HomeMy WebLinkAbout240947 1 /13/2015 0`. . CITY OF CARMEL, INDIANA VENDOR: 361537
® ONE CIVIC SQUARE CARDIAC SCIENCE CORP CHECK AMOUNT: $ .....642.33"
CARMEL, INDIANA 46032 PO BOX 83261 CHECK NUMBER: 240947
vy, a;?• CHICAGO IL 60691-0261 CHECK DATE: 01/13/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1635528 642.33 MATERIALS & SUPPLIES
CAR®' REMIT TO: INVOICE
-
Cardiac Science Corporation Invoice No.1635528 —
science, PO Box 83261 —
M Chicago IL 60691-0261 Page 1 of 1
Date: 12/16/2014
Bill to: CITY OF CARMEL COMM. DEPT Ship to: CITY OF CARMEL WATER-WASTEWATER
31 1ST AVE NW UTILITIES
CARMEL, IN 46732 3450 W 131ST STREET
CARMEL, IN 46074
✓ Customer No._ - ._ ySales Order No. Cust`PO//Reference"` Sales Person ` -
77028 B001206830 JP053014 PFLUGNER, TROY
Ship Via FOB Terms Currency
No PO net 30 USD US Dollars
Item Description U/M Qty Ord. Qty Shp. Unit Price, Amount
Ship Date Tracking No. SIN
9146-302 BATTERY, G3 AED, POWERHEART, YELLOW, REP EA 2 2 220.00 440.00
12/16/2014 616618743248198
9131-001 ELECTRODES, DEFIBRILLATION AED, G3 EA 4 4 31.00 124.00
12/16/2014 616618743248198
9730-002 ELECTRODES, PEDIATRIC WITH MANUAL EA 1 1 61.00 61.00
12/16/2014 616618743248198
Contact info: Net Sale Misc Chg hip& Handlingl Tax I Prepaid Amt
Customer care phone: 1-800-426-0337 625.00 0.00 17.33 0.00 0.00
Customer care a-mail care@cardiacscience.com
Credit services phone: (262)953-7676
Credit services e-mail: Amount DUe
creditservices@cardiacscience.com 642.33
Fed Tax I D: 94-3300396
RI-130632912619239276-45-127
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
361537
CARDIAC SCIENCE CORP Purchase Order No.
PO BOX 83261 Terms
CHICAGO, IL 60691-0261 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 1635528 $642.33
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
Date Off i r
VOUCHER # 142614 WARRANT # ALLOWED
361537 IN SUM OF $
CARDIAC SCIENCE CORP -
PO BOX 83261
CHICAGO, IL 60691-0261
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
zrt
vrl**4k Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1635528 01-6200-03 $299.33
1635528 01-6200-06 $343.00
Voucher Total $642.33
Cost distribution ledger classification if
claim paid under vehicle highway fund