HomeMy WebLinkAbout168666 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 355226 Page 1 of 1
a. ONE CIVIC SQUARE PUBLIC SAFETY CENTER, INC
CARMEL, INDIANA 46032 PO BOX 2370
CHECK AMOUNT: $246.78
EUGENE OR 97462
CHECK NUMBER: 168666
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO-:NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
102 4239011 171678IN 246.78 SPECIAL DEPT SUPPLIES
,4
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ACH only no wire transt2rs!I
P.O. B OX 2370 Pay directly from your bank to ours!
Eugene, UK 97402 P Use our routing 123205135 Order Date Invoice
and our account 20025714
1/20/2009 171678IN
5414AA1,-� Fax 641.686.1373
BIII To Ship To
Carmel Fire Dept 0
Attn: Accounts Payable Carmel Fire Dept
2 Civic Sq Attn: Ems Dir Mark Hulett
Carmel IN 46032 2 Civic Sq
Carmel IN 4603
P.O. Number Terms Rep Name invoice /Ship Date Ship Via Phone
MARK Net 30 DaniL 1/21/2009 Ground 317/571 -2600
Quantity Item Code Description Price Each Amount
200 MDS137020 Cold Packs 5x6, (each) 0.55 110.00
1 DYND50135 Yankaueis with Tubing, Sterile (72 w/o 57.09 57.09
control vent (70 /cs)
1 Shipping 79.69 79.69
1 Tracking iZA00T710359857085, 0.00
1ZAOOT710359663294,
1ZAOOT710358943304,
1ZAOOT710360661113,
1ZAOOT710360700722
Total 0AA 7A
W -9 INFORMATION: PUBLIC SAFETY CENTER IS AN OREGON CORP FIN #93- 1319770
ANY ITEMS RETURNED 60 DAYS OR MORE AFTER RECEIPT ARE SUBJECT TO A 10% RESTOCK FEE.
VOUCHER NO. WARRANT NO.
—S ALLOWED 20
Public Safety Center
IN SUM OF
P.O. Box 2370
Eugene, OR 97402
$246.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members
1120 171678IN 102- 390.11 $246.78 I 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
FEB 2 2009
4
F
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
171678IN Misc. EMS Supplies $246.78
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