HomeMy WebLinkAbout203070 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 362944 Page 1 of 1
ONE CIVIC SQUARE LIFESAVERS, INC
1 CARMEL, INDIANA 46032 39 PLYMOUTH STREET CHECK AMOUNT: $80.62
FAIRFIELDNJ 07004 CHECK NUMBER: 203070
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 40915 80.62 GENERAL PROGRAM SUPPL
zdFESA�HM p9 Invoice
39 Plymouth Street Date Invoice
Fairfield NJ 07004 10/14/2011 40915
Phone:(973)244 -9111 Fax:(973)244 1666
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Administrative Offices Attn: Eric Mehl
141 1 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.
MC002147 Net 30 1 1/13/201 1 MG UPS origin
Quantity Item Code Description Price Each Amount
2 221 -025 Alcohol Wipes 200/box 5.50 11.00
5 WL3150 Manikin Practi- Shield 50 /roll 11.99 59.95
1 S H Shipping Handling 9.67 9.67
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Description
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Purchaser Date
Approval Date
All Discrepancies must be reported within 5 days after receipt of products (973)244-9111
Total $80.62
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
10/14/11 40915 CPR training supplies 80.62
Total 80.62
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
80.62
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. 4,CCT #frITLE AMOUNT Board Members
Dept
1096 -50 40915 4239039 80.62 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
20 -Oct 2011
Signature
80.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund