255297 02/09/16 u1��p" CITY OF CARMEL, INDIANA VENDOR: 242000
?;` 1�� ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECK AMOUNT: $*****4,989.56*
9 =a;' CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 255297
9,�,TUN �. CHICAGO IL 60693 CHECK DATE: 02/09/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239011 116071481 4,989.56 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO.
1 ALLOWED 20
Physio Control
IN SUM OF$
12100 Collections Center Drive
Chicago, IL 60693
$4,989.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 116071481 102-390.11 $4,989.56 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 4 3 2616
I a
e zE A
Fire Chief
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE •,,,.•„ ... ,,,,,,,,,
01/11/16 THOMAS SMALL CELLPI EALL71 jeffeml[•. 6' 3120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
GRD 887229651454036 S3635881-00 Net 30 Days
: sl ::. 4T [a�aE:A kN ........:::::::::::::::::::::i7 1#E....................................................................................................................................................................................................
1 1199.6 0;04093 ELECT..ASSY .PETS RTS:: 20..:: EA 20 : .. ...0;::<: '45..:9Q> >:>:::.:. $: fl..
ORLDWIDE,3RD EDITION Discount 6 .89-
L/C: 535535 Expires: 06/21/17 20
....j -1. .......Q....0 0 ..O:EL Q. EI]GEr ADUZiT,QC ��Q A 20 . 0' :45 90;:::. ::::::: : '780 30
... ......... .. ... ......
TS, WORLDWIDE Discount 6.89-
L/C: 532913 Expires: 06/03/18 20
.. . ::
..
3. 19:9:6...0:00.0;81:. F.1L 'ERLYI�IE S TADUL'I' ?SD:>::;::;.;.;. 2:..PK:....::;: ....:.:.:.::..:......::::;.,...2'85 6D:''::::>: :>:::;.:4$5 52
... ........
OX OF 25 Discount 42 .84-
11996 OQ016CROS' 12M SMART' 2 2 : .. ...0 1259 70: 2141 49 T
.. .....:
CAPNOLINE PLUS 02, ADULT Discount 188 . 96-
/ XXX
INTERMEDIATE, BOX OF 100
.
:.......:.::.:.::.. . ..
t 7 l oar o: Ttll2r}�TRFZIMMA3?T
2 PK r?. �Q . _ 4.335.0. 736 95
CAPNOLINE 02 PEDIATRIC, Discount 65.03-
OX OF 25
Contact: CHIEF THOMAS SMALL
Phone: 317 571 2600
Sub Total 4924.56
Freight and Handling 65. 00
THOMAS SMALL 4989.56
Site: 20
* * * O R I G I N A L * * * yam®®
ACCEPTED
NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.