HomeMy WebLinkAbout202654 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS, INC
h I' CHECK AMOUNT: $376.00
CARMEL, INDIANA 46032 39 PLYMOUTH STREET
4,�y -o FAIRFIELD NJ 07004 CHECK NUMBER: 202654
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 40444 376.00 SAFETY SUPPLIES
01 Invoice
39 Plymouth Street Date Invoice
Fairfield NJ 07004
a 9/21/2011 40444
Phone: (973)244 9111 Fax: (973 )244
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Attn: Carrie Keaveney
1411 E. 1 16th Street 1235 Central Park Dr E.
Carmel IN 46032 Carmel, IN 46032
P.O. Number Terms Due Date Rep Ship Via F.O.B.
28971 Net 30 10/21/2011 MD UPS origin
Quantity Item Code Description Price Each Amount
I M5070A Philips Heartstart Onsite FRX 4yr Battery 153.00 153.00
2 M5071A Philips Onsite Adult Smart Pads Cartridge 59.00 118.00
1 M5072A Philips Onsite Pediatric Smart Pad Cartridge 95.00 95.00
I S H Shipping Handling 10.00 10.00
IZY527Y10354095893
Purchase
Description SUppuWS
P.O. 8 9 I P orOF
G.L. ►09� 4-z39a t2.
Budget c JAFe-ly S upP u e .s
Line Descr
Purchaser Date
Approval Date
All Discrepancies must be reported within 5 days after receipt of products (973)244-9111
Total $376.00
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
9121111 40444 Safety supplies 28971 376.00
Total 376.00
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
Voucher No. Warrant No.
362944 LifeSavers, Inc, Allowed 20
39 Plymouth Street
Fairfield, NJ 07004
In Sum of
376.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members
Dept
1094 40444 4239012 376.00 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
6 -Oct 2011
Signature
376.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund