HomeMy WebLinkAbout328578 08/09/18 J® CITY OF CARMEL, INDIANA VENDOR: 242000
ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECK AMOUNT: $****25,587.00*
CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 328578
CHICAGO IL 60693 CHECK DATE: 08/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _
1120 4351501 101570 418161820 23,523.00 DEFIBRILATOR MAINTENC
1120 4351501 101850 418161820 2,064.00 DEFIBRILLATOR MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 242000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PHYSIO CONTROL CORP IN SUM OF$ CITY OF CARMEL
12100 COLLECTIONS CENTER DRIVE 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 60693
Payee
$23,523.00
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
101570 418161820 43-515.01 $23,523.00 1 hereby certify that the attached invoice(s),or 8/7/18 418161820 $23,523.00
1120 101 1120 •101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday,August 07,2018
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 242000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PHYSIO CONTROL CORP IN SUM OF$ CITY OF CARMEL
12100 COLLECTIONS CENTER DRIVE An invoice orbill to be properly itemized mustshow:kind ofservice,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 60693
Payee
$2,064.00
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
101850 418161820 43-515.01 $2,064.00 1 hereby certify that the attached invoice(s),or 8M18 418161820 $2,064.00
1120 101 1120 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
Tuesday,August 07,2018
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
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06/12/18 ,101570 CPG 07 EALL71 daemon 0.03120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
-GRD 00249608-00 Net 30 Days
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ANNUAL 25587. 00
FOR MAINTENANCE
AGREEMENT: DS 0 2 3 8 9 9 ! „<
PERIOD: 05/01/18
04/30/19
Sub Total 25587. 00 ,
Contact Tom Small
Phone 317 571 2:663
Faxl
EmaismallCca el. in.gov
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Ter s
15o�DISCOUNT ON AiCCESSORIES
150
DLSCOJIvT ON ALS-EL�CTFcODES.
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SER�IGiE PLAN. i
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25587. 00
Site: 20
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ACCEPTED
NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.