HomeMy WebLinkAbout328644 08/09/18 ./ \• CITY OF CARMEL, INDIANA VENDOR: 00352626
{; ) ONE CIVIC SQUARE BOUND TREE MEDICAL LLC CHECK AMOUNT: $*******229.25*
CARMEL, INDIANA 46032 23537 NETWORK PLACE CHECK NUMBER: 328644
vM[TON. ` CHICAGO IL 60673-1235 CHECK DATE: 08/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 82928121 229.25 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352626 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BOUND TREE MEDICAL LLC IN SUM OF$ 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
$229.25
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
82928121 42-390.12 $229.25 1 hereby certify that the attached invoice(s),or 7/19/18 82928121 Narcam atomizer $229.25
1110 101 1110 101
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
Thursday,August 2,2018
&'.. e't-�
Jim Barlow
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
Bound Tree
nvoice
82928121
BOUND TREE MEDICAL LLC
PHONE:(800)533-0523 twork Date 7/19/2018
23537 NePlace
www.boundtree.com Chicago IL 606731235 i " Page 1 of 1
101078
TI N# 31-1739487
v
**************+AUTO*+MIXED AADC 430 658 1 MB 0.424 Ship To: SHIP001
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CITY OF CARMEL POLICE DEPT
City of Carmel Police Dept 3 CIVIC SQ
3 Civic Sq RECEIVING
Carmel IN 46032-2584 CARMEL, IN 46032-2584
rroaucts Ilstea on the Invoice were shipped from the locations below:
Purchase Order# Sales Qrder# Sales Person s Ship Ua rShip Date Payment Terms ;
NARCAN-- -100028863 T BORGHESE - BEST WAY 07/19/2018 - - -NET 30--- - —-
item# Description Ordered Shipped t3/Q Unit Price UOM ` Ext Fr , ;
.;� 3
THE FOLLOWING ITEMS SHIPPED FROM: 12
1605 ZEAGER RD
SUITE 101
ELIZABErHTOWN, PA 17022
BTM Distributor License No: 48002301A
400125 Mucosal Atomization Device,MAD Intranasal, No Syringe, 1 1 0 $217.25 BX $217.2
Latex Free 25ea/bx
Tracking Numbers:
781925604390
Note:`Indicates taxable item
-
Merchandise ;, 217.25
Msc 0.00
Tax- 0.00
Correspondence and inquiries Freight-w 12.00
can be sent to:
5000 Tuttle Crossing BlvdO$1t .': 0.00
Dublin,OH 43016 Totat 229.25
Bound Tree Packing slip
VInvoice
000288637/19/2018,oOrder# 62641457 Shipped From:12 BOUND TREE MEDICAL,LLC-PA 101078-SHIP001
Bill to Address: 1605 ZEAGER RD Ship to Address:
CITY OF CARMEL POLICE DEPT SUITE 101 CITY OF CARMEL POLICE DEPT
3 CIVIC SQ ELIZABETHTOWN,PA 17022 CITY OF CARMEL POLICE DEPT
CARMEL,IN 46032-2584 BTM Distributor License:48002301A 3 CIVIC SQ
BTM Controlled Substance License No:NULL RECEIVING
CARMEL,IN 46032-2584
PO Number. Terms ",Sales Person . " Ordered ;LICENSE# DEA# Fre!glit Terms
NARCAN NET 30 . T BORGHESE 7/18/2018 BEST WAY
-----------SPECIAL COMMENTS AND SHIPPING INSTRUCTIONS------------
Cust.Part# Item# Description Ordered Ship B/O UOM WT
400125 Mucosal Atomization Device,MAD Intranasal,No Syringe, 1 1 0 BX 0.45
Latex Free 25ea/bx
Total WT: 0.45
Items ordered but not appearing on'this packing slip may be shipped from another warehouse.
BTM.COM Placed by Entered by III�IIII IIIIII�I�IIII�IIIIII�I IIIIII
7/19/2018 8:12:11 AM TI LANK YOU FOR YOUR ORDER! 6 2 6 a 1 4 5 7 rt
Report claims for damage or shortage to Bound Tree Medical within 7 days. All returns must be authorized by Customer Service.
To obtain a Return Authorization Number(RMA#),please call 1-800-533-0523.
