HomeMy WebLinkAbout329675 09/05/18 CITY OF CARMEL, INDIANA VENDOR: 357526
® ONE CIVIC SQUARE HENRY SCHEIN INC CHECK AMOUNT: $*******1 12.90*
CARMEL, INDIANA 46032 DEPT CH 10241 CHECK NUMBER: 329675
PALATINE IL 60055-0241 CHECK DATE: 09/05/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 56746890 112.90 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 357526 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HENRY SCHEIN INC IN SUM OF$ CITY OF CARMEL
DEPT CH 10241 An invoice or bill to be 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, I L 60055-0241
Payee
$112.90
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
56746890 42-390.11 $112.90 1 hereby certify that the attached invoice(s),or 9/4/18 56746890 Misc.Supplies $112.90
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
Tuesday, September 04,2018
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# I ORDER DATE.'. DUE.DATE
67287431 08/28/18 09/27/18
D&B#:01-243-0880
WHSE DEA# RH0162494 Fed ID:I1-3136595
his order has been processed by our MIDWEST C.
5315 WES 74TH TREET
INDIANAP LIS,IN 46268
1 499-7780 EA TOURNIQUET COMBAT APP. ORANGE 5 5 22.58 112.90 1
PRODUCT IS 3EING SHIPPED TO YOU DIRECTLY FROM THE MATUFACTERER.
LEASE REFEZ TO BACK OF PAPERWORK FOR DISCLOSURES/TEZMS OF SALE
MERCHANDI E TOTAL 112.90
Invoice Date + 30 days 112.90
Please remi payments only to the following a dress:
Henry Schei , Inc.
Dept CH 10211,
Palatine, I 60055-0241
ze TO INVOICE# i ITEM STATUS KEY REM KEY
B-Backordered;Item will follow SK-School Kit
1308571 13 0 8 5 7 2 5 6 7 4 6 8 9 0 112 .9 0 D-Discontinued;Item no longer available NC-No Charge
_.... _ __. _ F-Special offer
`ORDER ORDER`DATE INVOICE DATE -- F BOXE M-Manufacturer will ship Item directly to you
67287431 0 8/2 8/18 $/2$/18 P-Refrigerated
Drug;MaRety b shipped
separately
Required
1 R-Refri erated Item;May be shi ed se aratel
:.. ._. _ $ -Special Schein Pricing
..' _ S _MER-.PO _ _ -P_ T-Taxable Item
U-Temporarily unavailable;Please reorder
08282018 1 OF 1 * -Item has SDS