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HomeMy WebLinkAbout302544 08/31/16 CITY OF CARMEL, INDIANA VENDOR: 361537 Ig ONE CIVIC SQUARE CARDIAC SCIENCE CORP CHECK AMOUNT: $.......162.60* :. ?a CARMEL, INDIANA 46032 PO BOX 776401 CHECK NUMBER: 302544 CHICAGO IL 60677-6401 CHECK DATE: 08/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 7264707 162.60 OTHER MISCELLANOUS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) CARDIAC SCIENCE CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 776401 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60677-6401 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $162.60 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 7264707 - $162.60 1 hereby certify that the attached invoice(s),or 8/25/16 7264707 pediatric defibrillation pads $162.60 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 31,2016 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 CARDIAC REMIT TO: INVOICE Cardiac - Science Corporation Invoice No.7264707 — s c i e n ceTM P.O. Box 776401 — ,� Chicago, IL 60677-6401 Page 1 of 1 Date: 08/25/2016 Bill to: CITY OF CARMEL (POLICE DEPARTMENT) Ship to: CARMEL POLICE DEPARTMENT 3 CIVIC SQ 3 CIVIC SQUARE ATTN PAT YOUNG CARMEL, IN 46032 CARMEL, IN 46032-2584 Customer No. Sales Order No. Cust PO/Reference Sales Person 86999 B001247887 GREG BEDELL PFLUGNER, TROY Ship Via FOB Terms Currency FOB Destination net 30 USD US Dollars Item Description U/M Qty Ord. Qty Shp. Unit Price Amount Ship Date Tracking No. S/N 9730-002 ELECTRODES, PEDIATRIC WITH MANUAL EA 2 2 72.00 144.00 08/25/2016 673825051204 Contact info: ,Net Sale; . 'Misc C.hg IShip& Handling _ Taz Prepaid Amt Customer care phone: 1-800-426-0337 144.00 0.00 18.60 0.00 0.00 Customer care e-mail: care@cardiacscience.com Credit services phone: (262)953-7676 Credit services e-mail: /mount Due creditservices@cardiacscience.com 162.60 Fed Tax ID: 81-1071999 RI-131166828671550131-26-77 Packing List CARDIAC Cardiac Science Corp. Order# B001247887 DO# D342665 p Q 500 Burdick Parkway science, Deerfield,WI 53531 Order Date 8/12/2016 UNITED STATES Tel:800-426-0337 Ship Date 8/26/2016 SHIP TO Please check the material received against this listing,informing us CARMEL POLICE DEPARTMENT promptly of discrepancies and referring to the order number above. Items 3 CIVIC SQUARE not included have been back ordered as noted and will be shipped as CARMEL, IN 46032 soon as possible. Be sure to check carefully before reporting shortage. UNITED STATES Any shortage of items as shown on Bill of Lading or damage should be called to the attention of the delivering agent who should acknowledge on the freight bill. Please contact us if we can answer any questions or if you would like to provide feedback of any type. Customer PO# GREG BEDELL Customer# 86999-003 Pieces 1 Weight 2.00 Line Release Item Number Item Description Ordered Shipped In Container 1 0 9730-002 ELECTRODES, PEDIATRIC WITH MANUAL 2 2 D342665-001 Notes: Carrier FedEx Ground Pro Bill Number