HomeMy WebLinkAbout329281 08/27/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 357526
ONE CIVIC SQUARE HENRY SCHEIN INC CHECKAMOUNT: $*******458.13*
CARMEL, INDIANA 46032 DEPT CH 10241 CHECK NUMBER: 329281
PALATINE IL 60055-0241 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 56264126 458.13 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 357526
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
,
HENRY SCHEIN INC IN SUM OF$ CITY OF CARMEL
DEPT CH 10241 An invoice or bill to be property 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
$458.13
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
56264126 42-390.11 $458.13 1 hereby certify that the attached invoice(s),or 8/20/18 56264126 $458.13
1120 102 1120 102
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,August 20,2018
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
...ORDER "ORDER.DATE DUErDATE
66784716 08/13/18 09/12/18
D&B#:01-243-0880
WHSE DEA# RHO162494 Fed ID:11-3136595
Ilk�$ �.. : ..
This order has been processed by our MIDWEST M.C.
5315 WES 74TH 33TREET
INDIANAPOLIS,IN 46268
---------- --------------------------------- ------ ----- ------------- -------
---------- --------------------------------- ------ ----- ------------- -------
1 499-3940 EA SPUR RESUSC W/MASK RESV ADULT 12 12 C 10.11 121.32 1
ASE GOOD I EM, MAY BE SHIPPED SEPARATELY.
2 499-6737 EA NON-REBREATHER MASK ADULT 50 50 C 0.72 36.00 2
ASE GOOD I EM, MAY BE SHIPPED SEPARATELY.
3 338-6201 36/BX BANDAGE SELF ADHRNT LF NS 21IX5YD 1 1 32.77 32.77 3
4 499-9268 20/BX LNCS PDTX SENSOR (PEDI) 1 1 268.04 268.04 3
LEASE REFEZ TO. BACK OF PAPERWORK FOR DISCLOSURES/TEZMS OF SALE
---------- --------------------------------- ------ ----- ------------- -------
MERCHANDI E TOTAL 458.13
Invoice Date + 30 days 458.13
lease remi payments only to the following a dress:
Henry Schei , Inc.
Dept CH 10211
Palatine, I 60055-0241
BTTL TO SH12TO INVOICEINVOICE# INVOICE AMMKIT ITEM STATUS KEY REM KEY
B-Backordered;Item will follow SK-School Kit
1308571 1308572 56264126 458 .13 D-Discontinued;Item no longer available NC-No Charge
F-Special offer
RDE ORDER DAT INVOICE D O OX M-Manufacturer will ship Item directly to you
13 18 8/13/18 P-Prescription Drug;Return Authorization Required
66784716 0 8
/ / 3 R-Refrigerated Item;May be shipped separately
CUSTOMER P PAGE $ -Special Schein Pricing
T-Taxable Item
08132018 l O F l U-Temporarily unavailable:please reorder
*-Item has SDS