HomeMy WebLinkAbout326101 06/12/18 JY CITY OF CARMEL, INDIANA VENDOR: 357526
j; ONE CIVIC SQUARE HENRY SCHEIN INC CHECK AMOUNT: $*******448.62*
CARMEL, INDIANA 46032 DEPT CH 10241 CHECK NUMBER: 326101
PALATINE IL 60055.0241 CHECK DATE: 06/12/18
i
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 53493955 205.10 SPECIAL DEPT SUPPLIES
102 4239011 53510237 40.53 SPECIAL DEPT SUPPLIES
102 4239011 53917233 202.99 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 357526 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HENRY SCHEIN INC IN SUM OF$ CITY OF CARMEL
DEPT CH 10241 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.
PALATINE, IL 60055-0241
Payee
$448.62
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
53917233 42-390.11 $202.99 1 hereby certify that the attached invoice(s),or 6/5/18 53917233 $202.99
1120 102 1120 102
53510237 42-390.11 $40.53 bill(s)is(are)true and correct and that the 6/5/18 53510237 $40.53
1120 102 materials or services itemized thereon for 1120 102
53493955 I 42-390.11 I $205.10 6/5/18 I 53493955 I I $205.10
1120 1 02 which charge is made were ordered and 1120 102
received except
Tuesday,June 05,2018
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
I ORDER# I ORDER DATE DUE-DATE
63920490 1 05/16/18 1 06/16/181
b&B#:01-243-0880
WHSE DEA# RHO 162494 Fed ID: 11-3136595 CONTAINS MULTIPLE INVOICES
MINN 1071, '(%mamignimi"',
I sm,
This order has been processed by our MIDWEST M.C.
5315 WES" 74TH :TREET
INDIANAP LIS,IN 46268
986-6186 50/BX INTROCAN SAFETY CATH STRA 2 2 86.25 172.50 1
2 700-1260 EA SHARPS DART NEEDLE HOLDER 20 20 1.63 32.60 1
PLEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOSURES/TE ZMS OF SALE
MERCHANDI E TOTAL 205.10
Invoice Date + 30 days 205.10
Please remi: payments only to the following aldress:
Henry Scheii, Inc.
Dept CH 10211
Palatine, 1, 60055-0241
Y
EM Y
RE
BILL TO SH12 TO iNVOICE# INVOICE AMO= ITEM STATUS KEY FSK-_MScIrTflKic�
B-Backordered;Item will follow
1308571 1308572 53493955 205.10 D-Discontinued:Item no longer available C No Chat,.
QRDER# ORDER DATE INVOICE DATE 4 OF BOXES F-Special offer
M-Manufacturer will ship Item directly to you
P Prescription Drug;Return Authorization Required
63920490 05/16/18 5/17/18 1 R Refrigerated Item:May be shipped separately
CUSTOMER PO# PAGE# $ Special Schein Pricing
T-Taxable Item
U-Temporarily unavailable:please reorder
HSI77011566 1 OF 1 Item has SDS
I ORDER# I ORDER DATE UE-DATE
63945844 05/17/18 06/16/18
D&B#:01-243-0880
WHSEDEA# RHO162494 Fed ID: 11-3136595
IN
'N
0"
E. , NE
rhis order has been processed by our MIDWEST M.C.
5315 WES" 74TH TREET
INDIANAP LIS,IN 46268
1 111-3358 100/CA RAZOR STERILE SHAVE PREP 2 SIDED 1 1 C 40.53 40.53 1
:!ASE GOOD ICEM, MAY BE SHIPPED SEPARATELY.
PLEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOS1JRES/TE ZMS OF SALE
MERCHANDI E TOTAL 40.53
Invoice Date + 30 days 40.53
Please,remi-_ payments only to the following aldress:
Elenry Scheii, Inc.
Dept CH 10211
Palatine, 1, 60055-0241
BILL TO SHT TO INVOICEINVOICE AMOUNT ITEM STATUS KEY REM KEY
B-Backordered;Item will follow SK-School Kit
1308571 1308572 53510237 40.53 F-D-Discon inued:Item no longer available NC-No Charge
Specia
ORDER# ORDER DATE INVOICE DATE # OF BOXES M-Manufacturer l offer
will ship Item directly to you
P Prescription Drug;Return Authorization Required
63945844 05/17/18 5/17/18 1 R Refrigerated Item;May be shipped separately
$ Special Schein Pricing
STONER PO PGE T-Taxable Item
Temporarily unavailable:please reorder
HSI 77017273 1 OF y_-Item has SDS
ORDER# ORDER DATE- IDUE DATE
64364902 05/31/18 1 06/30/18
D&B#:01-243-0880
WHSE DEA# RH0162494 Fed ID:11-3136595
•:I :y y
xx
This order has been processed by our MIDWEST .C.
5315 WES 74TH 3TREET
INDIANAP LIS,IN 46268
---------- --------------------------------- ------ ------------------- -------
1 636-6018 48/CA NON-DEHP SOL SET 76" 10DR 1 1 C 202.99 202.99 1
Z!ASE GOOD I EM, MAY BE SHIPPED SEPARATELY.
---------- --------------------------------- ------ ----- ------------- -------
---------- --------------------------------- ------ ----- ------------- -------
LEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOS1JRES/TEZMS OF SALE
MERCHANDI E TOTAL 202.99
Invoice Date + 30 days 202.99
Please remi payments only to the following a dress: --
enry Schei ; Inc.
Dept CH 10211
Palatine, I 60055-0241
BILL T HIP To o ITEM STATUS KEY REM KEY
B-Backordered:Item will follow SK-School Kit
1308571 1308572 53917233 202.99 D-Discontinued;Item no longer available NC-No Charge
F-Special offer
HORDE -ORDER DATE INVOICE DATE # OF BOXES M-Manufacturer will Ship Item directly to you
P-Prescription Drug;Return Authorization Required
64364902 05/31/18 5/31/18 1 R-Refrigerated Item:May be shipped separately
-- $ -Special Schein Pricing
CUSTOMER PO# P G T-Taxable Item
U-Temporarily unavailable;please reorder
HSI 77110395 1 OF 1 *-Item has SDS