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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