HomeMy WebLinkAbout333575 12/14/18 i o�C�qM
ay ;`. CITY OF CARMEL, INDIANA VENDOR: 242000 CHECK AMOUNT: $*****2,414.15*
ONE CIVIC SQUARE PHYSIO CONTROL CORP
9 j?a; CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK NUMBER: 333575
.yt;oN��, CHICAGO IL 60693 CHECK DATE: 12/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 118092052 392.90 SPECIAL DEPT SUPPLIES
102 4239011 118092294 1,743.30 SPECIAL DEPT SUPPLIES
102 4239011 118092608 277.95 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 242000
PHYSIO CONTROL CORP IN SUM OF$ CITY OF CARMEL
12100 COLLECTIONS CENTER DRIVE 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 60693
Payee
$2,414.15
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
118092608 42-390.11 $277.95 1 hereby certify that the attached invoice(s),or 12/7/18 118092608 Misc.EMS Supplies $277.95
1120 102 1120 102
118092294 42-390.11 $1,743.30 bill(s)is(are)true and correct and that the 12/7/18 118092294 Misc.EMS Supplies $1,743.30
1120 102 materials or services itemized thereon for 1120 1 102
118092052 I 42-390.11 I $392.90 12/7/18 I 118092052 I Misc.EMS Supplies I $392.90
1120 102 which charge is made were ordered and 1120 102
received except
Tuesday, December 11,2018
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
Product Billing Page 1
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Physio-Control, Inc. '.' INVOICE
11811.Willows Road NE `
Post Office Box 97006 -Mail payments only to this address:
Redmond,WA 98073-9706 USA '12100 Collections:Center DflVe - 118092052
Telephone: 425.867.4000a t6693
60693
Fax: 425.881.2405 Please reference Invoice Number on your check.
F.E.I.N. 91-0697691 For Inquiries,Call toll free 1-800.426.8047 ` 12/3/18
BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201
CARMEL FD CARMEL FD
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE T=TAXABLE E=EXEMPT
12/3/18 000152810 STEPHANIE
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
SH00418489 S3935569 NET30
11996-000394 BATTERY,LARYNGOSCOPE,MCGRATH MAC EMS 7.00 52.7 368.9
Contact:JONATHAN ALVERSON
Phone:317-571-2600
SALES REP STEPHANIE WIRKNER
Sold Cust:10774201
EM ORDER/QUOTE 00152810
Sales Tax 0.00
Freight and Handling 24.00
Total Order $392.90
NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.
i Product Billing Page 1
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Physio-Control, Inc. INVOICE
11811 Willows Road NE
Post Office Box 97006 Mail payments only to this address:
Redmond,WA 98073-9706 USA 12100 Collections Center Drive 118092294
Telephone: 425.867.4000 Chicago,IL 60693`
Fax: 425.861.2405 Please reference Invoice Number on your check.
F.E.I.N. 91-0697691 For Inquiries,Call toil free 1-800-426-8047 12/4/18
BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201
CARMEL FD CARMEL FD
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE T=TAXABLE E=EXEMPT
12/4/18 000152688 STEPHANIE
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
SH00418487 S3935566 NET30
11220-000028 Top Pouch 6.00 50.15 300.9
11260-000039 KIT-CARRY BAG,REAR POUCH,3RD EDITION 4.00 71.4 285.6
11577-000002 KIT-CARRY BAG,MAIN BAG 4.00 277.95 1111.8
Phone:317-571-2600
EM ORDER/QUOTE 00152688
SALES REP STEPHANIE WIRKNER
Sold Cust:10774201
Contact:ANDREW YOUNG
Sales Tax 0.00
Freight and Handling 45.00
Total Order $1,743.30
NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.
Product Billing Page 1
� I
Physio-Control,Inc. INVOICE
11811 Willows Road NE °
Post Once Box 97006 Mail payment's only to this address:
Redmond,WA 98073-9706 USA 12100 Collections Center Drive 118092608
Telephone: 425.867.4000 Chicago,IL 60693 ;
Fax:-425.881.2405 Please reference ln�oice Number on'youi check.
F.E.I.N. 91-0697691 For Inquiries;Call toll free 1-800426-8047 12/5/18
BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201
CARMEL FD CARMEL FD
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
DATE SHIPPED I PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE T=TAXABLE E=EXEMPT ,
12/5/18 Q00152688 STEPHANIE
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
SH00418835 S3935566 NET30
11577-000002 KIT-CARRY BAG,MAIN BAG 1.00 277.95 277.95
Contact:ANDREW YOUNG
Phone:317-571-2600
SALES REP STEPHANIE WIRKNER
Sold Cust:10774201
EM ORDER/QUOTE 00152688
Sales Tax 0.00
Freight and Handling 0.00
Total Order $277.95
NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE APART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.