HomeMy WebLinkAbout237462 09/23/14 4/ �,qMf CITY OF CARMEL, INDIANA VENDOR: 367046
ONE CIVIC SQUARE MEDICAL WAREHOUSE CHECK AMOUNT: $*******568.37*
s. %; CARMEL, INDIANA 46032 72 GRAYS BRIDGE ROAD CHECK NUMBER: 237462
+M��TON�-�. BROOKFIELD CT 06804 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 176397 568.37 SAFETY SUPPLIES
Medical Invoice
46* Warehouse ;,s 176397
EMS Specialists Invoice Date:
72 Grays Bridge Road `=` 1 ; `i r ,��i Aug 26, 2014
Brookfield, CT 06804 SEP - 2 2014 Page:
1
Voice: 800-969-6945 Sales Order#:
Fax: 888-969-6945 -- 74176
www.EMSstuff.com -_
Sold To: . Ship to:
CARMEL CLAY PARKS & RECREATION CARMEL CLAY PARKS & RECREATION
1411 EAST 116 STREET 1235 CENTRAL PARK DRIVE EAST
ATTN: A/P-PAULA SCHLEMMER ATTN: ERIC MEHL
CARMEL, IN 46032 CARMEL, IN 46032
317 573-4023
Customer ID Customer PO Payment Terms
CAR116 37492 Net 30 Days
Ship-Date- -Shipping-Method -- — buw-Date - - — -
8/26/14 UPS GROUND 9/25/14
Quantity Item Description Qty B/O Unit Price Extension
3.00 FTX84550RD FTX 02/TRAUMA/AED BACKPACK-RED 182.50 547.50
1.00 SHIPG GROUND SHIPPING CHARGE 20.87 20.87
3�qq 2
Our Federal ID# 13-3839937
Subtotal 568.37
Sales Tax
ALL AUTHORIZED RETURNS WITHIN 30 DAYS OF SALE MAY BE Total Invoice Amount 568.37
SUBJECT TO A RESTOCK FEE OF 25%.SPECIAL ORDER,
CUSTOM ITEMS AND UNAUTHORIZED RETURNS ARE NOT Payment/Credit Applied
REFUNDABLE.
TOTAL 568.37
Please reference Invoice number on your remittance check. Thank you.
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.
Medical Warehouse Terms
72 Grays Bridge Road
Brookfield, CT 06804
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/26/14 176397 Trauma bags 37492 $ 568.37
Total $ 568.37
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
i
i
Voucher No. Warrant No.
Medical Warehouse Allowed 20
72 Grays Bridge Road
Brookfield, CT 06804
In Sum of$
$ 568.37
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center i
Board Members
Deeptpt# INVOICE NO. CCT#/TITL AMOUNT
#
1094 176397 4239012 $ 568.37 1 hereby certify that the attached invoice(s), or
I 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
18-Sep 2014
Signature
$ 568.37 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund