HomeMy WebLinkAbout104027 STRYKER MEDICAL
City of Carmel
EachEachEachEachEachEachEachEachEachEachEachEachEachSub Total
Department:Account:Fund:
111111111111111140-00001521996-00010911577-00000441577-0002887800000811171-00005011171-00004921300-00815911220-00002811260-0000391157700000299577-001957AC Power CordTitan III WiFi GatewayStation
Battery ChargerShip KitQuote 10196025On Site Prevent for LifePak 15Masimo Rainbow PediatricMasimo Rainbow DCI AdultLifePak 15 NIBP HoseLifepak 15 Carry CaseLifepak 15 Carry CaseLifepak
15 Basic Carry CaseLIFEPAK 15$30,118.60$4,590.00$1,607.20$276.34$848.70$578.10$524.80$68.06$62.05$50.02$71.34$0.00$0.00Page 1 of 1$30,118.60$38,795.21$4,590.00$1,607.20$276.34$848.70$578.10$524.80$6
8.06$62.05$50.02$71.34$0.00$0.00
112044-670.06102Ambulance Capital Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
Fire Department
104027
FEDERAL EXCISE TAX EXEMPT
35-6000972
2 Civic Square
THIS NUMBER MUST APPEAR ON INVOICES, A/P
ONE CIVIC SQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032-2584
Carmel, IN 46032-
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PLEASE INVOICE IN DUPLICATE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
Lifepak 15
$38,795.21
PAYMENT
6/1/202000351580
* A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
STRYKER MEDICAL Fire Department
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
VENDORSHIP
PO BOX 93308 2 Civic Square
*C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
TO
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
Carmel, IN 46032-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
CHICAGO, IL 60673 -
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Denise SnyderJames Crider
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
TITLE
Accreditation/Budget AdministratorDirector of Administration
47016
104027
CONTROL NO.
CONTROLLER
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION