HomeMy WebLinkAbout331199 10/17/18 +pr_C�q�
„/ CITY OF CARMEL, INDIANA VENDOR: 372494
ONE CIVIC SQUARE MEDLINE INDUSTRIES, INC CHECK AMOUNT: $*******402.00*
3 ® a CARMEL, INDIANA 46032 DEPT CH 14400 CHECK NUMBER: 331199
�°� >,r PALATINE IL 60055-4400
�it�oN-Eo• CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 1859989471 402.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 372494 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MEDLINE INDUSTRIES, INC IN SUM OF$ CITY OF CARMEL
DEPT CH 14400 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, IL 60055-4400
Payee
$402.00
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
1859989471 42-390.11 $402.00 1 hereby certify that the attached invoice(s),or 10/11/18 1859989471 Misc.EMS Supplies $402.00
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
Friday,October 12,2018
D44.4Dr -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
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
ORIGINAL
• www.medline.com •
CUSTOMER PO # INVOICE DATE INVOICE #
09282018 10/02/2018 1859989471
SOLD TO: SHIP TO: Page 1 of 1
CITY OF CARMEL
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SO 2 CIVIC SO
CARMEL, IN 46032-7543 CARMEL, IN 46032-7543
SALES REP# SALES ORDER 11CARRIER FREIGHT TERMS CUSTOMER# CURRENCY AMOUNT DUE
716 1707418707 FEDEX GROUND MEDLINE 1746403 USD $402.00
Line OrderInvoice Unit
No. Qt U/M Qty Item No / Description Code* Delivery # Price Amount
50 4.00 CS 4.00 VS311L TE 941089361 67.00 268.00
/GLOVE,EXAM,NITR I LE,TXT,PF,LF,L
60 2.00 CS 2.00 VS311M TE 941089361 67.00 134.00—
/GLOVE,EXAM,NITRILE,TXT,PF,LF,M C
C
GROSS TAX AMOUNT FREIGHT TOTAL
402.00 0.00 0.00 402.00
Code
TE Tax Exempt
C Customer Freight
CUSTOMER SHALL PAY THE FREIGHT CHARGES INDICATED ON THIS INVOICE. ALL CLAIMS OF SHORT SHIPMENTS,MIS-SHIPMENTS AND OTHER ERRORS IN DELIVERY SHALL BE