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Home My WebLink About327141 07/10/18 J�/ CITY OF CARMEL, INDIANA VENDOR: 00352626 .�, ONE CIVIC SQUARE BOUND TREE MEDICAL LLC CHECKAMOUNT: $*******274.20* s9 � CARMEL, INDIANA 46032 23537 NETWORK PLACE CHECK NUMBER: 327141 y,�TON E°. CHICAGO IL 60673-1235 CHECK DATE: 07/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239012 82904359 274.20 SAFETY SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00352626 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BOUND TREE MEDICAL LLC IN SUM OF$ CITY OF CARMEL 23537 NETWORK PLACE 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. CHICAGO, IL 60673-1235 Payee $274.20 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Police 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 82904359 42-390.12 $274.20 1 hereby certify that the attached invoice(s),or 6/25/18 82904359 PPE kits&Narcam atomizers $274.20 1110 101 1110 101 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 Thursday,June 28,2018 &- e"V-.3 Jim Barlow 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 BoundTree I nv oice invoice 82904359 6/25/2018 PHONE:(800)533-0523 BOUND TREE MEDICAL LLC C Date '23537 Network Place www.boundtree.com Chicago 1L 60673-1235 Page 1 of 1 „ .., . , 7Account# 101078 TIN# 31-1739487 a C ***************AUTO**MIXED AADC 430 414 1 MB 0.424 Ship To: SHIP001 III�I�II"SII'I�I�'�I"'IIID'�"'I'I'�Itl��lt�lttltlt�llll��l�ll CITY OF CARMEL POLICE DEPT City of Carmel Police Dept 3 CIVIC SQ 3 Civic Sq RECEIVING Carmel IN 46032-2584 CARMEL, IN 46032-2584 rrooucts Ilstea on the Invoice were shipped from the locations below: Purchase Order# r Saes Order# Scales PersonShtpa Shrp Date Payment Termsj a - -- - NARCAN — 9'9969872 - T BORGHESE BEST WAY 06/25!2018 NET 30-- 'Item'# y Descnp#ion Ortlered Shipped BIO Urnt Pnce` U Ext Price" THE FOLLOWNG ITEMS SHIPPED FROM: 12 1605 ZEAGER RD SUITE 101 ELIZABETHTOM, PA 17022 BTM Distributor License No: 48002301A 400125 Mucosal Atomization-Device,MAD Intranasal,No Syringe, 1 1 0 $217.25 BX $217.2 Latex Free 25ea/bx 29220S Curaplex Personat-Protection Kit-Compact;incl Impervious- 5 5 0 $8.39 EA $41.9 Gown i � I i 1 1 c o l ! t 1 I t i [ I I I I t � � I 1 I Tracking Numbers: 781572649871 Note: Indicates taxable item Merchandise 3 259.20 0.00 Tax 0.00 Correspondence and inquiries Fretght „," 15.00 can be sent to: 5000 Tuttle Crossing Blvd Deposit 0.00 Dublin,OH 43016 Total 274.20 Bound Tree Packing Slip Master# 99959872 F„ Invoice Date 6/25/2018 Page !,of, Order# 62608085 Shipped From:12 BOUND TREE MEDICAL,LLC-PA Account# 101078-SHIP001 Bill to Address: 1605 ZEAGER RD Ship to Address: CITY OF CARMEL POLICE DEPT SUITE 101 CITY OF CARMEL POLICE DEPT 3 CIVIC SQ ELIZABETHTOWN,PA 17022 CITY OF CARMEL POLICE DEPT CARMEL,IN 46032-2584 BTM Distributor License:48002301A 3 CIVIC SQ BTM Controlled Substance License No:NULL RECEIVING CARMEL,IN 46032-2584 PO Number Terms sales person Ordered LICENSE# DEA# Freight'Terms NARCAN NET 30 T BORGHESE 6/25/2018 1 BEST WAY ----------SPECIAL COMMENTS AND SHIPPING INSTRUCTIONS----------- Cust.Part# Item# Description Ordered Ship B/O UOM WT 400125 Mucosal Atomization Device,MAD Intranasal,No Syringe, 1 1 0 BX 0.45 Latex Free 25ea/bx 29220S Curaplex Personal Protection Kit Compact,incl Impervious 5 5 0 EA 1.00 Gown LOT#: ASM0020592 Qty: 5 Expires: 2/1/2021 Total WT: 1.45 Items ordered but not appearing on this packing slip may be shipped from another warehouse. BTM.COM Placed by Entered by I VIII IIIIII�IIDI I�II�IIIDII VIII 6/25/2018 12:02:58 PM THANK YOU FOR YOUR ORDERI 6 z c o e o s s Report claims for damage or shortage to Bound Tree Medical within 7 days. All returns must be authorized by Customer Service. To obtain a Return Authorization Number(RMA#),please call 1-800-S33-0523.