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327812 07/20/18
(9, CITY OF CARMEL, INDIANA VENDOR: 242000 ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECKAMOUNT: $*****1,371.35* CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 327812 CHICAGO IL 60693 CHECK DATE: 07/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 118050641 510.20 SPECIAL DEPT SUPPLIES 102 4239011 118052382 1,136.20 SPECIAL DEPT SUPPLIES 102 4239011 118053681 670.00 SPECIAL DEPT SUPPLIES 102 4239011 218001889 -622.05 SPECIAL DEPT SUPPLIES 102 4239011 218001932 -323.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 242000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER - PHYSIO CONTROL CORP IN SUM of$ CITY OF CARMEL 12100 COLLECTIONS CENTER 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. CHICAGO, IL 60693 Payee $1,371.35 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 invoices)or bill(s)) AMOUNT 218001932 42-390.11 ($323.00) 1 hereby certify that the attached invoice(s),or 7/12/18 218001932 ($323.00) 1120 102 1120 102 218001889 42-390.11 ($622.05) bill(s)is(are)true and correct and that the 7/12/18 218001889 ($622.05) 1120 102 materials or services itemized thereon for 1120 1 102 118052382 42-390.11 $1,136.20 7/12/18 118052382 $1,136.20 1120 102 which charge is made were ordered and 1120 102 118050641 42-390.11 $510.20 received except 7/12/18 118050641 $510.20 1120 102 1120 102 118053681 42-390.11 $670.00 7/17/18 118053681 $670.00 1120 102 1120 102 Tuesday,July 17,2018 David Haboush Fire Chief 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 PAGE:3 Credit Invoice PHYSIO-CONTROL,INC. 11811 WILLOWS RD NE PO BOX 97006 Invoice Number: 218001932 REDMOND,WA 98073 UNITED STATES Invoice Date:06/18/18 Due Date:07/18/18 BILL TO ACCOUNT: r 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201 CARMEL FD CARMEL FD CARMEL FD 2 CIVIC SQUARE 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 CARMEL,IN 46032 UNITED STATES UNITED STATES ................................................................................................................................_......................................................................................................................................D.D................................................................... DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE CUSTOMER TAX ID 06/18/18 ANDREW YOUNG CPGG07 ' EALL71 003120155002/mj ................................................................................................................................:.............................................................:................................................................................................................................................... CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD-NC S3885944 Net 30 Days ttNE. GAT OG NUMBER C•IESGRIPTION ; QTY ORD: UM QTY INV QTY B/O : UNIT PRIDE � EXT TOT �T ' � --------------------------------------------------------------------------------------------------------------------------------------------- -323.00 ***DUPLICATE*** Product Billing Page: 1 -..---- — -- INVOICE :::<idents:via:E;US>:Mail> QE ..... a................................................ .......::.:::.::.:::::.::.::.:.::.::.::.::.:::.::.::.::.::.::.::::.::.::.::.::.::.::.;:.;;:.;::.;:.::.;:.;:.;:.;:.;:.;X.;:.;:.;:.;:.;:. ::<.:;:»:<:>>::::»»:<I: : :0 ::;Coltecti©ns:<G.ent .r.::Drw.e...;>:<::<:>::::;z;;;;;::>:<:c::>:<, 218001889 Physio-Control, Inc. i �kffcagcx. IL 6fl93 11811 Willows Road NE F�ease reterenec.:InvaiCe Number art mfr check 06/13/18 Post Office Box 97006 :::.::::.:..:::......::....:::,.......:...:::.::.:•-..:.:.:•:.::::...::::.:..:..:..:: ..::.::..:.:......;....::::.::;, Redmond,WA 98073-9706 USA ::>:: �Clt;s��t;UII'IESF; all:;:toji;�r�t,';>�-S�e�}26�$Q�7:;;::; <:;3� Telephone:425-867-4000 :::: .:.::.:.:.:.:.............. ...... : Fax:425-881-2405 F.E.I.N.91-0697691 BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201 CARMEL FD CARMEL FD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 UNITED STATES UNITED STATES -------------------------------------------------------------------------------------------------------------- Please return top portion with payment. DD DATE SHIPPED P R HA E ORDER NUMBER SALES SERVICE REPRESENTATIVE RaCYSBt>Ec: ?E 'y: JC ➢F::?i%:%::::: 06/13/18 101618 CPGG07 EALL71 liyabj 1 l.....0.0312.0155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS 2D-NC SH00388046 53879321-00 Net 30 Days :';:.:.....J ?;:—. .:::: >i7>^i_33?E1f3�ft'.? ?E? ':E > > > >?>E»EEE E X23`Y t 13»>'}tVE:>>#I#Y SI A ..... 3T> .1#FG':`P tG ?` > > >sE�4 fEEEF T`FEt'•. :3 Z EEeS(e># €r(T1 . .3ti#E3FN Eli.:::> s ?E >E> 100?119960.00341,,V *0341A Z, AD DISP a PK 1 Q 715 0.0 622{i 05 T SNSRS, 10/BOX,REF 2219,ROHS Discount 92 . 95- E;EEE`EE� i L/C: 17KDY -1 Contact: JONATHAN ALVERSON `Phone: 3174073747 Sub Totals 622 . 05 EXCHANGE Z3,8: 3:21::: ORIGINAL INVOICESI 1180353;10 ITE S }2ETURNING :;1199.6 000341 gtyl IIITEMS. SHIPP:ING 11996-0003442, gtyl fREA ON Incorrect product quoted due to: SF ncorrect item > esc> it tion and .W. :. APPROVALS STurner [�T thln 30 days culstomer must return the: pro uct t P ysio-: ontr 1 In.:..:it original packaging, unopened, ;'.and undamagedlexce t or product that was: n recelv..ed iri; a damaged condition or:; as other se a th rized by Physio Control, whlch .:produCt: ma be ret rued i is exastingkk condition �Pk sio;=Control will not ;acre t the._; return o . a no -d fect e and coiiforttg Y, P. _.: roduct if .. tomer breaks the security sea '? on t e roduct **CREDIT 622 . 05+- 'S i t 6 22 . 05-'Site 20 _ _ * ,* *; O•..R I G I N A L s ACCEPTED NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. Product Billing •� _ _ INVOICE Page: 1 .. ail men of ............ ABY........is a US Malf##� #3is address cx{I.y.:, ..... >:. OC Oflltecticros Cerates Dnve 118050641 Physio-Control, Inc. 11811 a Willows o s R oad NE S`:3 Post office Box 97006 F e..s :.rfer.. nc :Ir�vo� : tuEnro :: rcTeck :.:.;;:;::: 06/26/18 Y Redmond,WA 98073-9706 USA ?:::'.>»> Far l�sgrrie$ C11 tblI free 7 8©fl 4�6$Q47 Telephone:425-867-4000 sy>" Fax:425-881-2405 F.E.I.N.91-0697691 BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201 CARMEL FD CARMEL FD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 UNITED STATES UNITED STATES -------------------------------------------------------------------------------------------------------------- Please return top portion with payment. DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE .> :;':;;;;; W �(: $ :;.;.;.;�.y; (�gpF;:;; ;:;:;• : 06/26/18 JONATHAN ALVERSON Cf?GG07 EALL71 liyabjl 003120155,002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD P00410677 53895442-00 Net 30 Days 4TJii q 1d##EVIf ......... ik�uf{IFFICHSI.:::.:::::::::::::::::::::::>::: 2f� PiE �.:::,..:::::::::EJ4[>T�3T.RE......Tt .. :. l 11996 0(ODD81 FTLTERLTNE SE;TADUZT/PED, 2: PK' 2: .0 286 00 486:!20 T IOX OF 25 Discount 42 .90- iContact: JONATHAN ALVERSON Phone: 317.I5 71 .2 6 0 0 Sub Total. 486.20 i Frei t a Id Handlings 24 . 00 O _ >> Q, 131184 1 _ 510.20 Site: 20 * * * O R I G I N A L ACCEPTED NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. Product Billing Page: 1 INVOICE ::Ma ........enfis.> a.t S Maki ifl I#3�s:arldres..... > ... ....:.:.:.::::... ...... ........ ....... 118052382 Phys o Cont o , a :>::>::>::>::>::>::>::::>::::>::>::;::>:::<::::::<:>:Cm cx::>IL:::6Ef�93::>::>::>::>::>::>::>::;: »::>::»:::<_>:: >:: 11811 Willows Road NE ::.;:.;9 .;;:.:;.;:.;;:.>;;:.;:.;;:.;:.;:.;:.;:.;:.;:.;:...:...... PI :r :f. renee::InviCe:>I�iultiteF: :'. uG:' Isecie»:>::»: 07/02/18 Post Office Box 97006 r: :::::::::::::::::::::. :.;:. SA Redmond WA 98073-9706 U Farm tires.... olI>#ree 1'$Ofl ? 6 8a± T':> :::'.. Telephone:425-867-4000 u. . ._....___.u_� u� _ ...... . .... y_ _ .:' Fax:425-881-2405 F.E.I.N.91-0697691 BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201 CARMEL FD CARMEL FD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 UNITED STATES UNITED STATES -------------------------------------------------------------------------------------------------------------- Please return fop portion with payment. NUMBER SALES SERVICE REPRESENTATIVE :?:?F:•=' J17fPtB2:>1: E' :EXC6dAF::: :::: DATE SHIPPED PURCHASE ORDER / i;�::�:�:�:�:�:�:�:� ::::::::::::::::::......;................::::::::r•:::::::::: 0,7/02/18 JONATHAN ALVERSON CPGG07 EALL71 LLEE1 003120155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD P00411530 S3897240-00 Net 30 Days X. .........................: IF GE E?E[ f^.:.:::.::::::::: #T:.TFt.: >':`7`t • t31#i3�311t( i #3#)'SIF' lY �Q 1 11.;995 0;00167 ICROSTREAM SMART.; 1 X 1':. 0 1260 0;0 1096`;.20 CAPNOLINE PLUS 02, ADULT Discount 163 .80- INTERMEDIATE, BOX OF 100 Contact: ANDREW YOUNG Phone: 317-1571-2600 Sub Total 1096 .20 Freight anId Handling 40 . 00 j. EMRDER 1 SAL I S .REP S. EPHANiIE nTIR .. Quate Number 00132012 ## 1 I JONATHAN ALVERSON 1136.20 Site: 20 * * * O R I G I N A L y— ma INC] ACCEPTED NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. Product Billing Page: 1 INVOICE .. . R�Ysents uE�US Ma�I t...............................................addres$ :;: 1 :::�I��: tl :: ltecti4ns.:Geigy# .r..:Drrwe:.:.:::::::.:' <<<< 118053 681 Physio-Control, Inc. Y :::....::Cluca:,.rr>:>It 6flS9�.......... ::?:::::::::::>::::>::::>::::::::>:::...... 11811 Willows Road NE 0§40g9=#= ferEn ':e<Invicelliueberan> aurc) ek>?:;>:;<:>: 07 09 18 Post Office Bo97006 ::;:;•;:.;;;:.;»;>;;;:.;:.:•;:.>:;::.;:.;:::•:>;;::;>;;;;;:.;:;.;:;;:;o�:•;::.;;:.;:;;.;:.;:_;:.;:..:.;;;;:;:.;;Redmond WA 98073-9706 USAi, °uirie� �all<>EDIT:::free'4�80ti'.�+��6`.�8Q� > ;;:.;;:.Telephone:425-867-4000 so-.:�::�;,:z�:-:�;�z::�>��:. :•s;_:��::::u::,az:,zz�z�,.�y..�_.:.:::i�_;[zz;;'s:.:f Fax:425-881-2405 F.E.I.N.91-0697691 BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201 CARMEL FD CARMEL FD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 UNITED STATES UNITED STATES -------------------------------------------------------------------------------------------------------------- P/ease return top portion with payment. DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE ?: ':Jf4f5$lE:: E'=F.XC09➢:f�%22:'r:?2?:a 07/09/18 Andrew Young � CPGG07 EALL71 cudey 1........003120155002,/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD P00412295 53898565-00 Net 30 Days ••E R1t `>ER31L1lsltil##Nif :`EE ?E :`EEi,54�#i1F F1f3IStE> s `: 3 J'(3#313 > 1(VFs 3€YSfPf `&( 'E `' tFPik[f: EEE> `• #JfEEET3T`FEE : TE . .................................................................................................................................................................................................................................................... 1 11:996 0:.00091. 115033 LECTRODE ED 1. 20 PK 20:. Q 38 0:0: 64G 00 ................. .......::.. . ..... . ........ ......... ......._ .. ..__:. _. .:. ...__._... _._.:: ..._ _. _ .. TD, WORLDWIDE Discount 5 .70L/C: Expires: 11/211/20 20 `? !Contact: Andrlew Young Phone: 317-571-2600 Sub Totall 646. 00 Freight aid. Handling 24 . 00 i.1-And ewSte hanie Wrkne.r Sal s Re Ste hare' Wirkner p p 7/9J18 cau 670 . 00 Site: 20 * * * O R I G I N A L V/SA EMS` Wz�r— ACCEPTED NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.