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Home My WebLink About246343 06/17/15 a CAq - �..__.'+f - CITY OF CARMEL, INDIANA VENDOR: 357526 G .;', ® `il• ONE CIVIC SQUARE HENRY SCHEIN INC CHECK AMOUNT: $'"""'1,133.75" CARMEL, INDIANA 46032 DEPT CH 10241 CHECK NUMBER: 246343 :;;;_ '? PALATINE IL 60055-0241 CHECK DATE: 06/17/15 < <lON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 20077994 97.00 SPECIAL DEPT SUPPLIES 102 4239011 20229253 222.50 SPECIAL DEPT SUPPLIES 102 4239011 20271821 814.25 SPECIAL DEPT SUPPLIES ORDER# ORDER DATE DUE DATE 30786397 06/03/15 07/04/15 D&B#:01-243-0880 WHSE DEA# RHO]62494 Fed ID: 11-3136595 g. N =Bomb RAPEVINE, X 76051 ---------- --------------------------------- ------ ----- ------------- ------- ---------- --------------------------------- ------ ----- ------------- ------- MERCHANDI E TOTAL 814.25 Invoice Date + 30 days 814.25 lease remi payments only to the following a dress: Henry Schei , Inc. Dept CH 10211 Palatine, I 60055-0241 BILL TO SHIP To INVOICEff INVOICE AM OUNT ITEM STATUS KEY REM KEY Backordered:Item will follow SK-School Kit 1308571 1817102 20271821 814 .2 5 D-Discontinued:Item no lunger available NC-No Charge F Special offer ORDER ER DATE INVOICE F BOXES - M-Manufacturer will chip]tem directly to you 1'-Prescription Drug:Return Authorization Required 30786397 06/03/15 6/04/15 8 R -Refrigerated Item:May be shipped separately CUS $ -Special Schem Pricing TOMER PO PA E T-Taxable Item U-Temporarily unavailable:please reorder JON 060315 2 OF 2 -hem has MSDS LP300 ORDER# ORDER DATE DUE DATE 30740946 06/02/15 1 07/03/15 Dd B#:01-243-0880 WHSE DEA# RHO]62494 Fed ID: 11-3136595 .......... his order has been processed by our MIDWEST D.C. 5315 WEST 74TH 3TREET INDIANAP LIS,IN 46268 1 565-1031 100/BX NITRILE PF GLOVE BLACK LARGE 25 25 8.90 222.50 3 --------------------------------------- ------ ----- ------------- ------- ---------- --------------------------------- ------ ----- ------------- ------- LEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOSIJRES/TEZMS OF SALE ---------- --------------------------------- ------ ----- ------------- ------- MERCHANDI E TOTAL 222.50 Invoice Date + 30 days 222.50 lease remi payments only to the following a dress: enry Schei , 'Inc. Dept CH 102 1 Palatine, IL 60055-0241 BILL TO SHIP TO INVOICE# INVOTrR AM ITEM STATUS KEY REM KEY B-Backordered:Item will follow SK-School Ku 1308571 1817102 2 0 2 2 9 2 5 3 222 .5 0 D- anu Discontinued:Item no longer available NC-No Charge RDER ORDER DATE INVOICE DATE OF BOXESF -Special offer M-Manufacturer acturer will ship Item directly ut you 1'-Prescription Drug:Return Authorization Required 30740946 06/02/15 6/03/15 3 R -Refrigerated Item:May be shipped separately $ -Special Schein Pricing CUSTOMER PO4 PA E T-Taxable Item U-Temporarily unavailable:please reorder TOM 060215 1 OF 1 Item has MSDS LP300 Please detach here and mail the above with your payment ORDER# ORDER DATE 1,DUE DATE 29938874 05/07/15 06/27/15 D&13#:01-243-0990 WHSE DEA# PG0229321 Fed ID: 11-3136595 T LOW 11 N_� ,1 6""""� M. x"4 I'A W. rhis order as been processed by our GIV D.C. 80 SUMMI" VIEW 1ANE BASTIAN VA 2434 rhis is a backordered shipment for order:2993 874 or .ginal invoice:19496144 1 499-8747 EA BATTERY 12V DC LCSU4 1 1 97.00 97.00 1 PLEASE REFETO BACK OF PAPERWORK FOR DISCLOSJRES/TE ZMS OF SALE MERCHANDI ,E TOTAL 97.00 Invoice Date + 30 days 97.00 Please remi payments only to the following aldress: qenry Scheii-I Inc. Dept CH 102 1 Palatine, IL 60055-0241 BILL TO SHIP TO INVOICE# INVOICE AMOUNT ITEM STATUS KEY FREM K Y Backordered:Item wit follow it, 1308571 1308572 20077994 97.00 B l D Discontinued:Item nolonger availableCharge F Special offer ORDER# ORDER DATE INVOICE DATE 4 OF BOXES N1-Manufacturer will ship Item directly to you 1) Prescription Drug:Return Authorization Required 29938874 05/07/15 5/28/15 1 R Refrigerated Item:May be shipped separately $ Special Schein pricing CUSTOMER PO# PA # T-Taxable Item TOM SMALL 1 OF U-Temporarily unavailable:please reorder LPLQ - -Item has NISDS r-HENRYSCHEIM EMS�{ SHIP TO/SOLD TO: Carmel Fire Department MI 135 Duryea Road, Melville, NY 11747 w 136th St I ^ OICC Station 46 Michael Kaufmann Carmel,IN 46032-8806 010000130857120271821110000000000814250604158 BILL TO: Carmel Fire Dept MI 2 Civic Sq Carmel, IN 46032-7543 Carmel Fire Dept BILL TO SHIP TO777�5l 2 Civic Sq Carmel, IN 46032-7543 1308571 18171021 INVOICE# INVOICE DATE 20271821 6/04/15 CUSTOMER PO JON 060315 ORDER# I ORDER DATE DUE DATE 30786397 06/03/15 07/04/15 D&B#:01-243-0880 WHSE DEA# RHO 162494 Fed ID: 1 1-31 36595 CONTAINS MULTIPLE INVOICES > 11 a his order has been processed by our MIDWEST D.C. 5315 WES 74TH TREET INDIANAP LIS,IN 46268 ENNA SHD9 6 SHADOW NITRILE PF EXAM GLOVES, LARGE / 100/B ---------- --------------------------------- ------ ----- ------------- ------- 1 990-9832 100/BX SHADOW PF NTRL GLOVE EXM LARGE 50 50 C 6.75 337.50 5 ASE GOOD I EM, MAY BE SHIPPED SEPARATELY. 2 499-7780 EA TOURNIQUET COMBAT APP. ORANGE 5 5 24.04 120.20 8 RODUCT IS EING SHIPPED TO YOU DIRECTLY FROM THE MkqUFACTLRER. HIS PRODUC IS BEING SHIPPED FROM OUR SOUTHW ST DISTRIBUTION CENTER. 3 890-0132 50/BX SHEER BANDAGE 111X3" 25 25 0.95 23.75 7 LEASE NOTE 8907411 IS NOW 8900132 4 602-8100 EA COLLAR STIFNECK SELECT ADULT 50 50 C 5.50 275.00 6 ASE GOOD I EM, MAY BE SHIPPED SEPARATELY. 5 220-1652 EA COLLAR STIFNECK SELECT PEDI 10 10 5.50 55.00 7 6 857-6255 EA BERMAN AIRWAY 90MM SZ 4 10 10 0.28 2.80 7 LEASE REFE Z TO BACK OF PAPERWORK FOR DISCLOS RES/TE ZMS OF SALE Southwest D stribution Center 001 NOLEN R. 4400 BILL TO SHIPITEM STATUS KEY REM KEY R-Backordered:Item will follow SK-School Kit 1308571 1817102 20271821 814 .2 5 U-Discontinued:Item no longer available NC-No Charge F-Special offer ORDERORDER# ORDER DATE INVOICE DATE U OF BOXES M-Manufacturer will ship Item directly to you P-Prescription Drug:Return Authorization Required 30786397 06/03/15 6/04/15 8 R -Refrigerated Item.May be shipped separately $ -Special Schein Pricing CUSTOMER PO# PAGE# T-Taxable Item U-Temporarily unavailable:please reorder JON 060315 1 OF 2 Item has MSDS Continued on Next Page........ LP300 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)) 20077994 $97.00 20271821 $814.25 20229253 $222.50 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 Henry Schein IN SUM OF $ Dept Ch 10241 Palatine, IL 60055 $1,133.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 20077994 102-390.11 $97.00 1 hereby certify that the attached invoice(s), or 1120 20271821 102-390.11 $814.25 bill(s) is (are) true and correct and that the 1120 20229253 102-390.11 $222.50 materials or services itemized thereon for which charge is made were ordered and received except JUN 1 5 zA1� t/AA16 A-4 A Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund