HomeMy WebLinkAbout326803 06/29/18 q`% ���f• CITY OF CARMEL, INDIANA VENDOR: 372494
j ONE CIVIC SQUARE MEDLINE INDUSTRIES, INC CHECK AMOUNT: $*******430.00*
CARMEL, INDIANA 46032 THREE LAKES DRIVE CHECK NUMBER: 326803
9'ZFON��°a, NORTHFIELD LA 60093 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 182187278 430.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 372494 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MEDLINE INDUSTRIES, INC IN SUM OF$ CITY OF CARMEL
THREE LAKES 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.
NORTHFIELD, LA 60093
Payee
$430.00
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
1852187278 42-390.11 $430.00 1 hereby certify that the attached invoice(s),or 6/20/18 1852187278 $430.00
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
Wednesday,June 20,2018
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
ORIGINAL
f ,
• www.medline.com a;, INVOICE
CUSTOMER PO # INVOICE DATE INVOICE #
6818 06/09/2018 1852187278
SOLD TO: SHIP TO: Page 1 of 1
CITY OF CARMEL
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SO 2 CIVIC SID
CARMEL, IN 46032-7543 CARMEL, IN 46032-7543
SALES REP# SALES ORDER# CARRIER FREIGHT TERMS CUSTOMER# CURRENCY AMOUNT DUE
716 472548811 FEDEX GROUND MEDLINE 1746403 USD $430.00
Line OrderInvoice Unit
No. Qt U/M Qty Item No / Description Code Delivery # Price Amount
10 4.00 CS 4.00 TRIIVSSTKI TE 933192815 107.50 430.00_
/KIT,IV SECUREMENT W/SORBAVIEW SHIELD =
C
GROSS TAX AMOUNT FREIGHT TOTAL
430.00 0.00 0.00 430.00
Code
TE Tax Exempt
C Customer Freight
CUSTOMER SHALL PAY THE FREIGHT CHARGES INDICATED ON THIS INVOICE. ALL CLAIMS OF SHORT SHIPMENTS,MIS-SHIPMENTS AND OTHER ERRORS IN DELIVERY SHALL BE _
COMMUNICATED TO MEDLINE IN WRITING WITHIN TWO BUSINESS DAYS OF THEINVO10E DAfiE,OR THEY ARE DEEMED WAIVED. ALL CLAIMS FOR PRICING AND BILLING ERRORS--
SHALL BE COMMUNICATED TO MEDLINE IN WRITING WITHIN 180 DAYS OF INVOICE DATE,OR THEY ARE DEEMED WAIVED.
EXPORT PROHIBITED CONTRARY TO U.S.FEDERAL LAWS.NO RETURNS WILL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION.(PH:600-307-8386)
INTEREST WILL BE CHARGED AT THE RATE OF 1.5%PER MONTH ON PAST DUE BALANCE.
MEDLINE INDUSTRIES,INC.INCLUDES MEDLINE INDUSTRIES,INC.AND/OR ITS WHOLLY OWNED CONSOLIDATED SUBSIDIARIES,MEDLINE INDUSTRIES HOLDINGS,LP,A DELAWARE
PARTNERSHIP,AND MEDCAL SALES,LLC,AN ILLINOIS LIMITED LIABILITY COMPANY,AS APPLICABLE. 002125P
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