02 4239012 368.50 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 13 -Feb 2008 i g tur 1,069.05 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund