334000 01/04/19 CITY OF CARMEL, INDIANA VENDOR: 372946
® ONE CIVIC SQUARE BINDER LIFT LLC CHECK AMOUNT: $*****4,250.00*
r. �; CARMEL, INDIANA 46032 23 BEACON DRIVE CHECK NUMBER: 334000
'�',�TON�° CODY WY 82414 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 R4467006 102133 18352 4,250.00 EMS EQUIPMENT
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372946
BINDER LIFT LLC IN SUM OF$ - CITY OF CARMEL
23 BEACON 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.
CODY, WY 82414
Payee
$4,250.00
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
102133 18352 44-670.06 $4,250.00 1 hereby certify that the attached invoice(s),or 11/21/18 18352 Binder Lifts $4,250.00
1120 Encumbered 102 Prior Year 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
Thursday,January 3,2019
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
Binder Lift LLC Invoice
23 Beacon Dr
Cody Wy 82414 Date Invoice#
TM 11/21/2018 18352
855-239-5438
accounting@binderlift.com
Bill To Ship To
Cannel Fire Dept. Carmel Fire Dept.
2 Civic Square Jon Alverson
Cannel,IN 46032 2 Civic Square
Carmel,IN 46032
P.O. Number Terms Rep Due Date
102133 Net 15 RDB 12/6/2018
Quantity Item Code Description Price Each Amount
6 Vinyl Standard-G Binder Lift-Vinyl,Size Standard(34"-62")Patient Lift wBag 749.00 4,494.00
6 Discount Discount -50.00 -300.00
Shipping 1 Shipping:$16.00.for the first item,$8.00 for each additional 56.00 56.00
item.
Total $4,250.00
Each Binder Lift is made in the USA and is covered by a 5 year warranty. Payments by
Credit Card will incur a 3%processing fee.Late payment fees may be applied after 60 Payments/Credits $0.00
days at a rate of 18%APR.
Balance Due $4,250.00