HomeMy WebLinkAbout327212 07/10/18 J`/ CITY OF CARMEL, INDIANA VENDOR: 372494
ONE CIVIC SQUARE MEDLINE INDUSTRIES, INC CHECK AMOUNT: $*******268.00*
;'%�:un ?�; CARMEL, INDIANA 46032 THREE LAKES NORTHF ELD LA 6VE CHECK 0093 0093 CHECK DATE: : 327212,07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 1853093859 268.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372494 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MEDLINE INDUSTRIES, INC IN SUM OF$ 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
$268.00
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
1853093859 42-390.11 $268.00 1 hereby certify that the attached invoice(s),or 6/27/18 1853093859 $268.00
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
Friday,June 29,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
ORIGINAL
• www.medline.comINVOICE
CUSTOMER PO # INVOICE DATE INVOICEF_ #
06212018 06/22/2018 1853093859
SOLD TO: SHIP TO: Page 1 of 1
CITY OF CARMEL
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQ 2 CIVIC SQ
CARMEL, IN 46032-7543 CARMEL, IN 46032-7543
SALES REP# I SALES ORDER# CARRIER FREIGHT TERMS CUSTOMER# CURRENCY AMOUNT DUE
716 705445498 FEDEX GROUND MEDLINE 1746403 USD $268.00
Line OrderInvoice Unit
No. Qt U/M Qty Item No / Description Codes Delivery # Price Amount
10 2.00 CS 2.00 VS311M TE 934102434 67.00 134.009--
/GLOVE,
34.00/GLOVE,EXAM,NITRILE,TXT,PF,LF,M
20 2.00 CS 2.00 VS311L TE 934102434 67.00 134.00
/GLOVE,EXAM,NITRILE,TXT,PF,LF,L
GROSS TAX AMOUNT FREIGHT TOTAL
268.00 0.00 0.00 268.00
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 THE INVOICE DATE,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:800-307-B386)
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, 002227P
O:I R.... �......:.:,.... -1 OAA 1500 n-IA7 AIM e....., n--.