HomeMy WebLinkAbout201305 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS, INC
CARMEL, INDIANA 46032 39 PLYMOUTH STREET CHECK AMOUNT: $86.55
FAIRFIELD NJ 07004
CHECK NUMBER: 201305
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 39514 86.55 GENERAL PROGRAM SUPPL
LdFE Invoice
39 Plymouth Street Date Invoice
Fairfield NJ 07004 8/10/2011 39514
Phone: Fax: (973)244 1666
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation c/o Woodbr
Administrative Offices Attn: Nikeesha Pittman
1411 E. 1 16th Street 4311 E. 1 16th St.
Carmel IN 46032 Carmel, IN 46033
P.O. Number Terms Due Date Rep Ship Via F.O.B.
Net 30 9/9/2011 MD UPS origin
Quantity Item Code Description Price Each Amount
2 220 -202 Adhesive Woven Bandages 3/4" x 3" 100/box 5.30 10.60
2 220 -266 Adhesive Bandage Assortment Blue Metal Detectible 6.20 12.40
2 231 -203 Gauze Pads -Sterile 2 "x 2" 100/box 8.60 17.20
5 221 -035 Peroxide, Hydrogen 3oz, Non Aerosol Spray 3.60 18.00
3 215 -007 #659 Burn Cream Igm 6 /unit 1.49 4.47
5 213 -040 #730 Alcohol Wipes 10 /unit 0.82 4.10
2 229 -048 4665 Certi -Tears eye drops .02oz 5.pkg 3.70 7.40
4 228 -346 Elastic Cohesive Bandage, Certi -Rip 2 "x 5 yd. 2.65 10.60
1 213 -019 #711 Insect Sting Swabs 10 /unit 3.40 3.40
2 221 -039 Antiseptic Wipes 50/box 4.00 8.00
Subtotal 96.17
DISC -1 0.00% -9.62
1 ZY527Y 10354458563
Purc se s
Desciiption F rsl A d D W
P.O. 4 E0001B PorF A JA
G.L. l�g1 -11- J42 3903 AUG 1 5 2011
Buda .t r O C7 SL)9PUcS
Line )escr v
Purcl iaser-
Date n
Appr 3val Date
Thank you for your business. Inquiries (973) 244-9111
Total $86.55
L
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
8110111 39514 First aid supplies WB 86.55
Total 86.55
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.
362944 LifeSavers, Inc. Allowed 20
39 Plymouth Street
Fairfield, NJ 07004
In Sum of
86.55
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -11 39514 4239039 86.55 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
8 -Sep 2011
Signature
86.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund