HomeMy WebLinkAbout328526 08/09/18 CITY OF CARMEL, INDIANA VENDOR: 357526
j ® ONE CIVIC SQUARE HENRY SCHEIN INC CHECK AMOUNT: $*****1,561.1 1*
CARMEL, INDIANA 46032 DEPT CH 10241 CHECK NUMBER: 328526
PALATINE IL 60055-0241 CHECK DATE: 08/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 55568715 1,561.11 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 357526 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HENRY SCHEIN INC IN SUM OF$ 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
$1,561.11
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
55568715 42-390.11 $1,561.11 1 hereby certify that the attached invoice(s),or 8/3/18 55568715 $1,561.11
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
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
NIHEN .. Y SCHEIV
EMS�� SHIP TO/SOLD TO:
Carmel Fire Dept Head Quarters MI
Sq
N V O I C E Carmel,IN46032-2584
010000130857155568715110000000001561110723182 BILL TO:
Carmel Fire Dept MI
2 Civic Sq
Carmel, IN 46032-7543
Carmel Fire Dept BILL To SHIP To` INVOICE.AMOUNT
2 Civic Sq
Carmel, IN 46032-7543 1308571 1308572 1561.11
INVOICE - INVOICE DATE
55568715 7/23/18
CUSTOMER PO
-
07232018
ORDER ORDER DATE DUE DATE
66056667 07/23/18 08/22/18
D&B#:01-243-0880
WHSE DEA# RHO162494 Fed ID:11-3136595
M. M 1011
his order: as been processed by our MIDWEST D.C.
5315 WES 74TH 3TREET
INDIANAP LI ,IN 46268
------------
1 700-1184 EA ADVANCED PATIENT MOVER 20 20 C 16.27 325.40 2
ASE GOOD IMM, MAY BE SHIPPED SEPARATELY.
2 890:-0682 200/BX WEBCOL ALCOHOL. PREPS 2PLY LARGE 5 5 * 3.03 15.15 7
-
GO _TO YOUR ONLINE ACCOUNT TO RETRIEVE THIS M DS/SDS 105201 - IF YOU. C 'T
P.CCESS ONLI E OPTIONS, CALL 1-800-472-4346.
3 507-5531 PU EA INTROCAN SAFETY CATHETER 22GX1" 200 200 C 1.72 344.00 3
SE GOOD =M, MAY BE SHIPPED SEPARATELY.
4 507-0313 PU EA INTROCAN SAFETY CATHETER 20X1.25 40.0 400 C 1.72 688.00 5
SE GOOD I EM, MAY BE SHIPPED SEPARATELY.
5 933-2998 25X2/BX GAUZE SPONGE 4X4 12PLY STERIL 24 24 1.94 46.56 7
6 890-4524 EA KERLIX GAUZE RL STER 6PLY 4.5X4.1 100 100 C 1.42 142.00 6
SE GOOD I EM, MAY BE SHIPPED:SEPARATELY. ".
ELCOME TO -SDS. BEGINNING TODAY, PAPER MSDS SDS WILL NO IONGER BE INCL ED
ITH YOUR OZDER. GO TO .YOUR ONLINE ACCOUNT AND CLICK ON MS S/SDS LOOK-UP ON THE
E
ATION ANE. IF YOU DON'T HAVE AN ONLINE CCOUNT GO T WWW.HENRYSCH IN.COMLICK O CREATE AN ONLINE ACCOUNT.
E REFE TO BACK OF PAPERWORK FOR DISCLOS ES/TE S OF SALE
BILL T xi s ITEM STATUS KEY M Y
B-Backordered;Item will follow FIK7%col.o2lit1308571 1308572 55568715 1561.11 D-Discontinued;Item no longer available -xcharge
..:...- .. - F-Special offer
ORDERV ORDER DATE INVOICE DAT OF BOXES - M-Manufacturer will ship Item directly to you
66056667 0 7/2 3/18 7/23/18 P-PrescriptRefrigerated
Drug;Rehm shipped
seen a Required
7 R-Refri erased Item;May be shi ed separately
$ -Special Schein Pricing
CUSTOMER PO4 PAGE - - T-Taxable Item
U-Temporarily unavailable;please reorder -
07232018 1 OF 2 •-Item has SDS Continued on Next Page........
RHINI&SCHEIN7
arcS SHIP TO/SOLD TO:
EMCarmel Fire Dept Head Quarters MI
Sq
N V O I C E Carmel,IN46032-2584
010000130857155568715110000000001561110723182 BILL TO:
Carmel Fire Dept MI
2 Civic Sq
Carmel, IN 46032-7543
Carmel Fire Dept BILL TO I SHIP TO INVOICE AMOUNT
2 Civic Sq
Carmel, IN 46032-7543 1308571 1308572 1561.11
INVOICE INVOICE DATE
55568715 7/23/18
CUSTOMER-PO `
07211 32018
Please detach here_and mail the above with your payment
ORDER ORDER DATE DUE DATE
66056667 07/23/18 08/22/18
D&B#:01-243-0880
WHSE DEA# RHO162494 Fed ID:11-3136595
--------------------------------------
MERCHANDI E TOTAL. 1561.11
invoice Date + 30 days 1561.11
Please remi payments only to the following a dress:
enry Scheii, Inc.
Dept CH 10211
Palatine, 1, 60055-0245 -
BILL T INVOICE AMOUNT ITEM STATUS KEY REM KEY
B-Backordered;Item will follow SK-School Kit
1308571 1308572 55568715 15 61.11 D-Discontinued;Item no longer available NC-No Charge
.. .... - _ ...
-
INVOICE F-Special offer
E ORDER DATE OF BOXES
M-Manufacturer will ship Item directly to you
2 3 18 7/23/18 P-Prescription Drug;Return Authorization Required
66056667 0 7
/ / 7 R-Refrigerated Item;May be shipped separately
-_._- - $ -Special Schein Pricing
---- __ TO PO AE- T-Taxable Item
07232018 2 0 F 2 U-Temporarily unavailable;please reorder
•-Item has SDS