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HomeMy WebLinkAbout327130 07/10/18 (' CITY OF CARMEL, INDIANA VENDOR: 369478 ;; 1 ONE CIVIC SQUARE ARROW INTERNATIONAL CHECK AMOUNT: $*******210.01* `�,, CARMEL, INDIANA 46032 PO BOX 60519 CHECK NUMBER: 327130 ''��iori EO. CHARLOTTE NC 28260-0519 CHECK DATE: 07/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 9500279173 210.01 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 369478 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ARROW INTERNATIONAL IN SUM OF$ CITY OF CARMEL PO BOX 60519 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. CHARLOTTE, NC 28260-0519 Payee $210.01 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 9500279173 42-390.11 $210.01 1 hereby certify that the attached invoice(s),or 6/27/18 9500279173 $210.01 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 ARROW0 invoice 3015 Carrington Mill Blvd, Suite 300 Morrisville,NC 27560 Number Date Page Due Date USA 9500279173 06/19/2018 Page 1 of 07/19/2018 Payer Account No.1057230 _ Bill To Party Account No. 1057230 Ship To Party Account No. 1057230 Ill�rin��lm���ll�ll�ll�lnl�lnlllllll��ll��ll�l'I�III'�Il��u CARMEL FIRE DEPARTMENT HEADQUARTER T1 P1**************************MIXED AADC 275 ##-0001-##-1-144-144-252 2 CIVIC SQUARE CARMEL FIRE DEPARTMENT HEADQUARTER CARMEL, IN 46032-7543 2 CIVIC SQUARE USA CARMEL IN 46032-7543 USA ---- P-aymentRemittance-Address:---- —- — - Wire-Transfer Remittance:- ---Overnight Remittance Address:--— - Arrow International,Inc. Wells Fargo Bank N.A. Wells Fargo.Lockbox Services PO Box 60519 420 Montgomery Street Arrow International,Inc. Charlotte,INC 28260-0519 San Francisco,CA 94104 Lockbox 6051 Account No.2000040988562 1525 West W.T.Harris Blvd-2C2 Routing/ABA No.121000248 Charlotte,NC 28262 SWIFT Code:WFBIUS6S Purchase Order Number - Sales,Order Number Order Placed By Delivery Number Carrier/Level<of Service 061818AY 4215340 Jason Gardner 8002409255 UPS Tracking Number FreightTerms Incoterms PaymenfTerms--_ Currency 1Z6069200378055371 Pre-pay&Add FOB ORIGIN Net 30 USD Line Material MaterialDescription ," UOM Shipped Qty r BacKOrder Qty, Unit Price Total 000010 9066-VC-005 EZ-STABILIZER(BOX OF 5) BX 4 0 50.00 200.00 Brand:Arrow Batch Number: 103180 Expiration Date:02/21/2022 Country of Origin:TW Sub-Total 200.00 Freight 10.01 Tax 0.00 Total USD 210.01 The terms on our Acknowledgment and Invoices state Arrow's entire contract.Arrow shall not be bound by any different additional or conflicting terms and conditions contained in Buyer's Purchase Order unless expressly agreed to in writing by Arrow.Arrow's Acknowledgment will not hereafter be subject to any change,modification or conflicting language without Arrow's prior written consent. Tel 800-523-8446 Email arrowcs@teleflex.com www.teleflex.com EIN:23-1969991