HomeMy WebLinkAbout330566 10/02/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352626
ONE CIVIC SQUARE BOUND TREE MEDICAL LLC CHECKAMOUNT: $********23.36*
CARMEL, INDIANA 46032 23537 NETWORK PLACE CHECK NUMBER: 330566
CHICAGO IL 60673-1235 CHECK DATE: 10/02/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 82985500 23.36 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00352626 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BOUND TREE MEDICAL LLC IN SUM OF$ 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
$23.36
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
82985500 42-390.11 $23.36 1 hereby certify that the attached invoice(s),or 9/24/18 82985500 Misc.Supplies $23.36
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, September 27,2018
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
Bound Tree Invoice
Invoice 82985500
PHONE:(800)533-0523 BOUND TREE MEDICAL,LLC Date - 9/19/2018
23537 Network Place
www.boundtree.com Chicago,IL 60673-1235 Page 1 of 1
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
09172018 100161277 T SPECTOR NO FRT 09/18/2018 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
020010 BITE STICK PLASTIC SINGLES 10EA/BG 10BG/CS 1 1 0 $7.00 BG $7.00
61435 Curaplex Magill Intubating Forceps,Adult 2 2 0 $4.09 PR $8.16
61436 Curaplex Magill Intubating Forceps,Child,8 in 2 2 0 $4.09 PR $8.18
Tracking Numbers:
461915806191
Note:`Indicates taxable item
Merchandise 23.36
Misc 0.00
Tax 0.00
Correspondence and inquiries Freight. 0.00
can be sent to:
5000 Tuttle Crossing Blvd Deposit o.00
Total
Dublin,OH 43016 23.36