HomeMy WebLinkAbout333139 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 372494
• ONE CIVIC SQUARE MEDLINE INDUSTRIES, INC CHECK AMOUNT: $*******349.00*
:t ate' CARMEL, INDIANA 46032 DEPT CH 14400 CHECK NUMBER: 333139
PALATINE IL 60055-4400 CHECK DATE: 12/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 1863613638 349.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372494
MEDLINE INDUSTRIES, INC IN SUM OF$ 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
$349.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Fire
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
1863613638 42-390.11 $349.00 1 hereby certify that the attached invoice(s),or 11/29/18 1863613638 Misc.Supplies $349.00
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, December 3,2018
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
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
ORIGINAL
• www.medline.com INVOICE
CUSTOMER PO # INVOICE DATE INVOICE #
11192018 11/20/2018 1863613638
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# I SALES ORDER# CARRIER FREIGHT TERMS CUSTOMER# CURRENCY AMOUNT DUE
716 708457982 1 FEDEX GROUND MEDLINE 1746403 USD $349.00
Line OrderInvoice Unit
No. Qt U/M Qty Item No / Description Codes Delivery # Price Amount
10 2.00 CS 2.00 IVSSTKI TE 944998010 107.50 215.00_
/IV SECUREMENT KIT W/SORBAVIEW SHIELD —
20 2.00 CS 2.00 VS311L TE 944998010 67.00 134.00
/GLOVE,EXAM,NITRILE,TXT,PF,LF,L
O
GROSS TAX AMOUNT FREIGHT TOTAL
349.00 0.00 0.00 349.00
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
— —COMMUNICATED TO-MEDLINE-IN-WRITING WITHIN TWO BUSINESS DAYS OF-THE INVOICE-DATE,-OR-THEY ARE DEEMED-WAIVED-ALL CLAIMS FOR PRICING AND BILLING 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. 002243P