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Home My WebLink About332496 11/21/18 CITY OF CARMEL, INDIANA VENDOR: 00352626 ® ONE CIVIC SQUARE BOUND TREE MEDICAL LLC CHECK AMOUNT: $*****1,360.68* CARMEL, INDIANA 46032 23537 NETWORK PLACE CHECK NUMBER: 332496 CHICAGO IL 60673-1235 CHECK DATE: 11/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 83032078 1,308.68 SPECIAL DEPT SUPPLIES 102 4239011 83038013 52.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) vendor# 00352626 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BOUND TREE MEDICAL LLC CITY OF CARMEL IN SUM OF'$ 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 $1,360.68 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 83038013 42-390.11 $52.00 1 hereby certify that the attached invoice(s),or 11/18/18 83038013 EMS Supplies $52.00 1120 102 1120 102 83032078 42-390.11 $1,308.68 bill(s)is(are)true and correct and that the 11/18/18 83032078 EMS Supplies $1,308.68 1120 1 1 102 1 materials or services itemized thereon for 1120 102 which charge is made were ordered and received except Sunday, November 18,2018 V4,-�Dr "s_ �- 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 I nvo ice Bound Tree ,nvo,ce— 83038013 .'BOUND TREE MEDICAL,LLC. Date } 11/16/2018 Correspondence Address: 1 of 1 23.637 Network Place " Page 5000 Tuttle Crossing Blvd Chicago,IL 60673-1235 Dublin,OH 43016 Account# ( 101076 PHONE:(800)533-0523 FAX:(800)257-5713 TIN# 31-1739487 Ship To: SHIP001 CARMEL FIRE DEPT CARMEL FIRE DEPT 2 CIVIC SQ 2 CIVIC SQUARE CARMEL,IN 46032-7543 RECEIVING CARMEL,IN 46032-7543 PO Number Sales Order Number Account Manager Shipping Method . Ship Date Payment Terms 11162018 100285934 T SPECTOR NO FRT 11/16/2018 NET 30 Item# Description; Ordered" Shipped B/O Unit`PriceUOM Ext Price" HE FOLLOWING ITEMS SHIPPED FROM: 12 1605 ZEAGER RD SUITE 101 ELIZABETHTOWN,PA 17022 BTM Distributor License No:48002301A 533-MS-YK20EA Curaplex Yankauer Suction Kit,Bulb Tip and Tubing 2 2 0 $26.00 CS $52.00 w/Control Vent, 1/4 in ID x 6 ft Tubing 20ea/cs Tracking Numbers: 783824756761 Note:'Indicates taxable item Merchandise,;. 52.00 Mise 0.00 Tax 0.00 Correspondence and inquiries can be sent to: 5000 Tuttle Crossing Blvd Freight 0.00 Dublin,OH 43016 Deposit,,°• 0.00 Total' 52.00 Invoice Bound-Tree Invoice; 83032078 BOUND TREE MEDICAL,LLC. Date 11/09/2018 Correspondence Address: 23537 Network Place-' 5000 Tuttle Crossing BlvdPage'• 1 of 1 Chicago,IL 60673-1235 Dublin,OH 43016 Account# 101076 PHONE:(800)533-0523 FAX:(800)257-5713 TIN# 31-1739487 Ship To: SHIP001 CARMEL FIRE DEPT CARMEL FIRE DEPT 2 CIVIC SQ 2 CIVIC SQUARE CARMEL,IN 46032-7543 RECEIVING CARMEL,IN 46032-7543 PO Number . Sales Order Number Account Manager Shipping Method Ship Date Payment Terms 11092018 100271504 T SPECTOR NO FRT 11/09/2018 NET 30 Item# Description . Ordered Shipped B/O . Unit Price UOM Ext`Price HE FOLLOWING ITEMS SHIPPED FROM: 12 1605 ZEAGER RD SUITE 101 ELIZABETHTOWN,PA 17022 BTM Distributor License No:48002301A 177268 SMART CAPNOLINE PLUS NON INTUBATED, 1 1 0 $969.00 BX $969.00 ORAL NASAL W/02 TUBING, ADULT/INTERMEDIATE 100EA/BX 236086 DEFIB/PACING/ECG PADS ADULT 1 1 0 $226.00 BX $226.00 W/QUIK-COMBO CONNECTOR 2FT LEAD,LP12, LP15 1/PR 10PR/BX 5BX/CS 515527 NIC THE ASTHMATIC DRAGON 50EA/CS 1 1 0 $92.50 CS $92.50 61511 Curaplex Ring Cutter 2 2 0 $10.59 EA $21.18 Tracking Numbers: 783695969536 783695971775 Note:•Indicates taxable item Merchandise 1,308.68 Mise 0.00 Tax 0.00 Correspondence and inquiries can be sent to: Freight 0.00 5000 Tuttle Crossing Blvd Dublin,OH 43016 Deposit 1 0.00 Total 1,308.68