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Home My WebLink About258423 05/10/16 o`% ��p'�'• CITY OF CARMEL, INDIANA VENDOR: 357526 j ® �i ONE CIVIC SQUARE HENRY SCHEIN INC CHECK AMOUNT: $*******209.00* ��, CARMEL, INDIANA 46032 DEPT CH 10241 CHECK NUMBER: 258423 '''�rod�°' PALATINE IL 60055-0241 CHECK DATE: 05/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 29763529 209.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) HENRY SCHEIN INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DEPT CH 10241 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by PALATINE, IL 60055-0241 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $209.00 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO#/Dept.1 INVOICENO. ACCT#/FundInvoice Date Invoice# Description Amount AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s)) 29763529 I 42-390.11 I $209.00 1 hereby certify that the attached invoice(s),or 04/29/16 29763529 $209.00 102 102 102 102 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 Monday, May 02,2016 David Haboush Fire Chief Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5-11-10-1.6 ,20 Clerk-Treasurer ORDEIZ# ORDER.DATE-- DUE DATE 39939936 04/08/16 05/15/16 D&B#:01-243-0880 WHSE DEA# PGO229321 Fed ID:11-3136595 :: Umm 610 10 u -x his order has been processed by our GIV D.C. 80 SUMMI VIEW LANE BASTIAN VA 2431.4 his is a b ckordered shipment for order:3993 936 or ginal invoice:29549 10 1 116-3394 EA LITTMANN MASTER CARDIOLOG BLK 27" 1 1 209.00 209.00 1 LEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOSURES/TEZMS OF SALE MERCHANDI E TOTAL 209.00 Invoice Date + 30 days 209.00 Please remi payments only, to the following a dress: Henry Schei , Inc. Dept CH 10211 Palatine, I 60055-0241 -B Nv i INVOICE AM ITEM STATUS KEY FlMlchtt�lllt Y 1308571 1308572 B-Backordered;item will follow 29763529 209.00 D-Discontinued;ItLm no longer available C-No Charge QRDER# OnER DTE INVOI 'DATE # OF BOXES F-Special offer M-Manufacturer will ship Item directly to you 3 9 9 3 9 9 3 6 04/08/16 4/15/16 1 R-Prescription e rifle ated Item;Man be shrn ipped separately Required Refrigerated Y PP P Y ER AGE $ -Special Schein Pricing CUSTOMT-Taxable Item U-Temporarily unavailable;please reorder 1 OF 1 ■-Item has MSDS LP300 purchase(s)are subject to a bundled discount or rebate.Any such discounts must he Equipment: calculated pursuant to the terms of the applicable purchase otter,promotion,or discount Opened and used equipment may not be returned for credit.Before opening program.Participation in a promotional discount program Is only permissible In accordance equipment,vie suggest that you check the shipping container and packing list to with discount program rules.By participation In such program,you agree that,to your ensure that you are getting exactly what you ordered.Equipment must be returned knowledge,your practice complies with the discount program requirements. in the original unopenedpaekaging,unmarked and properly packaged.Speical order equipment is not returnabble.AI equipment returns are subject to a restocking tee. DELIVERY TERMS: Equipment is backed by the manufacturer's repair or replacement warrant,,.Please Unless otherwise agreed,freight terms are FOB Shipper's Dock('Ex Works"outside read and return all warranty information required immediately upon taking deliver)!of North America).Title passes at the time the shipment is loaded at the shipper's dock. your new equipment.Open or defective equipment is subject to the manufacturers Continental U.S.: warranty. All orders will be subject to a handling charge.This charge includes freight,except for Prescription Drug_Returns: additional carrier charges related to special delivery services and hazardous material Please note titat,in order to comply with Federal and State Pedigree requirements, shipments.Special orders are subject to additional freight charges. Henry Schein's policy on the return of Rx Drugs is as follows: Alaska.Hawaii&Pacific Protectorates: Rx Drugs wtiicti Henry Schein has purchased from wholesalers are not returnable. Standard shipping methods provide direct,reduced cost,expedited air deliver;, These items will be identified in vour invoice with the rode WH. service to all accounts in Alaska and Hawaii.Customers in the Pacific Protectorates Rx Drugs which are purchased 6y Henry Schein directly from the manufacturer may are offered direct surface transport,or postal services for reliable delivery. be returned providing that the following key elements are met: No additional surcharges apply,except when special services are requested. Low-level hazardous items(dangerous goods in accepted quantities and Consumer 1)Only returns due to