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
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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
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LEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOS RES/TE S OF SALE
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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