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Home My WebLink About328483 08/09/18 +pf_CAq� CITY OF CARMEL, INDIANA VENDOR: 00352626 ® ONE CIVIC SQUARE BOUND TREE MEDICAL LLC CHECK AMOUNT: $*****1,784.71* 49, J,, CARMEL, INDIANA 46032 23537 NETWORK PLACE CHECK NUMBER: 328483 y,�TON�° CHICAGO IL 60673.1235 CHECK DATE: 08/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 82941177 1,243.38 SPECIAL DEPT SUPPLIES 102 4239011 82943601 541.33 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00352626 BOUND TREE MEDICAL LLC IN SUM OF$ 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 $1,784.71 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 82941177 42-390.11 $1,243.38 1 hereby certify that the attached invoice(s),or 8/2/18 82941177 $1,243.38 1120 102 1120 102 82943601 42-390.11 $541.33 bill(s)is(are)true and correct and that the 8/6/18 82943601 $541.33 1120 1 1 102 1 materials or services itemized thereon for 1120 1 102 which charge is made were ordered and received except Monday,August 06,2018 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Bound Tree invoice 'Invoice L82943601PHONE:(800)533-0523 BOUND TREE MEDICAL;LLC Date`23537 Network Placewww.boundtree.com Page Chicago,IL 60673-1235, Account# TIN# 31-1739487 Ship To: SHIP001 CARMEL FIRE DEPT CARMEL FIRE DEPARTMENT 2 CIVIC SQ 2 CIVIC SQUARE CARMEL,IN 46032-7543 RECEIVING CARMEL,IN 46032-7543 Products listed on the invoice were shipped from the locations below: Purchase Order# Sales Order# Sales Person Ship Via Ship Date Payment Terms 08032018 100066702 T SPECTOR NO FRT 08/03/2018 NET 30 Item# Description Ordered Shipped BIO Unit Price UOM Ext Price THE FOLLOWING ITEMS SHIPPED FROM: 12 1605 ZEAGER RD SUITE 101 ELIZABETHTOWN,PA 17022 BTM Distributor License No:48002301A 025302 Laryngoscope Blade,Greenline,Mac 2,Fiber Optic, 1 1 0 $5.99 EA $5.99 Disposable,Stainless Steel 20/BX 025303 Laryngoscope Blade,Greenline,Mac 3,Fiber Optic, 3 3 0 $5.99 EA $17.97 Disposable,Stainless Steel 20/BX 025304 Laryngoscope Blade,Greenline,Mac 4,Fiber Optic, 3 3 0 $5.99 EA $17.97 Disposable,Stainless Steel 20/BX 025330 Laryngoscope Blade,Greenline,Miller 0,Fiber Optic, 1 1 0 $5.99 EA $5.99 Disposable,Stainless Steel 20/BX 025331 Laryngoscope Blade,Greenline,Miller 1,Fiber Optic, 1 1 0 $5.99 EA $5.99 Disposable,Stainless Steel 20/BX 025332 Laryngoscope Blade,Greenline,Miller 2,Fiber Optic, 1 1 0 $5.99 EA $5.99 Disposable,Stainless Steel 20/BX 025333 Laryngoscope Blade,Greenline,Miller 3,Fiber Optic, 3 3 0 $5.99 EA $17.97 Disposable,Stainless Steel 20/BX 025334 Laryngoscope Blade,Greenline,Miller 4,Fiber Optic, 3 3 0 $5.99 EA $17.97 Disposable,Stainless Steel 20/BX 2114-08204 ]-GEL SUPRAGLOTTIC AIRWAY FOR MEDIUM ADULTS 15 15 0 $14.65 EA $219.75 (SIZE 4)110-200 LBS(50-90 KG) 25EA/CS 2114-08205 I-GEL SUPRAGLOTTIC AIRWAY FOR LARGE ADULTS 15 15 0 $14.65 EA $219.75 (SIZE 5)200+LBS(90+KG) 25EA/CS 2143-20101 Laryngoscope Blade,Greenline,Mac 1,Fiber Optic, 1 1 0 $5.99 EA $5.99 Disposable,Stainless Steel 20/BX Bound TreeInvoice invoice 82943601 jjjlijim BOUND TREE MEDICAL,LLC,, Date 8/6/2018 PHONE:(800)533-0523 23537 Network Place . www.boundtree.comPage 2 2 'Chicago,IL 60673-1235 of Account#` 101076 TIN# 31-1739487 Ship To: SHIP001 CARMEL FIRE DEPT CARMEL FIRE DEPARTMENT 2 CIVIC SQ 2 CIVIC SQUARE CARMEL,IN 46032-7543 RECEIVING CARMEL,IN 46032-7543 Products listed on the invoice were shipped from the locations below: Purchase Order# Sales Order# Sales Person' Ship Via Ship Date Payment Terms 08032018 100066702 T SPECTOR NO FRT 08/03/2018 NET 30 Item# Description Ordered Shipped B/O Unit Price UOM Ext.Price Tracking Numbers: 782137239667 Note:'Indicates taxable item Merchandise 541.33 Misc 0.00 Taz 0.00 Correspondence and inquiries Freight. 0.00 can be sent to: Deposit 0.00 5000 Tuttle Crossing Blvd Dublin,OH 43016 Total 541.33 AN' Bound Tree Invoice Invoice :.° 82941177 PHONE:(800)533 0523 BOUND TREE MEDICAL,LLC Date 8/2/2018 23537 Network Place www.boundtree.com Chicago,IL 60673-1235 Page 1 of 1 Account# '. 101076 TIN# 31-1739487 Ship To: SHIP001 CARMEL FIRE DEPT CARMEL FIRE DEPARTMENT 2 CIVIC SQ 2 CIVIC SQUARE CARMEL,IN 46032-7543 RECEIVING CARMEL,IN 46032-7543 Products listed on the invoice were shipped from the locations below: Purchase Order# Sales Drder#- Sales Person Ship Via Ship Date Payment Terms 07312018 100057921 T SPECTOR NO FRT 08/01/2018 NET 30 Item# Description - Ordered'. Shipped B/O Unit Price UOM Ext.Price +++++++++++++ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++ +++++++++++ ++++++++++ + +++++++++++ ++++++ +++ THE FOLLOWING ITEMS SHIPPED FROM: 12 1605 ZEAGER RD SUITE 101 ELIZABETHTOWN,PA 17022 BTM Distributor License No:48002301A 177268 SMART CAPNOLINE PLUS NON INTUBATED,ORAL 1 1 0 $969.00 BX $969.00 NASAL W/02 TUBING,ADULT/INTERMEDIATE 100EA/BX 2763-53050 Blood Glucose Test Strips,Assure Prism Multi 50/bx 10 10 0 $12.19 BX $121.90 64250 Curaplex Sharps Solo,Sharps container with one time 1 1 0 $37.68 CS $37.68 lockable seal,6.5 in 24ea/cs 533-MS-SPLINT Flex-All splint,orange,bendable foam and aluminum splint, 20 20 0 $5.74 EA $114.80 4 in.x 36 in.rolled Tracking Numbers: 782098489449 782098494584 Note:•Indicates taxable item Merchandise 1,243.38 Misc 0.00 Tax 0.00 Correspondence and inquiries Freight 0.00 can be sent to: 5000 Tuttle Crossing Blvd De11 posit'( 0.00 Dublin,OH 43016 Total 1,243.38