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Home My WebLink About246196 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 369478CHECK AMOUNT: $*******159.82* (9, ONE CIVIC SQUARE ARROW INTERNATIONALCARMEL, INDIANA 46032 3015 CARRINGTON MILL BLVD CHECK NUMBER: 246196 MORRISVILLE NC 27560 CHECK DATE: 06/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 93109017 159.82 SPECIAL DEPT SUPPLIES AWOW ..........*'*"***.................................. . .......... ... ...... . ....... . .......... ... . . . ........ .................................... ........ ........................ .................:............................................................................... <No.::>::::> ««'Date.<:,<:: ::;::::::Page....... ......Due.Date.<::<::: 93109017 05/28/2015 1 of 1 06/27/2015 Payer Account No. 1057230 Bill To Party Account No. 1057230 Ship To Party Account No. 1057230 Carmel Fire Dept Head Qua Carmel Fire Dept Head Qua 2 Civic Square 2 Civic Square CARMEL IN 46032-7543 CARMEL IN 46032-7543 USA USA Payment Remittance Address: Wire Transfer Remittance: Overnight Remittance Address: _ Arrow International, Inc. _ _Wells Fargo Bank N.A. _ _ __ _Wells Fargo Lockbox Services PO Box 60519 420 Montgomery Street Arrow International, Inc. Charlotte, NC 28260 - 0519 San Francisco, CA 94104 Lockbox 60519 Account No. 2000040988562 1525 West W.T. Harris Blvd - 2C2 Routing/ABA No. 121000248 Charlotte, NC 28262 SWIFT Code: WFBIUS6S i?ucirase€[tlriiclfias Bel es #3rler>(tfa5 ':< >':i': >`:> > '.> EXicFerFla a :`::>'''z ......................................................................................................................... ..AW&M.................Del�iiee: ltii'-1.1>::'.>:::>::[<:<><:::::: azs�e fE eves:af::5 vi e<:>'.<::::>:<:>>`:::>:><:» >::: ........................................................................:..:.......:..:..::.::.................................y.............................y................................................................................................................. JohnAlverson 2188379 John 183165408 UPS .................... C irz ...C1Q>:#::>:>:><:<:><:><:»:....... T r InQterisis::::»::::::::: :::: :::>::>::::>::::>::::>::::::::::>:'.>::::»::>:::Pa <::>:>:«<:: :::Cirei3 ':>; 9..............................................9.....................................................................................................................?t......................................................................................................Y.... 1Z6069200372481939 Pre-pay & Add FOB ORIGIN Net 30 USD ......................... ..................................................................................................... ........................................................................................................................................................................................................................................................................................................ ........................................................................................................................................................................................................................................................................................................ ........................................................................................................................................................................................................................................................................................................ ........................................................................................................................................................................................................................................................................................................ »:NI a�Eaerial'lies::...:: .:,: :::>:<'::>::>::::>::::>::::»:::>:::;>?.....: : :><:::: :.:::: <:>:::«<:>:«:::»>::>::>:»::::>:: ::>::::»::::>:::<:»::>.... n: ............................................... . >::>::. aaG #?p............................................................................................... 000010 9066-VC-005 EZ-STABILIZER(BOX OF 5) BX 2 0 75.00 150.00 Brand: Arrow Batch No. 013633 Exp. Date 04/30/2018 Country of Origin TW -Comments;--- —-- - -- - Sub-Total 150.00 Freight 9.82 Tax 0.00 Total USD 159.82 The terms on our Acknowledgment and Invoices state Arrow's entire contract. Arrow shall not be bound by any different, additional or conflicting terms and conditions contained in Buyer's Purchase Order unless expressly agreed to in writing by Arrow. Arrow's Acknowledgment will not hereafter be subject to any change, modification or conflicting language without Arrow's prior written consent. Arrow International,-Inc. EIN: 23-1969991 3015 Carrington Mill Blvd Morrisville, NC 27860 USA Tel 800-523-8446 Fax Email arrowcs@teleflex.com www.teleflex.com VOUCHER NO. WARRANT NO. ALLOWED 20 Arrow International IN SUM OF $ 3015 Carrington Mill Boulevard Morrisville, NC 27560 $159.82 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#lrlTLE AMOUNT Board Members 1120 93109017 102-390.11 $159.82 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 JON f5 205I Fire Chief Title I Cost distribution ledger classification if claim paid motor vehicle highway fund I Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF rCARMEL 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)) 93109017 $159.82 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