322326 02/27/18 ,Cqq
CITY OF CARMEL, INDIANA VENDOR: 361537
ONE CIVIC SQUARE CARDIAC SCIENCE CORP CHECK AMOUNT: $*******214.54*
?� CARMEL, INDIANA 46032 PO BOX 776401 CHECK NUMBER: 322326
9, _TON_ CHICAGO IL 60677-6401 CHECK DATE: 02/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 7295325 214.54 SAFETY SUPPLIES
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 361537
CARDIAC SCIENCE CORP
IN SUM OF$ CITY OF CARMEL
_
PO BOX 776401 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60677-6401
Payee
$214.54
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department 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
7295325 42-390.12 $214.54 1 hereby certify that the attached invoice(s),or 8/15/17 7295325 $214.54
2201 2201 Prior Year 2201 2201
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
Thursday, February 15,2018
Huffman, Dave
Director
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
CARDI/� REMIT TO: INVOICE
AC Cardiac Science Corporation
s c e n c e® P.O. Box 776401 Invoice No. 7295325
a
Chicago, IL 60677-6401. Page 1 of 1
Date: 08/15/2017
Bill to: CITY OF CARMEL Ship to: GREG BEDELL
ONE CIVIC SQUARE CITY OF CARMEL STREET DEPARTMENT
CARMEL,IN 46032-2584 3400 W 131ST ST
CARMEL, IN 46074-8267
Customer No.- Sales Order.-No. Cust:P.O/Reference Sales Person
86999 6001268268 100590 PFLUGNER,TROY
�]
Ship Via FOB Terms Currency
FOB Origin 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 3 3 65.00 195.00
08/15/2017 1Z5819260354614729
Contact info: Net Sale Misc qh6 Ship&Handling; . - Tax Prepaid Amt
Customer care phone: 1-800-426-0337 195.00 0.00 19.54 0.00 0.00
Customer care e-mail: care@cardiacscience.com
Credit services phone: (262)953-7676
/AP110UV1t'D.Ue
Credit services e-mail:
creditservices@cardiacscience.com 214.54
Fed Tax ID:81-1071999
7295325-1-1