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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