HomeMy WebLinkAbout242374 02/17/15 ti CITY OF CARMEL, INDIANA VENDOR: 242000
b ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECK AMOUNT: $*******406.50*
r° CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 242374
CHICACOIL 60693 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 115082267 406.50 SPECIAL DEPT SUPPLIES
Product Pilling Page: 1
INVOICE
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i Cont I Inc.
11811 Willows Road NE
Post Office Box 97006
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It 02/02/15
WA 98 7 6 USA
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Redmond, >>Fasai`Uiries' C2 .. oli.free>`:1. 8. 26.8. ..................
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Telephone:425-867-4000
Fax:425-881-2405
F.E.I.N.91-0697691
BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201
CARMEL FD CARMEL FD
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
UNITED STATES UNITED STATES
Pease return top portion with payment.
V REPRESENTATIVE
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DATE SHIPPED PURCHASE ORDER NUMBER SALES/SER ICE REPRESEN A „• ........ ......••.••.. ,,,_,._„•,,,,•,•...
02/02/15 THOMAS SMALL � CELLP1 EALL71 anackbl 003120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDERPAYMENT TERMS
GRD 887229650958412 S3535555-00 Net 30 Days
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1 11996-000093 ELECT-ASS RTS, 10. EA lt). .0 45 .06'. 382 .50
ORLDWIDE,3RD EDITION Discount 6.75-
L/C: 431682 Expires: 05/14/16 10
Contact: CHIEF THOMAS SMALL
Phone: 317 571 2660
Sub Totall 382 .50
Freight and Handling! 24 .00
HE MINIMUK ORDE :REQUIREMENT: IS $200 .
HERE IS A $10,, HANDLING FEE FOR ALL, ORDERS EELOW THE .MINIMUM.
K YOU FOR CHOfOSING .PHYSIO CONTROL
IS. T OUR. WEBSIT AT:..WWW.physio=control.com.
406.50
Site: 20
* * * O R I G I N A L
o
ACCEPTED
NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.
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
Nhom, 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))
115082267 $406.50
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
Physio Control
IN SUM OF $
12100 Collections Center Drive
Chicago, IL 60693
$406.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 115082267 102-390.11 $406.50 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
FEB 1 6 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund