HomeMy WebLinkAbout322797 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 242000
j ® j ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECK AMOUNT: $****14,233.00*
x ,aa CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 322797
CHICAGO IL 60693 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT_ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 101188 118011748 14,232.99 LIKEPAC CR PLUS AED K
102 R4467006 101188 118011748 ' .01 LIKEPAC CR PLUS AED K
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 242000
PHYSIO CONTROL CORP IN SUM OF$ CITY OF CARMEL
12100 COLLECTIONS CENTER DRIVE 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 60693
Payee
$14,233.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
101188 118011748 44-670.06 $14,233.00 1 hereby certify that the attached invoice(s),or 3/4/18 118011748 $14,233.00
1120 4 02,t, 1120 102
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
Sunday, March 04,2018
David Haboush
Fire Chief
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
DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE
02/12/181101186 CPGG07 EALL71 iyabjiE: . 003120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
GRD SH00373306 53843114-00 Net 30 Days
................................. � .... ..... € .s �� �ae�..air �...............
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l 8Q403 04D148. PACKAGE,LPCR,PLUS :SEMI, 8 EA 0; 2195 OQ 14Q48 QQ :
ENGLISH,AHA2005, US Discount 439. 00-
SIN: 46769782 Expires 11/29/2
46769798 Expires 11/29/2
146769799 Expires 11/29/2
46778634 Expires 11/29/2
46778635 Expires 11/29/2
46778636 Expires 11/29/2
46778637 Expires 11/29/2
46778640 Expires 11/29/2
Contact: TOM SMALL
Phone: 3175712663
Sub Total 14048. 00
Freight ing 185. 00
14233 . 00
Site: 15
* * * 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.