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HomeMy WebLinkAbout301639 08/08/16 0i y CITY OF CARMEL, INDIANA VENDOR: 3615;37 ® it ONE CIVIC SQUARE CARDIAC SCIENCE CORP CHECK AMOUNT: $*******638.88* f _� CARMEL, INDIANA 46032 PO BOX 776401 CHECK NUMBER: 301639 9�,�>tiii �- CHICAI O a 60677-6401 CHECK DATE: 08/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 _ 4342100 3304323 I 18.88 POSTAGE 1110 4239099 34109 3304323 620.00 DEFRIBRILLATION PADS I i VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) CARDIAC SCIENCE CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 83261 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60691-0261 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $620.00 Payee i ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 34109 3304323 42-390.99 $620.00 1 hereby certify that the attached invbice(s),or 7/22/16 3304323 adult defribrillation pads $620.00 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for - — - — — which-charge-is-made were ordered,-and- —--- - ---- --- -— — -- - - - - received except Wednesday,August 03, 2016 Tim Green Chief of Police I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost.distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) CARDIAC SCIENCE CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 83261 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60691-0261 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $18.88 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 3304323 43-421.00 $18.88 1 hereby certify that the attached invoice(s),or 7/22/16 3304323 shipping $18.88 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for - — - - - -- — - - - -which-charge-is-made-were-ordered and----- - - - i received except Wednesday,August 03,2016 Tim Green Chief of Police I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer CARDIAC REMIT TO: INVOICE - Cardiac Science Corporation Invoice No.3304323 science" Ch;P.O. Box 776401 — g 1L 60677-6401 Page 1 of 1 Date: 07/22/2016 I f Bill to: CITY OF CARMEL (POLICE DEPARTMENT) Ship to: CARMEL POLICE DEPARTMENT 3 CIVIC SQ 3 CIVIC SQ ATTN PAT YOUNG CARMEL, IN 46032-2584 CARMEL, IN 46032-2584 I i Customer No. Sales Order No. Cust'PO-/Reference Sales Person 86999 B001246542 34109 PFLUGNER, TROY Ship Via FOB Terms Currency- FOB Origin net 30 USD US Dollars item Description U/M Qty Ord. QtyShp._ Unit"Price " Amount Ship Date Tracking No. S/N " 9131-001 ELECTRODES, DEFIBRILLATION AED, G3 EA 20 20 31.00 620.00 07/22/2016 674528202183 I i Contact info: NetiSale 1. Misc Chg Ohip& Handlingl Tax Prepaid Amt Customer care phone: 1-800-426-0337 620.00 0.00 18.88 0.00 0.00 Customer care e-mail: care@cardiacscience.com Credit services phone: (262)953-7676 Credit services e-mail: Amount due creditservices@cardiacscience.com 638.88 Fed Tax ID: 81-1071999 RI-131139180680314438-28-83