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Home My WebLink About333028 12/11/18 ,y "f CITY OF CARMEL, INDIANA VENDOR: 00352626 ®� ONE CIVIC SQUARE BOUND TREE MEDICAL LLC CHECK AMOUNT: $*******848.80* s faa; CARMEL, INDIANA 46032 23537 NETWORK PLACE CHECK NUMBER: 333028 CHICAGO IL 60673-1235 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 83039240 580.50 SPECIAL DEPT SUPPLIES 102 4239011 83043351 268.30 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00352626 BOUND TREE MEDICAL LLC IN SUM OF$ 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 $848.80 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 83043351 42-390.11 $268.30 1 hereby certify that the attached invoice(s),or 11/27/18 83043351 Misc.Supplies $268.30 1120 102 1120 102 83039240 42-390.11 $580.50 bill(s)is(are)true and correct and that the 11/27/18 83039240 Misc.Supplies $580.50 1120 1 1 102 1 materials or services itemized thereon for 1120 102 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice -Bound Tree Invoice 83039240 BOUND TREE MEDICAL,LLC. Date 11/19/2018 Correspondence Address: 23537 Network Place 5000 Tuttle Crossing Blvd Chicago,IL 60673-Place Page. 1 of 1 Dublin,OH 43016 lAccount# 101076 PHONE:(800)533-0523 FAX:(800)257-5713 TIN# 314739487 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 Ordef Number , , 'Account Manager Shipping,Method Ship Date Payment Ternis 11192018 100289279 T SPECTOR NO FRT 11/19/2018 NET 30 Item* DescriptionOrdered ° 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 177669 SMART CAPNOLINE,PEDIATRIC,NON 2 2 0 $290.25 BX $580.50 INTUBATED,ORAL NASAL W/OXYGEN TUBING 25/BX Tracking Numbers: 783865953253 Note:`Indicates taxable item Merchandise 580.50 Misc, 0.00 Tax 0.00 Correspondence and inquiries can be sent to: 5000 Tuttle Crossing Blvd 'Freight 0.00 Dublin,OH 43016 Deposit ri 0.00 Total -580.50 Invoice 0 BoundTree - - Invoice" 83043351 J36UND TREE MEDICAL,LLC. Date ° 11/26/2018 Correspondence Address: 23537 Netwio"ck.Place 5000 Tuttle Crossing Blvd Chicago,IL-60673-1235 Page 1 of 1 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 Pb Number Sales Order Number Account Manager Shipping Method Ship Date Payment Terms 11212018 100295762 T SPECTOR NO FRT 11/26/2018 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 230107 DEFIB/PACING/ECG PADS PEDI W/QUIK-COMBO 10 10 0 $26.83 PR $268.30 CONNECTOR FOR LP15,LP12,1-010,LP5 Tracking Numbers: 783977920865 Note:'Indicates taxable item Merchandise 268.30 Mac " 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 268.30