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CITY OF CARMEL, INDIANA VENDOR: 242000CHECK AMOUNT: S""*""2,402.50*ONE CIVIC SQUARE PHYSIO CONTROL CORPCARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 255945
CHICAGO IL 60693 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 116076298 2,402.50 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
Physio Control ,
IN SUM OF $
12100 Collections Center Drive
Chicago, IL 60693
$2,402.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 116076298 102-670.06 $2,402.50 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 d 2016
i
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE
01/26/16 THOMAS SMALL 6LLP1 EALL71 taylo
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
GRD SH00257378 S3639959-00 Net 30 Days
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249 00
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REF 2406,ROHS Discount 37.35-
L/C: 15N33 5
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279: 25
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REUSABLE SENSOR, REF Discount 45.15-
2501,ROHS
L/C: 15N1N 5
Contact: CHI F THOMAS SMALL
Phone: 317 571 2600
Sub Total 2337.50
Freight and Handling 65.00
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2402 .50
Site: 20
0 R I G I N A L -vim=W
ACCEPTED
NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.