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Home My WebLink About325558 05/23/18 ,GAq . ;Yu... ''F. CITY OF CARMEL, INDIANA VENDOR: 242000 ;; A it ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECK AMOUNT: $*****4,091.36* ?� CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 325558 '+ii�oN�o.` CHICAGO IL 60693 CHECK DATE: 05/23/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467006 101618 1.18035310 3,469.31 EMS SUPPLIES & EQUIPM 102 4239011 li8037764 622.05 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 242000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PHYSIO CONTROL CORP IN SUM OF$ 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 $3,469.31 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 101618 118035310 44-670.06 $3,469.31 1 hereby certify that the attached invoice(s),or 5/21/18 118035310 $3,469.31 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, May 21,2018 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 Y' A�C%f83: :`:?:`•iiE°°iQ(SPF:%:`•S'?'i?•'•••?•'?{ 05/02/181101618 6GG07 EALL71 liyabjli 003120155002/mj........... CARRIER CARRIER TRACKING NUMBER I SALES ORDER PAYMENT TERMS GRD SH00385782 53879321-00 Net 30 Days 1+1#P1l8trF ...........................i�£T: 1F F1 3�SE....................... ;::: ::...... ::: .... .....................................................................................:..........::.:::.:..:::.::.: :c .... ..... ::sH ::::::ta�sr:: ......... er.ate ................ .. ar. �...... t . 'T 11171-000037 RC-4, PATIENT CABLE 4FT, 2 EA ' 2 0 f 254 ;0:0 REF 2406,ROHS Discounts 33 . 02- L/C: 3 . 02-L/C: 17 KVN 2 11111.71 .00,0049RAINBOW DCI ADT REUSABLE 2 EA- 2 0 1640 ..00 1113.60 ':: i ;SENSOR, REF 2696,ROHS Discount 83 .20-I I � � L/C: 118CGS 2 j 3 11171-0!0005'0 IRAINBOW ::DCIP;'PED :REUSABLE `2 EA 2 0 705 ..0.0 f :'1226:.7Q SENSOR, REF 2697,ROHS Discount 91.65- L/C: 18BBK 2 »> 4 11996 000341 TNBOW R25.-L,AD 'DISP : 1 PK'. 1 0 715:.00 f 622. SNSRS, 10/BOX,REF 2219,ROHS Discount 92 . 95-1 L/C: '17KDY Expires : 10/01/20 1 >' Contact.: JONATHAN ALVERSON i .,.........� Phone: 3174073747 Sub Total 3404.31 Freight and Handling 65. 00 3 I - Q-.0012:3443 { { 3469.31 Site: 20 * * * O R I G I N A L v 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) .Vendor# 242000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 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 $622.05 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 118037764 42-390.11 $622.05 1 hereby certify that the attached invoice(s),or 5/21/18 118037764 $622.05 1120 102 1120 102 bills)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, May 21,2018 David Haboush Fire Chief hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer DATE SHIPPED PURCHASE ORDER NUMBER SALES SERVICE REPRESENTATIVE :#:T= J4GPi$liff'•:>::4'::QCi+6EPF 's' : : 05/10/181101618 � CPGG07 EALL71 liyabjll 003120155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS 2D-NC SH0038804G 53879321-00 INet 30 Days ,::> ::.:.;:.;:;�• :: ... .: � ..1 IS!... .......................................#2'i•:'�:.f'�A::>:> �11�:::�>::::#1'€Y>.�uFIP.•::::>:£4�'f•:::��Q:>:>'�# EFf.P.f� . ..... .� TtiE;f7.�,x,:t!l�#kV18�R:•;:•::•::•::•::•;:•;:•>:•;:•;:•>:•>:•>:.7£S ��3 ::.,�;�................:........ 10:1 11996=000342; ZNBOW ;R20 h,PEDDISP 1 PK 1< 0 , 740 0:0 6:22:.05 T SNSRS, 10/BOX,REF 2220,ROHS Discount 117 .95- L/C: 17JDN Expires: 09/28/20 Contact: JONATHAN ALVERSON Phone: 31741073747 <>>« Sub Total 622 . 05 MAX/EXCHAN 53879321 ORIGINAL INVOICES 118035310 ITEMS RETURNING ::11996.. 000341 gtyl . ITEMS SHIPPING 11996 :;000342 gtyl E ,ON Incorrect :product.;quoted due to SF ncor ect ;item escr.i.ption and was shipped;: t APPROVALS. STurnelr Vi biin: 30 .days customer must return the product t; P ysio ontro�l in its: original packaging, unopened, and undamaged except , or pr duct }hat was. received in a damaged condition or: as :other se a th rued` >[ yPhysio-Control, wkich Produict may be ret rued an is ex. stirig cordition «`. Physio=Control will riot accept: thereturn o a no d fecti> e and conforming 3 P if Customer break's the security sea ! on t e roduct. i 622 . 05 Site: 20 * * * O R I G I N A L W. F-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.