HomeMy WebLinkAbout106200 STRYKER MEDICAL
City of Carmel
EachEachEachEachEachEachSub Total
Department:Account:Fund:
45223311111-00002011160-00001511171-00008211171-00005011171-00004911111-000022ECG Cable 12 Lead - 8 ft. Trunk Cable with AHA Limb LeadsNIBP Cuff - Reusable AdultMasino RC Patient Cable
- EMS, 4 Ft.Masimo Rainbow DCIP Pediatric Reusable Sp02, SpC0, Masimo Rainbow DCI Adult Reusable Sp02, SpC0, SpMet ECG Cable 12-Lead 6 Wire Precordial Attachment$324.72$210.00$578.10$524.80$129.56$2
6.24Page 1 of 1$1,298.88$1,156.20$1,574.40$4,969.36$388.68$131.20$420.00
112044-670.06102Ambulance Capital Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
Sensor, 3 Ft.SpMet Sensor
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
Fire Department
106200
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. DESCRIPTIONDEPARTMENTACCOUNTPROJECTPROJECT
ACCOUNTAMOUNT
LifePak Supplies
$4,969.36
PAYMENT
1/12/202200351580
* 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 10701 N. College, Ste. A
*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 LABE
Carmel, IN 46280-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194
CHICAGO, IL 60673 -
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
Denise Snyder
TITLE
62719Accreditation/Budget Administrator
106200
CONTROL NO.
CONTROLLER
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION