The URL can be used to link to this page

Home My WebLink About240310 12/16/14 (9, CITY OF CARMEL, INDIANA VENDOR: 357526 ONE CIVIC SQUARE HENRY SCHEIN INC CHECKAMOUNT: $*******195.34* CARMEL, INDIANA 46032 DEPT CH 10241 CHECK NUMBER: 240310 PALATINE IL 60055-0241 CHECK DATE: 12/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 15066190 195.34 SPECIAL DEPT SUPPLIES Pleasedetachhereand mail the above with your payment ORDER# ORDER DATE IDUE DATE 24583201 12/01/14 1 01/01/15 D&B#:01-243-0880 WHSE DEA# RHO162494 Fed ID: 11-3136595 �a a •Me, s o his order has been processed by our MIDWEST M.C. 5315 WES 74TH 3TREET INDIANAP LIS,IN 46268 1 499-2550 EA EMS SHEARS BLACK 10 10 2.00 20.00 2 2 499-2923 10/CA GRAHAM MEGA MOVER 1500 1 1 C 175.34 175.34 1 SE GOOD I EM, MAY BE SHIPPED SEPARATELY. ---------- --------------------------------- ------ ----- ------------- ------- ---------- --------------------------------- ------ ----- ------------- ------- LEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOSJRES/TEZMS OF SALE ---------- --------------------------------- ------ ----- ------------- ------- ---------- --------------------------------- ------ ----- ------------- ------- MERCHANDI E TOTAL 195.34 Invoice Date + 30 days 195.34 lease remi payments only to the following a dress: Henry Schei , Inc. Dept CH 10211 Palatine, I 60055-0241 RITA, TO SHIP T I ITEM STATUS KEY. FRE�1��TK 19 5.3 4 B-Backordered;Item will follow SK-S1308571 1817102 15066190 D-Discontinued;Item no longer availableC ORDER DAINVOICE DA F-Special offer M-Manufacturer will ship Item directly to you O 1 14 12/02/14 P-Prescription Drug;Return Authorization Required 24583201 12 / / 2 R-Refrigerated Item;May be shipped separately $ -Special Schein Pricing CUSTOMER PO# PAGE T-Taxable Item U-Temporarily unavailable:please reorder 1 OF 1 •-Item has MSDS � .. (e.g.points,discount redemptions or y other special awards),with your purchases you may earn •Items that cannot be returned to the manufacturer•Any item marked nonreturnable poirdsjcredits redeemable for certain goods or services,in accordance with discount program Equipment: rules.Upon discount receipt by redemption of your earned points/credits,you are receiving or opened and used equipment may not be returned for credit.Before openinr� will receive notice of the discount value.Accordingly,you should retain these records. equipment,we suggest that you check the shipping container and packin list to DELIVERY TERMS: ensure that you areggetting eactly what you or fered.Equipment must be returned Unless otherwise agreed,freight terms are FOB Shipper's Dock(Ex Works"outside in the original unopened packaging,unmarked and properly packaged.Speical order North America).Title passes at the time the shipment is loaded at the shipper's dock. equjpment is not returnable.Alf equipment returns are subject to a restocking fee. Equipmentis barked by the manufac:turer's repair or replacement warranty.Please Continental U.S.: read and return all warrant;information required immediately upon taking delivery of All orders will be subject to a handling charge.This charge includes freight,exceptfor your new equipment.Open or defective equipment is subject to the manufacturers additional carrier charges related to special delivery services and hazardous material warranty. shipments.Special orders are subject to additional freight charges. Prescription Drtrg Returns: Alaska.Hawaii&Pacific Protectorates; Please note that,in order to comply with Federal and State Pedigree requirements, Standard shipping methods provide direct,reduced cost,expedited air delivery Henry Schein's policy on the return of Rx Drugs is as follows: service to all accounts in Alaska and Hawaii.Customers in the Pacific Protectorates Rx Drugs which Henry Schein has purchased from wholesalers are not returnable. are offered direct surface transport,or postal services for reliable delivery. These items will be identified in vour invoice with the code WH. No additional surcharges apply,except when special services are requested. Rx Drugs which are purchased ley Hennr Schein directly from the manufacturer may Low-level hazardous items(dangerous goods in accepted quantities and Consumer be returned providing that the following key elements are met: Commodity ID 8000)are now available via UPS 2nd-day air. 1 Only returns clue to error in order or delivery will be allowed. Guam Puerto Rico U.S Trust Territories&Virgin Islands: 2)Returns of Rx Drugs will only be accepted if HSI is notified within 14 calendar days • All orders will be subject to a handling charge. his charge includes freight through of receipt of the shipment and valid return authorization is issued by HSI. the United States Postal Service(USPS). 3)The Prescription Drug Marketing Art requires any customer returning Fix Drugs • Special delivery orders and hazardous material shipments can be.shipped via United to complete and return a Prescription Drug Return Authorization form.Federal law Parcel Services(UPS)for an additional charge.No minimum order amount orweight requires that the heahtheare entity returning Rx Drugs document that the product applies.Speak to your International Representative for details. was kept under proper storage and handling conditions while in their possession and during the return of the product,to get a copy of the form and proper return Outside U.S.(50 states): authorization,please contact Customer Service. It)rour order is being shipped outside Ute U.S.(50 states),please refer to the 4)In addition,Pedigree regulations require that the healthcare entity returning International Terms&Conditions at henryschein.vom.Unless otherwise agreed, Rx Drugs certifies Ire terms are,FOB Shipper's Dock("Ex Works"outside North America). that the product being returned is the same exact product purchased from HSI. Title passes at the time the shipment is loaded at the shipper's dock. 5)Henry Schein will not issue credit for any returned Rx Drugs which have been Customer is responsible for compliance with any applicable import requirements. tampered with,are out of date or where the labeling has been altered in any way. RX PRODUCTS & CONTROLLED SUBSTANCES: C190OS- YQUR PAYMENT-METHOD-` -- --- - ~— Regulations require us to limit the sale of Rx and controlled substances only to registered, 2%Cash Back or Maximum Rewards on all purchases with the Henry Schein licensed healthcare professionals.If you are a new customer or have recently moved, Credit Card.To apply now,call:1.606.398.9296 or online please furnish lis with a copy of your updated state DEA registration.For controlled www.henryschpaying ein.coin/crediteard Reduce the cost and administration of substances,furnish a copy of your DEA registration verifying your shipping.address. Please note:that all orders for controlled substances are subject to a due diligence reviewHenry ScheirrPay electronically(ACH Debit)or set up AutoPay. process.Schedule II controlled substances can be ordered electronically or by mail. Please call Customer Service for details. For information on our Controlled Substance:Ordering System please visit For your convenience,we.provide several payment alternatives.0rders billed to your wvtM1v.henrvschein.com/e222;if you prefer to continue using Federal 222 Forms to order account may be paid by ACH Debit,Check by Phone,or Check.If you prefer, Schedule II controlled substances,please mail the form to: you may useyour Henry Schein Credit Card,American Express,Visa,MasterCard or Henry Schein,Inc.• Suite 300,5315 West 74th Street• Indianapolis,IN 46268 Discover Card when placing your order.All sales are subject to our normal terms and REGULATORY REQUIREMENT: c:onditions.All sales are subject to credit approval.Invoices are payable.within agreed Local regulatory requirements may apply to use or installation of certain products. terms of sale. Be sure to understand and comply with any such requirements prior to purchase,use, Open Accounts Receivable: or installation of products. All unpaid accounts receivable past due are subject to a 1.5%finance charge. To arrange for a product return,simply call Customer Service as noted below: Henry Schein Medical 3408 Program Henry Schein MedicallEMS Customer Service: 1.800.472.4346 8am-9prn,et. Customer Service: 1.877.344.3402 8:30am-5:30pin,eh. Customer Service: 1.800.845.3550 8:30am-5:30prn,et Place an Order. 1.800.772.43468anr9pm,et. Place an Order. 1.877.344.3402 8:30am-5:30pm,et. Place an Order: 1.800.845.3550 8:30am-5:30pm,et Fax an Order. 1.800.329.9109 24 flours. Fax an Order. 1.888.885.2253 24 Hours. Fax an Order. 1.800.533.4793 24 Hours. Internet: wvny.henryschein.com/medical E-Commerce Support: 1.800.711.6032 Sam-bpm,et. Internet: www.henryschein.conr/ears E-Mail: cusisery@henryschein.com Internet: www.henryschein.com/340B E-Mail: scott.bruner@hearyschein.com E-Mail: customer.stipport@henryschein.com Please see:lrttp://www.Henryschein.com/US-EN/Medical/LegalTerms.ASPX for Conditions&Exceptions. LP300 i VOUCHER NO. WARRANT NO. ALLOWED 20 Henry Schein IN SUM OF$ Dept Ch 10241 Palatine, IL 60055 $195.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 15066190 102-390.11 $195.34 1 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 DEC 1 5 2014 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)) 15066190 $195.34 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 5-11-10-1.6 120 Clerk-Treasurer