HomeMy WebLinkAbout331134 10/17/18 CITY OF CARMEL, INDIANA VENDOR: 00352626
Oil ONE CIVIC SQUARE BOUND TREE MEDICAL LLC CHECK AMOUNT: $*******987.50*
CARMEL, INDIANA 46032 23537 NETWORK PLACE CHECK NUMBER: 331134
yTON�, CHICAGO IL 60673-1235 CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 82999800 987.50 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00352626 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BOUND TREE MEDICAL LLC IN SUM OF$ 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
$987.50
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
82999800 42-390.11 $987.50 1 hereby certify that the attached invoice(s),or 10/10/18 82999800 Misc.EMS Supplies $987.50
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
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Bound Tree Invoice
F Please Remit to: Invoice 82999800
BOUND TREE MEDICAL,LLC Date 10/4/2018
PHONE: 533-0523 23537 Network Place
www.bounfitndtree.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
10022018 100193488 T SPECTOR NO FRT 10/03/2018 NET 30
Item# Description Ordered Shipped BIO Unit Price UOM Ext Price
THE FOLLOWING ITEMS SHIPPED FROM: 12
1605 ZEAGER RD
SUITE 101
ELIZABETHTOWN,PA 17022
BTM Distributor License No:48002301A
177268 SMART CAPNOLINE PLUS NON INTUBATED,ORAL 1 1 0 $969.00 BX $969.00
NASAL W/02 TUBING,ADULT/INTERMEDIATE 100EA/BX
515527 NIC THE ASTHMATIC DRAGON 50EA/CS 10 10 0 $1.85 FA $18.50
Tracking Numbers:
461915820769
Note:'Indicates taxable item
Merchandise 987.50
Mise 0.00
Tax 0.00
Correspondence and inquiries Freight 0.00
can be sent to:
5000 Tuttle Crossing Blvd Deposit 0.00
Total
Dublin,OH 43016 987.50