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HomeMy WebLinkAbout333525 12/14/18 CITY OF CARMEL, INDIANA VENDOR: 368321 ® �• ONE CIVIC SQUARE INDIANAPOLIS EMS CHECK AMOUNT: $*****5,529.34* CARMEL, INDIANA 46032 PO D ANAPOLIS N 46250 CHECK DATE: : 333525 E: 12/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239010 101877 M82417 5,529.34 TRAUMA KIT MED SUPPLI VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 368321 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANAPOLIS EMS IN SUM OF$ CITY OF CARMEL \ �X 5 03 O Z j: 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. INDIANAPOLIS, IN Payee $5,529.34 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police 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 101877 M82417 42-390.10 $5,529.34 1 hereby certify that the attached invoice(s),or 12/11/18 M82417 Medical supplies for trauma kit $5,529.34 1110 101 1110 101 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 Wednesday, December 12,2018 Jim Barlow 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 Indianapolis EMS Invoice PO Box 503024 Indianapolis, IN 46250 Invoice#: M82417 Invoice Date: 12/11/2018 Due Date: 12/11/2018 Bill To: Project: Carmel Police Dept P.O. Number: 101877 Patricia Young 3 Civic Square Carmel IN 46032 Date Description Amount 10/11/2018 Supplies See Itemization Attached 5,529.34 Please reference check to Invoice 29CPD EXT-4338-650069 Please remit to:IEMS PO Box 503024 Indianapolis IN 46250 Questions? Total $5,529.34 contact 317-775-6751 Payments/Credits $0.00 Balance Due $5,529.34 Invoice SO- ' Indianapolis EMS INDIA AP 3L�S Eskenazi Health/Indianapolis EMS Reference# EXT-4338 E-M , PO Box 503024 Indianapolis,IN 46250 Date 10/11/2018 Tel 317-630-8301 wip i4. Billing Address 29 CPD Carmel Police Department Shipping 29 CPD Carmel Police Department Address Contact Megan Souttz Item Description - Quantity Unit Price Sub-Total 0130-00000009-001 Shears,Trauma/Utility (EA) 121 EA $1.22 $147.62 0170-00000007-001 Bandage/Dressing,Gauze Roll 130 EA $0.85 $110.50 Bandage/Dressing 4 Kerlix(RL) 0170-00000025-001 Dressing,Israeli Bandage 125 EA $6.75 $843.75 0170-00000048-001 Tape 1,Silk (RL) 121 EA $0.57 $68.97 0170-00000055-001 Tourniquet,for Trauma C.A.T. 121 EA $26.00 $3,146.00 ORANGE (EA) 0170-00000058-001 Hyfin Vent Chest Seal 125 EA $7.00 $875.00 0020-00000003-002 Airway, Nasal Pharyngeal 7.0 mm 28 125 EA $2.70 $337.50 Fr (EA) Remarks PO 101877 Sub-Total $5,529.34 Please reference check to Invoice 29CPDDEXT-4338�65Q 60 9 Total $5,529.34 Page 1 of 1