HomeMy WebLinkAbout233978 06/25/14 1 W.,ftSA,y
�Y \ CITY OF CARMEL, INDIANA VENDOR: 361537
•1• ONE CIVIC SQUARE CARDIAC SCIENCE CORP CHECK AMOUNT: $*******226.10*
=a CARMEL, INDIANA 46032 PO BOX 83261 CHECK NUMBER: 233978
9�,�TON�` CHICAGO IL 60691.0261 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 1617194 18.10 POSTAGE
1110 4239012 31987 1617194 208.00 CARRYING CASE
C- .-.. F [ I�►C REMIT TO: INVOICE -
Cardiac Science Corporation Invoice No.1617194 —
SC I G n c PO Box 83261 —
v Chicago IL 60691-0261 Page 1 of 1
Date: 06/11/2014
Bill to: CITY OF CARMEL (POLICE DEPARTMENT) Ship to: CARMEL POLICE DEPARTMENT
3 CIVIC SQ 3 CIVIC SQ
ATTN PAT YOUNG CARMEL, IN 46032-2584
CARMEL, IN 46032-2584
v Custorher,No, Sales Order No K. ,, , r Cust PO/Reference Sales:Person,
86999 B001196200 31987 PFLUGNER, TROY
Ship Uia FOB` Currency
FOB Destination net 30 USD US Dollars
item Description U/M'' Qty Ord Qty Shp `Unit Price Amount'
Ship Date Trackrng'No S7N
9157-004 CASE,HARD-SIDED,CSI EA 1 1 208.00 208.00
06/11/2014 616618760967096
Contact info: Net Sale .Mise Chg Ship& Handling Tax Pre'peid Amt
Customer care phone: 1-800-426-0337 208.00 0.00 18.10 0.00 _ 0.00
Customer care e-mail: care@cardiacscience.com
Credit services phone: (262)953-7676 i.
Credit services e-mail: AIYIOUnt bUe,
creditservices@cardiacscience.com 226.10
Fed Tax ID: 94-3300396
RI-130470444615416261-16-85
City
� Carmel
INDIANA RETAIL TAX EXEMPT PAGE
®,Jlr CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31997
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL.-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5iiffi14
Cardiac Science Cosa Cannel Police Department
Dept.M87 SHIP 3 CIT Square
VENDOR
P.O. Box 120587 TO Carmol, IN 46032
Dallas, 7X 753`12-0587 (317)571 9_559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-3M.12
1 Each hard sided,waterproof carrying case for 0957-004 $208.00 $208.00
AED
Sub Total: $208.00
� � L���`'� ��--� il.� Ali =� ✓�
f"
3atf )f
I Afl, %
NY
Send Invoice To:
-- --
Carmel Police Department -
Attn: Pat Young
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Carmol Police Crept. PAYMENT $208.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE ISHAN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. fC
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. Chip of Polka
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
I
CLERK-TREASURER
DOCUMENT CONTROL NO. 31987 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.--
ALLOWED 20
IN THE SUM OF$
I -
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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-_._._'
20
.. -------__—. —__Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
HALLOWED 20
Cardiac Science Corp
Dept. 0587
IN SUM OF$
P.O. Box 83261
Chicago, IL 60691-0261
$226.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
r34;6-7--j 1617194 43-421.00 $18.10
bill(s) is (are)true and correct and that the
31987 1617194 42-390.12 $208.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, June 20, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
I
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.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
06/11/14 1617194 Postage $18.10
06/30/14 1617194 AED Case $208.00
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