HomeMy WebLinkAbout328766 08/14/18 CITY OF CARMEL, INDIANA VENDOR: 357526
ONE CIVIC SQUARE HENRY SCHEIN INC CHECK AMOUNT: $*******461.12*
s,
CARMEL, INDIANA 46032 DEPT CH 10241 CHECK NUMBER: 328766
PALATINE IL 60055-0241 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 55849862 461.12 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 357526
HENRY SCHEIN INC IN SUM OF$ 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
$461.12
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
55849862 42-390.11 $461.12 1 hereby certify that the attached invoice(s),or 8/13/18 55849862 $461.12
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 13, 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
HENRYSCHEINO
SHIP TO/SOLD TO:
EMS. Carmel Fire Dept Head Quarters MI
Sq
N V O I C E Carmel,IN46032-2584
010000130857155849862110000000000461120801183 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 461.12
INVOICE# INVOICE�DATE
55849862 8/01/18
CUSTOMER PO -
07312018
-------
ORDER11 ER DATE DUE DATE
66354728 07/31/18 1 08/31/18
D&B#:01-243-0880
WHSE DEA# RHO162494 Fed ID:11-3136595
his order has been processed by our MIDWEST D.C.
5315 WES 74TH 3TREET
INDIANAP LIS,IN 46268
1 910-9375 24/CA INSTANT WARM PACK 6X9 2 2 *C 10.64 21.28 2
.GO TO YOUR ONLINE ACCOUNT TO RETRIEVE THIS M DS/SDS 105F 59 - IF YOU CAN'T
CCESS ONLINE OPTIONS, CALL 1-800-472-4346.
SE GOOD I EM, MAY BE SHIPPED SEPARATELY.
2 986-6186 50/BX INTROCAN SAFETY CATH STRA 4 4 C 66.25 345.00 3
ASE GOOD I EM, MAY BE SHIPPED SEPARATELY.
3 900-4970 6/BG PENLIGHT DISPSBLE W/PUPIL GA WHTE 1 1 3.80 3.80 5
4 499-5727 EA EMS SHEARS GREEN 10 10 0.94 9.40 5
5 116-1786 144/CA BAG EMESIS SICKNESS CLEAN SACK 1 1 C 81.64 81.64 4
SE GOOD ITEM, MAY BE SHIPPED SEPARATELY.
LEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOSIJRES/TEZMS OF SALE
MERCHANDI E TOTAL 461.12
Invoice Date + 30 days 461.12
BILL:TO SHIP TO INVOICE# ITEM STATUS KEY REM KEY
B-Backordered;Item will follow SK-School Kit
1308571 1308572 55849862 461.12 D-Discontinued;Item no longer available NC-No Charge
. __... .. F-Special offer
ORDER -" ORDERS DA E INVOICE DATE -'# OF BOXES M-Manufacturer will ship Item directly to you
66354728 0 7/31/18 8/01/18 P Prescription Drug;Ream shipped
separately a Required
5 R-Refrigerated Item;May be shi ed se aratel
_... $ -Special Schein Pricing
CUSTOMER,PO4 A E -- T-Taxable Item
• -Item SDS unavailable;please reorder Continued on Next Page........
07312018 1 OF 2 g