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.