error in order or delivery will be allowed. Commodity ID 8000)are now available via UPS 2nd-dxy air. 2 Returns of Rx Drugs will only be accepted if HSI is notified within 14 calendar days Guam.Puerto Rico.U.S.Trust Territories&Urr in Islands: of receipt of the shipment and valid return authorization is issued by HSI. d 3)The Prescription Drug Marketing Act requires any customer returning Rx Drugs • All orders will be subject to a handling charge.this charge includes freightthrough to complete and return a Prescription Drug Return Authorization form.Federal law the United States Postal Service(USPS) requires that the healthcare entity returning Rx Drugs document that the product • Special delivery orders and hazardous material shipments can be shipped via United was kept under proper storage and handling conditions while in their possession Parcel Services(UPS)for an additional charge.No minimum order amount orweight and during the return of the product.To get a copy of the form and proper return applies.Speak to your International Representative for details. authorization,please contact Customer Service. Outside U.S.(50 states):, 4)In addition,Pedigree regulations require that the healthcare entity returning If your order is being shipped outside the U.S.(50 states),please refer to the Rx Drugs certifies International Terms&Conditions at henryschein.com.Unless otherwise agreed, that the product being returned is the same exact product purchased from HSI. freightterms are FOB Shipper's Dock("Ex Works"outside North America). 5)Henry Schein will not issue credit for any returned Rx Drugs which have been Title passes at the time the shipment is loaded at the shipper's dock. tampered with,are out of date or where the labeling has been altered in any way. Customer is responsible for compliance with any applicable import requirements. CHOOSE YOUR PAYMENT METHOD --RX—PRODUCTS&-CONTROLLED-SUBSTANCES:- 2%Cash Back or Maximum-Rewards on-all purchases with the Henry-Schein- - — Regulations require usto limit the sale of Rx and controlled substances only to registered, Credit Card.To apply now,call:1.866.398.9296 or online Rinsed healthcare professionals. uyou area new customer tr have recently moved, www.henryschein.com/credftcard Reduce the cost and administration ofpaying please furnish us with a copy of your updated state DEA registration.For controlled ry paV g substances,furnish a copy of your DEA registration verifying your shipping address. Henry Schein-Pay,electronically(ACM Debit)or set up AutoPay. Please note that all orders for controlled substances are subject to a dire diligence review Please call Customer Service for details. process.Schedule 11 controlled substances can be ordered electronically or by mail. For your convenience,we provide several payment alternatives.Orders billed to your For information on our Controlled Substance Ordering System pleasevisit account may be paid by ACH Debit,Check by Phone,or Check.If you prefer, w,vvw.lienryschein.com/e222;if you prefer to continue using Federal 222 Forms to order you may useyour Henry Schein Credit Card,American Express,Visa,MasterCard or Schedule II controlled substances,please mail the form to: Discover Card when placing your order.All sales are subject to our normal terms and Henry Schein,Inc.+ Suite 300,5315 West 74th Street • Indianapolis,IN 46268 c:onditions.All sales are subject to credit approval.Irrvoices are payable within agreed REGULATORY REQUIREMENT: terms of sale. Local regulatory requirements may apply to use or installation of certain products. Open Accounts Receivable: Be sure to understand and comply with any such requirements prior to purchase,use, All unpaid accounts receivable past due are subject to a 1.5%finance charge. or installation of products. To arrange for a product retum,simply call Customer Service as noted below: Henry Schein Medical 340B Program Henry Schein Medical/EMS Customer Service: 1.800.472.4346 Sam-9pm,et. Customer Service: 1.877.344.3402 8:30am-5:30pm,el. Customer Service: 1.800.845.3550 8:30ani-5:30pin,et Place an Order: 1.800.772.4346 8anr9pni,et. Place an Order. 1.877.344.3402 8:30arn-5:301)m,et. Place an Order: 1.800.845.3550 8:30am-5:301)m,et Fax an Order 1.800.329.9109 24 Hours. Fax an Order. 1.888.885.2253 24 Hours. Fax an Order. 1.800.533.4793 24 flours. Internet: wmv.henryschein.com/medical E-Commerce Support: 1.800.711.6032 Sam-Spm,et. Internet: www.henrysdiein.com/Jeilis E-Mail: custsery@henryschein.com Internet: %=w.henryschein.com/3406 E-Mail: scott.bruner@ahenryschein.cam E-Mail: customer.support@henryschein.com Please see:Irttp://wwcv.Henryschein.com/US-EN/MediceIfLegalTerms.ASPX for Conditions&Exceptions.