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Home My WebLink About330624 10/02/18 r°�"C,Mb �! CITY OF CARMEL, INDIANA VENDOR: 242000 ONE CIVIC SQUARE PHYSIO CONTROL CORP CHECK AMOUNT: $*****2,217.20* %�.oN�ate; CARMEL, INDIANA 46032 CHICAGO ILLE606935 CENTER DRIVE CHECK CHECK DATE: : 330624 10/02/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 118072390 1,697.00 SPECIAL DEPT SUPPLIES 102 4239011 118073048 520.20 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 242000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PHYSIO CONTROL CORP IN SUM OF$ CITY OF CARMEL 12100 COLLECTIONS CENTER DRIVE An invoice or bill to be properly itemized mustshow:kind ofservice,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 $2,217.20 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 118072390 42-390.11 $1,697.00 1 hereby certify that the attached invoice(s),or 9/25/18 118072390 Supplies $1,697.00 1120 102 1120 102 118073048 42-390.11 $520.20 bill(s)is(are)true and correct and that the 9/27/18 118073048 Supplies $520.20 1120 1 1 102 1 materials or services itemized thereon for 1120 1 102 which charge is made were ordered and received except Thursday, September 27,2018 p4mDr -'ZS- , 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 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Product Billing Page: 1 INVOICE Mal:::payxfen{s v#a.15Ma�I:i :::I3is;::address::onlyll ... X700 Cfllleetl©ns Center Dave 118073048' Physio-Control, Inc. .::.::::.::.:> :::. . • ...:::;:Chita a <1-;::6fl69;3.;:.:.:.;:.;:...;:. >[ 9 ::::: ::.:::.::::.:::::::::::.:::::::: 1 Willows R E ::.:.;:.;:.>:.;;;>::.;:.;:.;:.>:.;:.::.;.:.;:.:;.;::.;:.;;:.. 1181 o s oad N Please>refer:erre::fnvice:>Aiureiier:4iti::: Efclele::: ;:1 09/20/18 Post Office'Box 97006 �!.;;;;;:;;:::,;;;;:;;;:,,;:::,;;.:, ``>E:> :`i:i2:E::''2.........?:; IF Redmond,WA 98073-9706 USA I'QI Iz��quFrlest�sII tb)f Telephone:425-867-4000 Fax:425-881-2405 F.E.I.N.91-0697691 BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201 CARMEL FD CARMEL FD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46632 CARMEL, IN 46032 UNITED STATES UNITED STATES -------------------------------------------------------------------------------------------------------------- - Please return top poeiion with payment. -- - - —" - -- - DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE m: Pi(h$2sE%a: 'r:f±SC1i611':6#:5:::•`":: 09/20/18IQ00142239 CPGG07 EALL71 lleel 003120155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD SH00407511 53916473-00 Net 30 Days it [11 `: ti7`1ti C7zilffiFEEEEi7 �##1i?Ff?sE >E> ?EE E? ` ;: >':E t2T f'e313"E'' IVE># # E$lP EEEEE£! 1?;t13` 'E3A1E[<F> fEE '<? >`•E 4 f`: #l`FE •.' 7`# .. .. r ;2 11111 000022: CABTrE, 6fiFIRE 4 EAT:.:. 4. 0 1153 00> I 520 20 (PRECORDIAL-AHA, 12 LEAD Discounts 22 .95- iECG, 3RD ED L/C: I�0818 4 I ( Contact: ANDREW YOUNG Phone: 317-1797-1412 Sub Total 520 .20 EM IRDER -: SAL S REP STEPHANIE WIRKNER ::Ub e Number 00142239. I I i JOHNATHAN ALVERSON 520.20 Site: ' 20 * * * O R I G I N A L V/SA' ACCEPTED NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. Product Billing Page: 1 — > -f INVOICE _ _ T I — — . eso rs`o ' >..... ... e� ©n .DRV > > 11807239 0 ls Physio-Control, Inc. i Y ': Coca a>II ':6fJP9 >< <<»> > > »>> > > >:» 11811 Willows Road NE .9..:: : ::: :.::::::::, i >Fl a`se:refer`nc.6:In* Post .;::; .:;:>: .....>:::: 09/18/18 a.:..::.....:...:e:... ..:.:..ac�:N..milera� ��.::>r�ece >. Post Office Box 97006 !.::„::,::,,:::: R W 7 - a X--,--- Redmond, A 980 3 9706 USA Fa �uFnes Cs toll see 1 S© Qv2f SQ T Telephone:425-867-4000 —_v.-. .. ,.. u. Fax:425-881-2405 F.E.I.N.91-0697691 BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201 CARMEL FD CARMEL FD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 UNITED STATES UNITED STATES -------------------------------------------------------------------------------------------------------------- Please return top portion with payment. SALES SERVICE REPRESENTATIVE DATE SHIPPED PURCHASE ORDER NUMBER a '' 1FaGly$1: s3?ff'":QC®BBT ::?''•:':: SALES/SERVICE 09/18/18 Q00142239 CPGG07 EALL71 lleel 003120155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD P00421636 53916473-00 Net 30 Days :zzE:Ef3 i YQ#13> 11# '#211A >i ?f':iTEtAEE fEPfEE>:'• >>E>Efl7TRt<>#r?E11 . !•<C7.#xNO* ��1tE::>::::»�::>::%::::>EE:'>::::>::>::>::>:ISr.Fiat?'F1.tQ�lt:::>::::»::::>::::>::>::>:::<:::»>::>::>::>::>::>::s::::>::>...... .. _ .;1 111.11 0`:.:00020.: 'CBL;: 4WTRE LIMB LEAD-8-FT 5 EA' S' Q 384 00 AHA, 12 LEAD. ECG 3RD ED Discount 57 . 60-I L/C: 10718 5 Contact: ANDREW YOUNG : 7 i Phone: 317-11797-1412 Sub Totalj 1632 . 00 »'< j Freight and Handling 65 . 00 EM LARDER SALES. REP ::STEPHANIE: WIRKNER QuoeN_ume: 00342239. # i i i JOHNATHAN ALVERSON 1697. 00 Site: 20 * * * O R I G I N A L .., ACCEPTED NOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.