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Home My WebLink About328526 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