HomeMy WebLinkAbout331544 10/25/18 y *A+, CITY OF CARMEL, INDIANA VENDOR: 372494
�, ONE CIVIC SQUARE MEDLINE INDUSTRIES, INC CHECK AMOUNT: $*******913.00*
��� ?a CARMEL, INDIANA 46032 DEPT CH 14400 CHECK NUMBER: 331544
MdroN_�. PALATINE IL 60055-4400 CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 1860913313 913.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372494 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MEDLINE INDUSTRIES, INC IN SUM OF$ 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
$913.00
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
1860913313 42-390.11 $913.00 1 hereby certify that the attached invoice(s),or 10/22/18 1860913313 EMS Supplies $913.00
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
Monday, October 22,2018
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
ORIGINAL
• www.medline.comINVOICE
CUSTOMER PO # INVOICE DATE I INVOICE #
10122018 10/13/2018 1860913313
SOLD TO: SHIP TO: Page 1 of 1
CITY OF CARMEL
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQ 2 CIVIC SQ
CARMEL, IN 46032-7543 CARMEL, IN 46032-7543
SALES REP# SALES ORDER# CARRIER FREIGHT TERMS CUSTOMER# CURRENCY AMOUNT DUE
716 707701547 FEDEX GROUND MEDLINE 1746403 USD $913.00
Line Order Invoice Unit
No. Qt U/M Qty Item No / Description Code* Delivery # Price Amount
10 6.00 CS 6.00 IVSSTKI TE 942167315 107.50 6.45.00
/IV SECUREMENT KIT W/SORBAVIEW SHIELD
20 4.00 CS 4.00 VS311L TE 942167315 67.00 268.00
/GLOVE,EXAM,NITRILE,TXT,PF,LF,L
IC
GROSS TAX AMOUNT FREIGHT TOTAL
913.00 0.00 0.00 913.00
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��
C0MMUNICATEI)T9�DLINE-IN_WRILNG:WITHIN-TWO-BUSINESS-DAYS-OF-THE INVOICE DATE;-OR-THEY-ARE-DEEMED WAIVED. ALL CLAIMS-FOR-PRICING-A BTLCING ERRORS
SHALL BE COMMUNICATED TO MEDLINE IN WRITING WITHIN 180 DAYS OF INVOICE DATE,OR THEY ARE DEEMED WAIVED.
EXPORT PROHIBITED CONTRARY TO U.S.FEDERAL LAWS.NO RETURNS WILL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION.(PH:800-307-8386)
INTEREST WILL BE CHARGED AT THE RATE OF 1.5%PER MONTH ON PAST DUE BALANCE.
MEDLINE INDUSTRIES,INC,INCLUDES MEDLINE INDUSTRIES,INC:AND/OR ITS WHOLLY OWNED CONSOLIDATED SUBSIDIARIES,MEDLINE INDUSTRIES HOLDINGS,LP,A DELAWARE,
PARTNERSHIP,AND MEDCAL SALES,LLC,AN ILLINOIS LIMITED LIABILITY COMPANY,AS APPLICABLE. 00217RP