HomeMy WebLinkAbout329659 09/05/18 `% ��p''� CITY OF CARMEL, INDIANA VENDOR: 00352626
ONE CIVIC SQUARE BOUND TREE MEDICAL LLC CHECK AMOUNT: $********26.00*
s. o CARMEL, INDIANA 46032 23537 NETWORK PLACE CHECK NUMBER: 329659
9M��eN�o`` CHICAGO IL 60673-1235 CHECK DATE: 09/05/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 82961167 26.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352626 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BOUND TREE MEDICAL LLC IN SUM OF$ CITY OF CARMEL
23537 NETWORK PLACE 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 60673-1235
Payee
$26.00
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
82961167 42-390.11 $26.00 I hereby certify that the attached invoice(s),or 8/29/18 82961167 Misc.EMS Supplies $26.00
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
Thursday,August 30,2018
,04 _
David Haboush
Fire Chief
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Bound Tree Invoice
Please Rer Invoice 82961167
PHONE:(800)533-0523 BOUND TREE MEDICAL,LLC Date 8/23/2018
23537 Network Place
www.boundtree.com Page 1 of 1
Chicago,IL 60673-1235
Account# 101076
TIN# 31-1739487
Ship To: SHIP001
CARMEL FIRE DEPT CARMEL FIRE DEPARTMENT
2 CIVIC SQ 2 CIVIC SQUARE
CARMEL,IN 46032-7543 RECEIVING
CARMEL,IN 46032-7543
Products listed on the invoice were shipped from the locations below:
Purchase Order# Sales Order# Sales Person Ship Via Ship Date Payment Terms
08212018 100105626 T SPECTOR NO FRT 08/22/2018 NET 30
Item# Description Ordered Shipped B/O Unit Price UOM Ext Price
THE FOLLOWING ITEMS SHIPPED FROM: 12
1605 ZEAGER RD
SUITE 101
ELIZABETHTOWN,PA 17022
BTM Distributor License No:48002301A
533-MS-YK20EA Curaplex Yankauer Suction Kit,Bulb Tip and Tubing 20 20 0 $1.30 EA. $26.00
w/Control Vent,1/4 in ID x 6 ft Tubing 20ea/cs
Tracking Numbers:
782428873206
Note:'Indicates taxable item
Merchandise 26.00
Misc 0.00
Tax 0.00
Correspondence and inquiries Freight 0.00
can be sent to:
Deposit 0.00
5000 Tuttle Crossing Blvd
Dublin,OH 43016 Total 26.00