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HomeMy WebLinkAbout324648 04/25/18 s Lqq- . CITY OF CARMEL, INDIANA VENDOR: 242000 ® ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECK AMOUNT: $*****1,468.32* f =�; CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 324648 CHICAGO IL 60693 CHECK DATE: 04/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER,,,. AMOUNT DESCRIPTION 102 4239011 118027183 1,183.83 SPECIAL DEPT SUPPLIES 102 4467006 118029710 284.49 EMS EQUIP c H VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 242000 PHYSIO CONTROL CORP IN SUM OF$ 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 $1,183.83 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 118027183 42-390.11 $1,183.83 1 hereby certify that the attached invoice(s),or 4/18/18 118027183 EMS supplies $1,183.83 1120 102 1120 102 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday,April 20,2018 David Haboush Fire Chief hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer liij::>::{S':;:i;:+:;.;y::.LL::.:.;•n>.::.:;vs::i::::{:^:i:•:::::::::::.:iSi:iSiSi::ii DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE ::•;.;;::T:—�A9CGS$i'.�.:;:;;:;:.:�=':ffSC�PF.;.;;:;.;;:;:;:;: 04/04/18 JONATHAN ALVERSON CPGG07 EALL71 lozeatl 003120155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD P00399361 S3873374-00 Net 30 Days t...... TAi 1&3lNFF:::. :::::::: uR1P F(C3IsE:::::::::::::::::::::::::::::::::::::::::::::.:2T3' i13llff.:::#Y€X��IiP £l Y. ��3 ...... £+EE7.: T�1T(E 2 11;996 0;0008.1; FILTERVINE SETADULT/P.Ep, 2 PK 2' 0 :2:86: 0:0 497:;64 `': .. . ..:::::: OX OF 25 Discount 37 . 18-f 3 111996 000091 ELECTRODE EDGE,ADULT,QC 10 PK ' 10 0. 38 .0;0 { 330::60 T` STD, WORLDWIDE Discount 4 . 94-1 j L/C: 807524 Expires: 09/1 /20 10 I :<a 4 111996 0:00163' 1/lICROSTREAM SMART;' 1 PK 1 0 357 00 310 <59 T : 1CAPNOLINE PLUS 02 Discount 46.41- ADULT/INTERMEDIATE, BOX OF 25 Contact: JONATHAN ALVERSON Phone: 317-407-3747 Sub Total 1138 . 83 Freight and Handling 45. 00 SIGjED<QUOTE 001.20686 SALES REP STEP IE 'WIRKNER 1183 . 83 Site: 20 * * * O R I G I N A L M ACCEPTED NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. 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 $284.49 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 118029710 44-670.06 $284.49 1 hereby certify that the attached invoice(s),or 4/23/18 118029710 $284.49 1120 102 1120 102 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday,April 23,2018 David Haboush Fire Chief hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE R%:<%k<^:::.......... 04/13/18 JONATHAN ALVERSON [CPG(G07 EALL71 lozeatl 003120155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD SH00382348 53873374-00 Net 30 Days ^. Y i7......NSA# �E::::::::::>:: '>:'::>E:::::?::::'•Ei3 1 [li......... :.... •• ....;:::E<l$i'1:Et3i�.... : IN1:::::::#I€Y:'311A.•:E EEE:6f FYEE#�1't::::::::::: FIT:P•.SEE ::::>:i?:::>E:::>Ez:> 4?f:::l�TiRE '...... 1 115 7 7 ,0 0 0 0 0 2 KIT CARRY `BAG, .MAIN BAG 1 EA 1 0: ::.3:2:-7-:-::0.. 0 2 8 4 4 9 ; 3' . . Discount 42 .51- Contact: 2 .51-Contact: JONATHAN ALVERSON Phone: 317-407-3747 Sub Total 284.49 'SIGED; QUOTE 0012068:6 SALES ::REP STEPHANIIE WIRKNER ' .. ... 284.49 Site: 20 visa' ACCEPTED NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.