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Home My WebLink About236330 8 /27/2014 (9, CITY OF CARMEL, INDIANA VENDOR: 361537 ONE CIVIC SQUARE CARDIAC SCIENCE CORP CHECK AMOUNT: S""""""*516.33"CARMEL, INDIANA 46032 PO BOX 83261 CHECK NUMBER: 236330 CHICAGO IL 60691-0261 CHECK DATE: 08/27/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4342100 1623162 17.33 POSTAGE 1115 4237000 32037 1623162 499.00 ADULT/CHILD PADS REMIT TO: INVOICE CARDIAC Cardiac Science Corporation Invoice No.1623162 — s c e n c e PO Box 83261 — Chicago IL 60691-0261 Page 1 of 1 Date: 08/15/2014 Bill to: CITY OF CARMEL COMM. DEPT Ship to: GREG BEDELL 31 1ST AVE NW CARMEL COMMUNICATION CENTER CARMEL, IN 46732 31 IST AVE NW CARMEL, IN 46032 ` z Sales Order No` ' Cust '_Reference: : Sales Person" Customer Now. _ .FO ` 77028 B001195641 32037 PFLUGNER, TROY :Ula _ :FOB` Currenc Ship a Y FOB Destination net 30 USD US Dollars ,Item Description U/M :Qty Ord: :Qty Shp Urnt:Price Amount ip Date: Tracking No. S/N r 9131-001 ELECTRODES, DEFIBRILLATION AED, G3 EA 5 5 31.00 155.00 08/15/2014 616618743207096 9730-002 ELECTRODES, PEDIATRIC WITH MANUAL EA 2 2 62.00 124.00 08/15/2014 616618743207096 9146-302 BATTERY, G3 AED, POWERHEART,YELLOW, REP EA 1 1 220.00 220.00 08/15/2014 616618743207096 Contact info: -- Net Sale rtMisc Chg':=. Ship.& Handling: La Tax` Customer care phone: 1-800-426-0337 499.00 0.00 17.33 0.00 0.00 Customer care e-mail: care@cardiacscience.com Credit services phone: (262)953-7676 Credit services e-mail: Affibudhtt:QUe:r` ' creditservices@cardiacscience.com 516.33 Fed Tax ID: 94-3300396 RI-130528332640089724-25-77 INDIANA RETAIL TAX EXEMPT PAGE City bf-C CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 32037 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. LVENDOR NO. DESCRIPTION 512612014 AED replacement paras Cardiac Science Corporation - Carmel Communication Center <T "- SHIP VENDOR-— � �4D - 8T Z-CP/ f - TO 31 1 st Ave ice! � -- - o dWa Carmel, IN 46032 (317)571-2376 CONFiRMATiON BLANKETf CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION c- Account 42-370.00 1 Each AduR pads(5) $155.00 $155.00 1 Each Battery $220.00 $220.00 1 Each Child Pads(2) ;; . $124.00 $124.00 Sub Total: $499.00 i (`,` a Y. •• ,tib ,rya jtS 4 �a �°•V®ria+" ��. I i n)l, .� Send Invoice To: Carmel Communication Center 31 1 st have NW Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT 1115 Communications PAYMENT $499.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL ' SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _�".- y� •t9;' F''i --, AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Y I CLERK-TREASURER DOCUMENT CONTROL NO. 3 2®3 7 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE l VOUCHER NO...___. WARRANT ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR �f 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 20 Signature ........................................----.__......................................._...................___.__............_._._. 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)) 08/15/14 1623162 $17.33 08/15/14 1623162 $499.00 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. ALLOWED 20 Cardiac Science Corporation IN SUM OF $ 0. o>c S'�Z�% O-A-�--V , $516.33 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32037 1623162 42-370.00 $499.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1115 1623162 43-421.00 $17.33 materials or services itemized thereon for which charge is made were ordered and received except Thursday, August 21, 2014 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund