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Home My WebLink About328552 08/09/18 CITY OF CARMEL, INDIANA VENDOR: 372494 ONE CIVIC SQUARE MEDLINE INDUSTRIES, INC CHECK AMOUNT: $*****1,133.58* =ate: CARMEL, INDIANA 46032 THREE LAKES DRIVE CHECK NUMBER: 328552 NORTHFIELD LA 60093 CHECK DATE: 08/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 1854924909 155.80 SPECIAL DEPT SUPPLIES 102 4239011 1855224345 441.78 SPECIAL DEPT SUPPLIES 102 4239011 1855513668 536.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 372494 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MEDLINE INDUSTRIES, INC IN SUM OF$ CITY OF CARMEL THREE LAKES 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. NORTHFIELD, LA 60093 Payee $1,133.58 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 1855513668 42-390.11 $536.00 1 hereby certify that the attached invoice(s),or 8/3/18 1855513668 $536.00 1120 102 1120 102 1854924909 42-390.11 $155.80 bill(s)is(are)true and correct and that the 8/3/18 1854924909 $155.80 1120 1 102 1 materials or services itemized thereon for 1120 1 102 1855224345 I 42-390.11 I $441.78 8/3/18 I 1855224345 I I $441.78 1120 102 which charge is made were ordered and 1120 102 received except Monday,August 06, 2018 U.®r 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 ORIGINAL • www.medline.com • CUSTOMER PO # INVOICE DATE INVOICE # 07232018 07/25/2018 118552243451 SOLD TO: SHIP TO: Page 1 of 1 CITY OF CARMEL CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SO 2 CIVIC SO CARMEL, IN 46032-7543 CARMEL, IN 46032-7543 SALES REP# SALES ORDER# CARRIER FREIGHT TERMS CUSTOMER# CURRENCY AMOUNT DUE 716 706058893 FEDEX GROUND MEDLINE 1746403 USD $441.78 Line OrderInvoice Unit No. Qt U/M Qty Item No / Description Code* Delivery # Price Amount 10 4.00 CS 4.00 TRIIVSSTKI TE,C 936275863 107.50 430.00= /DBD-KIT,IV SECUREMENT W/SORBAVIEW SHIELD GROSS TAX AMOUNT FREIGHT TOTAL 430.00 0.00 11 .78 441 .78 `Code TE Tax Exempt C Customer Freight CUSTOMER SHALL PAY THE FREIGHT CHARGES INDICATED ON THIS INVOICE. ALL CLAIMS OF SHORT SHIPMENTS,MIS-SHIPMENTS AND OTHER ERRORS IN DELIVERY SHALL BE COMMUNICATED TO MEDLINE IN WRITING,WITHIN TWO BUSINESS DAYS OF THE INVOICE DATE,OR THEY ARE DEEMED WAIVED. ALL CLAIMS FOR PRICING AND BILLING ERRORS SHALL BE COMMUNICATED TO MEDLINE IN WRITING WITHIN 180 DAYS OF INVOICE DATE,OR THEY ARE DEEMED WAIVED. EXPORT PROHIBITED CONTRARY TO U.S.FEDERAL LAWS.NO RETURNS WILL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION.(PH:800-307-8386) INTEREST WILL BE CHARGED AT THE RATE OF 1.5%PER MONTH ON PAST DUE BALANCE. MEDLINE INDUSTRIES,INC.INCLUDES MEDLINE INDUSTRIES,INC.AND/OR ITS WHOLLY OWNED CONSOLIDATED SUBSIDIARIES,MEDLINE INDUSTRIES HOLDINGS,LP,A DELAWARE PARTNERSHIP,AND MEDCAL SALES,LLC,AN ILLINOIS LIMITED LIABILITY COMPANY,AS APPLICABLE. 002137P Rillinn Innuiriac- 1-A00-RRA-91d7_ A/R Rvcc Ran• Carly I iiat7alsrhwah Y7711d971 ORIGINAL • www.medline.com INVOICE CUSTOMER PO # INVOICE DATE INVOICEF7 # 07/18/2018 07/20/2018 1854924909 SOLD TO: SHIP TO: Page 1 of 1 CITY OF CARMEL CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SO 2 CIVIC SO CARMEL, IN 46032-7543 CARMEL, IN 46032-7543 SALES REP# SALES ORDER# CARRIER FREIGHT TERMS CUSTOMER# CURRENCY AMOUNT DUE 716 705974762 FEDEX GROUND MEDLINE 1746403 USD $155.80 Line OrderInvoice Unit No. Ot U/M Qty Item No / Description Code* Delivery # Price Amount 10 10.00 EA 10.00 ISU8203000H TE 935972008 15.58 155.80 /AIRWAY,I-GEL,SUPRAGLOTTIC,SIZE 3 GROSS TAX AMOUNT FREIGHT TOTAL 155.80 0.00 0.00 155.80 "Code TE Tax Exempt C Customer Freight __CUSTOMER SHALL PAY THE FREIGHT CHARGES INDICATED ON THIS INVOICE. ALL CLAIMS OF SHORT SHIPMENTS,MIS-SHIPMENTS AND OTHER ERRORS IN DELIVERY SHALL BE COMMUNICATED TO MEDLINE IN WRITING WITHIN-TWO-BUSINESS-DAYS OF THE-INVOICE-DATE,OR THEY-ARE-DEEMED WAIVED. ALL CLAIMS-FOR-PRICING ANO-BILLING ERRORS SHALL BE COMMUNICATED TO MEDLINE IN WRITING WITHIN 180 DAYS OF INVOICE DATE,OR THEY ARE DEEMED WAIVED. EXPORT PROHIBITED CONTRARY TO U.S.FEDERAL LAWS.NO RETURNS WILL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION.(PH:800-307-8386) INTEREST WILL BE CHARGED AT THE RATE OF 1.5%PER MONTH ON PAST DUE BALANCE. MEDLINE INDUSTRIES,INC.INCLUDES MEDLINE INDUSTRIES,INC.AND/OR ITS WHOLLY OWNED CONSOLIDATED SUBSIDIARIES,MEDLINE INDUSTRIES HOLDINGS,I.P.A DELAWARE PARTNERSHIP,AND MEDCAL SALES,LLC,AN ILLINOIS LIMITED LIABILITY COMPANY,AS APPLICABLE. 002139P Rillinn InnuiriPs- 1-ROO-IRR-2147_ A/R Svcs Ren_ Carlv Luetzelschwah x7704271 ORIGINAL www.medline.com OICE CUSTOMER PO # INVOICE DATE I INVOICE # 07272018 07/28/2018 1855513668 SOLD TO: SHIP TO: Page 1 of 1 CITY OF CARMEL CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQ 2 CIVIC SQ CARMEL, IN 46032-7543 CARMEL, IN 46032-7543 SALES REP# I SALES ORDER# CARRIER FREIGHT TERMS CUSTOMER# CURRENCY AMOUNT DUE 716 706149709 FEDEX GROUND MEDLINE 1746403 USD $536.00 Line Order Invoice Unit No. Qt U/M Qty Item No / Description Code* Delivery # Price Amount 10 8.00 CS 8.00 VS311L TE 936597251 67.00 536.00 /GLOVE,EXAM,NITRILE,TXT,PF,LF,L - i� i. i. C GROSS TAX AMOUNT FREIGHT TOTAL 536.00 0.00 0.00 536.00 Code TE Tax Exempt C Customer Freight CUSTOMER SHALL PAY THE FREIGHT CHARGES INDICATED ON THIS INVOICE. ALL CLAIMS OF SHORT SHIPMENTS,MIS-SHIPMENTS AND OTHER ERRORS IN DELIVERY SHALL BE- COMMUNICATED TO MEDLINE IN WRITING WITHIN TWO BUSINESS DAYS OF THE INVOICE DATE,OR THEY ARE DEEMED WAIVED. ALL CLAIMS FOR PRICING AND BILLING ERRORS SHALL BE COMMUNICATED TO MEDLINE IN WRITING WITHIN 180 DAYS OF INVOICE DATE,OR THEY ARE DEEMED WAIVED. EXPORT PROHIBITED CONTRARY TO U.S.FEDERAL LAWS.NO RETURNS WILL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION.(PH:800-307-8986) INTEREST WILL BE CHARGED AT THE RATE OF 1.5%PER MONTH ON PAST DUE BALANCE. MEDLINE INDUSTRIES,INC.INCLUDES MEDLINE INDUSTRIES,INC.AND/OR ITS WHOLLY OWNED CONSOLIDATED SUBSIDIARIES,MEDLINE INDUSTRIES HOLDINGS,LRA DELAWARE PARTNERSHIP,AND MEDCAL SALES,LLC,AN ILLINOIS LIMITED LIABILITY COMPANY,AS APPLICABLE. 001953P Billing .Inquiries: 1-80.0-388-2147, A/R Svcs Rep: Carly Luetzelschwab x7704271