HomeMy WebLinkAbout311786 05/30/17 (9, )
CITY OF CARMEL, INDIANA VENDOR: 355158
ONE CIVIC SQUARE LAFAYETTE INSTRUMENT CHECK AMOUNT: S**"""**574.20*
CARMEL, INDIANA 46032 PO BOX 5279 CHECK NUMBER: 311786
LAFAYETTE IN 47903 CHECK DATE: 05/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 100414 21207 574.20 PLE 5000 HIROSE ADAPT
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• Lafa ette Invoice No: 0000021207
y Customer: 005634
Instrument Sales Order: 020554
Lafayette Instrument Company, Inc
3700 Sagamore Parkway North Phone:(765)423-1505 Federal ID:35-1950005
Lafayette,IN 47904 USA Fax:(765)423-4111
accounting@lafayetteinstrument.com www.lafayetteinstrument.com
Sold to : SHIPPED TO ADDRESS:
CARMEL POLICE DEPARTMENT Carmel Police Department
3 CIVIC SQUARE 3 Civic Square
Attn: Blaine Mallaber
ACCOUNTS PAYABLE
CARMEL IN 46032 Carmel, IN,46032
United States United States
Sales Order Phone(317)571-2500
Phone(317)571-2559
Customer PO Number Invoice Date Terms FOB Ship Via Salesperson
100414 05/18/2017 NET 30 OUR PLANT PRIORITY MAIL(2 TST
-3 DAY)
Item Part/Rev/Description/Details Quantity Unit Price Discount Extended Price
000010 76530 U/M EA 1.00000 70.00000 0.00 70.00
STANDARD KOVACIC ARM CUFF GOLD
Packing LisUltem No:021910/000001
000020 76604A-5L U/M EA 1.00000 395.00000 0.00 395.00
PLE F/LX5000 LONG HIROSE STYLE
Packing LisUltem No:021910/000002
000030 76604ADP U/M EA 1.00000 95.00000 0.00 95.00
PILE ADAPTER FOR LX4000 STYLE DAS
Packing LisUltem No:021910/000003
000040 SHIPPING 1.00000 14.20000 0.00 14.20
Shipping/Freight Charge
---------- ------------------------------ ----------------------------------------------------------------------------------------------------------------------------- ----------------------------- --
Total Item Price US$ 560.00
Shipping US$ 14.20
Sales Tax US$ 0.00
Total Inv Price US$ 574.20
Please pay balance due by Saturday June 17 2017.
LIC Original PLEASE I NO RETURNS WITHOUT PRIOR AUTHORIZATION I REMIT TO ADDRESS:
AllLAFAYETTE INSTRUMENT CO.ASSUMES NO RESPONSIBILITY P.O. BOX 5729
will
invoices beha ge datthe r t of FOR ANY ITEM RETURNED WITHOUT PRIOR AUTHORIZATION.
will be charged per
m rate of TO INSURE PROPER CREDIT TO YOUR ACCOUNT, LAFAYETTE, IN 47903
1.5%interest per month. REMITTANCE COPY MUST ACCOMPANY CHECK.
ALL PAYMENTS MUST BE IN US$$
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