311838 05/30/17 9,�.° "'''*� CITY OF CARMEL, INDIANA VENDOR: 242000
a;
ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECK AMOUNT: $****23,873.40*
?4 CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 311838
+y CHICAGO IL 60693 CHECK DATE: 05/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 417099753 23,873.40 EQUIPMENT MAINT CONTR
/ m? % O
§ T2 z / E � 0 R
\ # D O 0 0 �t m
e q p O 0 q
O e 2
k z CF)
\_ / / 0
CL w 2
% 2 0 ® (0 0 /
\ § k \ 0
] D � q
7 CD - d 2
& 2
/
� 3 m /
G § CL0 CD
3 k� � /
E ® -i
24Az 2
E ) > -n . 0
|
\ § ] O
m
\ A ¥
§
f
z k \ 4 \ / E 2
k & 7 o m
O \ \ / } $
\ / m /
§ C Fr
a , .
I , E \E ƒ
k
g E % / a E
CD o m n
= / CL
mCD
_
} 0
& CD \ / k
® f - \ ƒF.
g
« f a |
e Cr
e v f 7
v m -
\CD CT M \ \ \
k � i \
/$ ) / g
w / mz 7 0
C. 0
k 7 Q \ k a k }
) \ � � \ f 0 Z g
2
£« § k }
0 7a
| 0< \ o 2
\( G \ » -
E 9
f_y )
§o ) a > co
�E ° q
Cl) r
q 0 \
/ 2.
j E r- 0
n 7 k z E § $ c #
C
ƒ 2 / § \ \ 0
® § CY ° 0 \§ z
k
0 CD M \
CD§ #
� \ §
CL 2 > \
OD 0 .
< W §
, \ ¥ $
Service Contract Billing Page: 1
INVOICE
IlAW M.. nts aA t.5 Mid to this addlress only
'123a :.Gollectvns Center QnVe 417099753
Physio-Control, Inc. GE9caga:�� gpg�
11811 Willows Road NE P[eaae reference:Inv:oic Alu er on your check 05/01/17
Post Office Box 97006 .
Redmond,WA 98073-9706 USAForinqutnes ;Call 46114fe@ 1::80fl 4 B$OA7
Telephone:425-867-4000
-Fax:425-881-2405
F.E.I.N.91-0697691
BILL TO ACCOUNT: 1 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201
CARMEL FD CARMEL FD
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
UNITED STATES UNITED STATES
---------------------------------------- ------------------- ---------------------------------------------------
?lease return top portion with pa ynrent.
DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE ............................_____.,.
05/01/17 24678 CELLPI EALL71 daemon 003120155002/m3
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
GRD CO232273-00 Net 30 Days
.::....................#7��S�R1F1`•IQAi.:::::.:::::::::::::.�::::::.::................f2�€'�: 3R.;:.:.�R#.::::#`f�"�:;��.tiP.....::.....:............................:...........:.s..........::...................�:�;;.......
ANNUAL :..... _., ........_ x
23873 .40 T;:
FOR MAINTENANCE
AGREEMENT: PB18S636
_ I
PERIOD: 05/01/17
04/30/18
II I
Sub Total 23873 .40
Contact: Tom Small
Phone: 317-571-2663
Fax: tsmallCc;armel . in.gov
Terms:
15o DISCOUNT ON ACCESSORIES
15 a DISCOUNT ON ATFL, ELECTRODES
. This 'contract will be billed in 3 equal payments in May of years
*2015, 2016, and ',2017 for $23, 874. 00_ Amount is s ect to change if the
*contract changea in the future.
I
23873 .40
Site: 20
* * * O R I G I N A L
ACCEPTED
NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.