HomeMy WebLinkAbout257080 04/05/16 o'.
CITY OF CARMEL, INDIANA VENDOR: 369478ONE CIVIC SQUARE ARROW INTERNATIONALCHECK AMOUNT: S"'""""599.32"
CARMEL, INDIANA 46032 PO BOX 60519 CHECK NUMBER: 257080
CHARLOTTE NC 28260-0519 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 93760410 299.66 EMS EQUIP
252 5023990 93760410 299.66 OTHER EXPENSES
-escribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
,hom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
93760410 EMS Equipment $299.66
93760410 Grant Fund $299.66
hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
ivith IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Arrow International
IN SUM OF$
3015 Carrington Mill Boulevard
Morrisville, NC 27560
$599.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
93760410 \4670.06 $299.66 1 hereby certify that the attached invoice(s), or
93760410 So"a.— $299.66 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
MAR 2- 3 2016
&4-6
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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No. Date Page Due Date
93760410 03/05/2016 1 of 1 04/04/2016
Payer Account No. 1057230
Bill To Party Account No. 1057230 Ship To Party Account No. 1057230
Carmel Fire Department Carmel Fire Department
Head Quarter Head Quarter
2 Civic Square Attn: Tom Small
Carmel IN 46032-7543 2 Civic Square
USA Carmel IN 46032-7543
USA
Payment Remittance Address: Wire Transfer Remittance: Overnight Remittance Address:
crow--International-_Inc..w_—____Wells-Fargo-Bank_N_A—.._ __ ___ - _. -Wells-Fargo-Lockbox-Service-s—_
PO Box 60519 420 Montgomery Street Arrow International, Inc.
Charlotte, NC 28260 - 05.119 Sail 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
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TomSmall 2701729 Tom Small 8000337168 UPS
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1Z6069200374101443 Pre-pay & Add FOB ORIGIN Net 30 USD
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000010 9058 EZ-10 POWER DRIVER EA 2 0 295.00 590.00
Brand: TELEFLEX-INTRA
Batch No. 9058
Exp. Date 12/31/9999
Country of Origin US
Sub-Total 590.00
Freight 9.32
Tax 0.00
Total USD 599.32
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 27560 USA
Tel.800-523-8446 Fax
Email arrowcs@teleflex.com www.teleflex.com