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Home My WebLink About244034 04/08/2015 1 ur C�qM CITY OF CARMEL, INDIANA VENDOR: 367290 ONE CIVIC SQUARE NORTH AMERICAN RESCUE CHECK AMOUNT: $**.....275.80* ,a CARMEL, INDIANA 46032 35 TEOWELL COURT CHECK NUMBER: 244034 GREER SC 39650 CHECK DATE: 04/08/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239012 32815 IN176883 275.80 RANGE TRAUMA KIT Remit To: North American Rescue, LLC Invoice#: IN176883 35 Tedwall Court Iri'voice;Date 3/23/2015 Greer SC 29650 Date`Shipped 3/20/2015 L_J Toll Free: (888)689-6277 NORTH AMERICAN RESCUE-Phone: (864)675-9800 w.w.wARE.sr,t,p-�tn-ae8.6ss.sz7i Fax: (864)675-9880 INVOICE Bill To: 19671 Ship To: BILL TO PO# 32815 CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT ATTN: PAT YOUNG 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032-2584 CARMEL IN 46032-2584 US (317) 571-2559 Contact Name Contact Phone'" Received.via':'•": Shi in `Method ', FOB T e".':.- Pa ment�,Terrris ;OrderNo:::'.. 'Master# Ryan Jellison 317-571-2599 1 EMAIL 420-UPS GRND_ _ ORIGIN NET 30 OR12949 1 186,185_ Ordered "-,,Shi "ed" .Item Number. Descri tion" 'bisc6unc Unit Price Ext:Price 1 1 80-0213 KIT, RANGE TRAUMA W CHITOGAUZE-ORG $0.00 $268.99 $268.99 Tracking: UPS GROUND 1ZV8F0720359955073 r INVOICE IN DUPLICATE NAR Tax ID#:27-1024029 Subtotal.' " ' '":''' $268.99 NAR Duns#:832426782 Disco`u'nt:."r, ,.: $0.00 THANK YOU FOR YOUR ORDER! Tax' $0.00 SINCERELY,SUSAN HORTON Frei hti":" '` $6.81 Invoice Total $275.80 Payment.Recd. $0.00 "Balance Due $275.80 INDIANA RETAIL TAX EXEMPT PAGE City o f Carm(�I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 96 35-60000972 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. VENDOR NO. DESCRIPTION 0d96�95 North AmGdean Roccue, LLC CznGI Potico Dopartmont VENDOR SHIP 3 Civic Rqumm 35 TGduWl Court TO Camel, IN ero dP, SC 3! (M)679 0 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 A2 9 Each Range Trauma Kit 00-0293 $360.99 $360.99 Sub Total: $300.99 4, -. 00 t ,IV Send Invoice To: Camel P®IIco Department Attn: Pmt Young 3 Citric sgru@m Camoi, IN 46002` PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT F PROJECT PROJECT ACCOUNT AMOUNT Camel Police Dept. �`? PAYMENT .99 • 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 CERTIjY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROP IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL 1 SHIPPING LABELS. rChlef aY police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ' CLERK-TREASURER DOCUMENT CONTROL NO. 32815 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER WARRANT NO..--.. ALLOWED 20 IN THE SUM OF $ ON ACCOUNT OF APPROPRIATION FOR 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)) 03/23/15 IN176883 trauma kit $275.80 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 VOUCHER NO. WARRANT NO. ALLOWED 20 North American Rescue, LLC IN SUM OF $ 35 Tedwall Court Greer, SC 39650 $275.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32815 I IN176883 I 42-390.12 I $275.80 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 Friday, April 03, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund