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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