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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