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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 ARROW -.. ..... ................. ... .... ... ........ ................ ....................................................... .............. ............... ................................. .. ..................................................................................................................... ..................... ....... ..................................................................................................................... ................................................................................................................1... ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... 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 ` le )s les {t[ix >i>> . €>[€[Ekrcter #? cei 9: `. :`< Deliver` Uai'> > ':[.... Ge e[ .>5 r.ee> >.> > > Pirase<'.Dri3eir>ltla> `'.>.S�..s.. y.............................y........................................................................... ...................................... TomSmall 2701729 Tom Small 8000337168 UPS ;:<T': it s> > ':.>> » > lr ci3t r............................ }?>:'.:r r t eii r s ':..................... >> f#.............................................. ..................................................................................................................ffiM................................................................................-Ta ..................Y... F# .................................................................................................................................................................................................................... 1Z6069200374101443 Pre-pay & Add FOB ORIGIN Net 30 USD > it iter of f]e ::<r:< in>< < <<' »'«< : ..... tt ::::'::':moi'' e i?13ec Qrsler«> <>z n all?>»> £iiia >l�leertal' z'?«< >> ..... :: ......................................................................................................................................................................................PI ............................................................................................... 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