HomeMy WebLinkAbout329691 09/05/18 �_,q,,�• CITY OF CARMEL, INDIANA VENDOR: 242000
® ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECK AMOUNT: $*****2,173.80*
s� �a CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 329691
9+iiTON/r. CHICAGO IL 60693 CHECK DATE: 09/05/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 1180641013 2,173.80 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 242000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PHYSIO CONTROL CORP IN SUM OF$ CITY OF CARMEL
12100 COLLECTIONS CENTER DRIVE 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 60693
Payee
$2,173.80
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
1180641013 42-390.11 $2,173.80 1 hereby certify that the attached invoice(s),or 8/30/18 1180641013 $2,173.80
1120 102 1120 102
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday,August 30,2018
Va',ar '_-Z�- _:zk�"4'A
David Haboush
Fire Chief
hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE
08/16/18 Q00137200 TGG07 EALL71 DOUMBGl• 00312015,5002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
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1 a 11:996 0;00342 RAINBOW R20 h,PEDDISP ' 1 PK 1 0 4 740 00- 629:00
..
SNSRS, 10/BOX,REF 2220,ROHS Discount 111.00
L/C: �18CGP Expires: 03/01/21 1 ?'
� � 3
2 ; 11:171=000037 R ;4, PATIENT CABTE, 4FT, 2 EA 2; 0 254 Q-0 431:180
REF 2406,ROHS Discountl 38 .10-�
L/C: 18FKN 2
i
3 11171 000049 INBOW pCI. ADT REUSA$LE 2 EA :; 2 0 :640 0'0 1088:00
_ ...
_....
SENSOR, REF 2696,ROHS Discount 96. 00-
L/C: 18CYN 2
Contact: ANDREW YOUNG
Phone: <317-571-2600
_-- _ -- Sub Tot-;aJ. 2148 ._80
Freight and Handlin25 . 00
VOTE 00137200
O. SHI;PPING CHARG APPROVED BY. KATHI BRAUN
I
2173 .80
Site: 20
* * * O R I G I N A L
y— r.
ACCEPTED
NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.