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HomeMy WebLinkAbout327765 07/20/18 +pr_C�gM ��/ CITY OF CARMEL, INDIANA VENDOR: 357526 1 ONE CIVIC SQUARE HENRY SCHEIN INC CHECK AMOUNT: $*******201.20* ;�a; CARMEL, INDIANA 46032 DEPT CH 10241 CHECK NUMBER: 327765 '+,;�roN�a PALATINE IL 60055-0241 CHECK DATE: 07/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 55066894 201.20 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor 357526 HENRY SCHEIN INC IN SUM OF$ 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 $201.20 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 55066894 42-390.11 $201.20 1 hereby certify that the attached invoice(s),or 7/17/18 55066894 $201.20 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 Tuesday,July 17,2018 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 ORDER# ORDER DATE DUE'.DATE 65531687 07/06/18 08/05/18 D&B#:01-243-0880 WHSE DEA# RHO162494 Fed ID:11-3136595 a his order has been processed by our MIDWEST M.C. 5315 WES 74TH 3TREET INDIANAP LIS,IN 46268 ---------- --------------------------------- ------ ----- ------------- ------- ---------- --------------------------------- ------ ----- ------------- ------- 1 857-8871' EA NASAL AIRWAY LF 24FR 10 10 2.92 29.20 1 2 507-0341 PU EA INTROCAN SAFETY CATHETER 24GX3/4 50 50 1.72 86.00 1 3 507-5531 PU EA INTROCAN SAFETY CATHETER 22GX1" 50 50 1.72 86.00 1 ---------- --------------------------------- ------ ----- ------------- ------- ---------- --------------------------------- ------ ----- ------------- ------- LEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOS RES/TE S OF SALE ---------- --------------------------------- ------ ----- ------------- ------- ---------- --------------------------------- ------ ----- ------------- ------- MERCHANDI E TOTAL 201.20 Invoice Date + 30 days 201.20 Please remi payments only to the following a dress: Henry Schei , Inc. Dept CH 10211 Palatine, I 60055-0241 BILL TO SHIP TO INVOICE# INVOICE AMOUNT ITEM STATUS KEY REM KEY B-Backordered;Item will follow SK-School Kit 1308571 1308572 55066894 201.20 D-Discontinued;Item no longer available NC-No Charge ORD .1F-Special offer E RD INVOICE-DATE OF BORE M-Manufacturer will ship Item directly to you 0 6 1 8 7/06/18 P-Prescription Drug;Return Authorization Required 65531687 0 7 / / 1 R-Refrigerated Item;May be shipped separately $ -Special Schein Pricing - CUSTOMER P0# PAGE T-Taxable Item 0 7 0 5 2 018 1 OF 1 U-Temporarily unavailable:please reorder *-Item has SDS