HomeMy WebLinkAbout332588 11/21/18 J! � CITY OF CARMEL, INDIANA VENDOR: 353880
/ ,• ONE CIVIC SQUARE TELAMON CORP CHECK AMOUNT: $****18,425.85*
CARMEL, INDIANA 46032 DO NOT MAIL CHECK NUMBER: 332588
1000 E 116TH ST CHECK DATE: 11/21/18
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
252 5023990 101581 303.80 OTHER EXPENSES
1120 4351502 102065 17,666.66 SOFTWARE MAINT CONTRA
252 5023990 102164 303.80 OTHER EXPENSES
252 5023990 102262 121.21 OTHER EXPENSES
252 5023990 102346 30.38 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 353880 ALLOWED .20 ACCOUNTS PAYABLE VOUCHER
TELAMON CORP INSUM OF$ CITY OF CARMEL
�DO_NOT MAIL_ • An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
1000 E 116TH ST rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46032
Payee
$18,425.85
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
102346 50-239.90 $30.38 1 hereby certify that the attached invoice(s),or 11/18/18 102346 Patient Fees $30.38
1120 252 1120 252
102262 50-239.90 $121.21 bill(s)is(are)true and correct and that the 11/18/18 102262 Patient Fees $121.21
1120 1 252 1 materials or services itemized thereon for 1120 252
102164 50-239.90 $303.80 11/18/18 102164 Patient Fees $303.80
1120 252 which charge is made were ordered and 1120 252
101581 50-239.90 $303.80 received except 11/18/18 101581 Patient Fees $303.80
1120 252 1120 252
102065 43-515.02 $17,666.66 11/18/18 102065 MIHP Software $17,666.66
1120 101 1 1120 101
Sunday, November 18,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
Telamon Corporation Number: 101581
telamon 1000 E 116th Street Date: 30-JUN-17
Carmel, IN 46032 USA SO M
Project#/RID#:
Project Name:
Salesperson:
Customer: CFD-TMS
Sold i
Attn:Accounts Payable
CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL IN 46032
Customer P.O. Ship Via Due Date Terms
14-AUG-17 Net 45 Days
(�Line Item Description UOM i Quantity ! Unit Price Tax Total Net
_ I Rate.
1 Obs Avoidance Patients 4 30.3800 0.00 121.52
Supported-May 7-
2
Obs Avoidance Patients 6 30.3800 0.00 182.28
Supported -June
_ -- - ----- --------- Unit Total:
Tax Total: 0.00
Freight Total: 0.00
Trade Discount: 1 0.00
Adjustment Line Total: 0.00
Adjustment Tax Total: 0.00
Adjustment Freight Total: 0.00
Payment/Credit,Amount: 0.00
Invoice Total: 303.80
Please Pay this Amount: 303.80
Remit Address:
Telamon Enterprise Venture LLC
1000 East 116th Street
Carmel, IN
46032
US
INVOICE
¢ m Telamon Corporation Number: 102065
te1�;mon 1000 E 116th Street Date: 30-SEP-17
Carmel, IN 46032 USA SO M
Project#/RID#:
Project Name:
Salesperson:
Customer: CFD-TMS
Sold To Ship To
Attn: Accounts Payable
CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL IN 46032
Customer P.O. Ship Via Due Date Terms
14-;NOV-17 Net 45 Days
Line ; Item Description UOM _ ! Quantity i Unit PriceTa Total Net
Rate I
1 Mediview Development for 1 5,666.6600 0.00 5,666.66
-7PDF, Trips Enhancements and, I
j MIHCP re nests
2 Mediview License renewal for 12 1,000.0000 0.00 12,000.00
Sept 2017 through September
2018(2 CP licenses+ 1
Administrator licenses) j
Unit Total 17,666.66
Tax Total 0.00
Freight Total. ' 0.00
Trade Discount: 0.00
Adjustment Line Total: I 0.00
Adjustment Tax Total: 0.00
Adjustment Freight Total: 0.00
_�_-___---
Pa ment/Credit Amount: 0.00
LL _ Invoice Total: 17,666.66
Please Pay this Amount: 17,666.66
Remit Address:
Telamon Enterprise Venture LLC
1000 East 116th Street
Carmel, IN
46032
US
INVOICE
m yy�� Telamon Corporation Number: 102164
tela;111o1a�i' 1000 E 116th Street Date: 07-NOV-17
Carmel, IN 46032 USA SO#:
Project#/RID#:
Project Name:
Salesperson:
Customer: CFD-TMS
Sold To Ship To
Attn:Accounts Payable
CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL IN 46032
Customer P.O. Ship Via Due Date Terms
22-DEC-17 I Net 45 Days
Line s Item Description ! UOM Quantity Unit Price Tax Total Net
j Rate _
1 Obs Avoidance Patients . 4 30.3800 0.00 121.52
Sup orted
2 BLS Intervention 6 30.3800 0.00 I 182.28
Unit Total: --- 303.80
Tax Total: 0.00
Freight Total: 0.00
Trade Discount: 0.00
Adjustment Line Total: 0.00
Adjustment Tax Total: 0.00
Adjustment Freight Total: 0.00
Payment/Credit Amount:. 0.00
Invoice Total: 303.80
Please Pay this Amount: 303.80
Remit Address:
Telamon Enterprise Venture LLC
1000 East 116th Street
Carmel, IN
46032
US
INVOICE
telalnOn Telamon Corporation Number: 102262
1000 E 116th Street Date: 06-DEC-17
Carmel, IN 46032 USA SO M
Project#/RID#:
Project Name:
Salesperson:
Customer: CFD-TMS
Sold To Ship To
Attn: Accounts Payable
CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL IN 46032
Customer P.O. Ship Via Due Date Terms
20-JAN-18 Net 45 Days
Line Item DescriptionUOM Q ntity `: Unit Price Tax Total Net
Rate I
1 Obs Avoidance Patients i ^� 4 30.3800 0.00121.52
Supported
_ Unit Total• (— 121.52
Tax Total: 0.00
Freight Total: 0.00
Trade Discount: 0.00
Adjustment Line Total: ' 0.00
Adjustment Tax Total: 0.00 --�
Adjustment Freight Total: 0.00
Payment/Credit Amount: 0.00
Invoice Total: 121.52
Please Pay this Amount: 121.52
Remit Address:
Telamon Enterprise Venture LLC
1000 East 116th Street
Carmel, IN
46032
US
INVOICE
p. . Telamon Corporation Number: 102346
tela mon M 1000 E 116th Street Date: 31-DEC-17
Carmel, IN 46032 USA SO#:
Project#/RID#:
Project Name:
Salesperson:
Customer: CFD-TMS
Sold To Ship To
Attn: Accounts Payable
CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL IN 46032
P.O.Customer Ship Via Due Date Terms
14-FEB-18 Net 45 Days
Line Item j Description f UOM Quantity ! Unit Price Tax i Total Net
i ( - Rate
1 MediView Mobile&Trips { T 1 _ 30.3800 0.00 30.38
continuous access, digitize all
current checklists, data hosting
(reference Mediview 1
assessments, and guidelines I
for use on modules�_ J_
Unit Total: 30.38
Tax Total: 0.00
Freight Total: 0.00
Trade Discount: 0.00
Adjustment Line Total: 1 0.00
Adjustment Tax Total: 0.00
Adjustment Freight Total. ! 0.00
Payment/Credit Amount: 0.00
Invoice Total: 30.38
Please Pay this Amount: �_ _ 30.38
Remit Address:
Telamon Enterprise Venture LLC
1000 East 116th Street
Carmel, IN
46032
US