HomeMy WebLinkAboutStryker Sales LLC/CFD/$19,338.03/LIFEPAK CR2 Defibrillator - Nine Units - ASA 2CzTfshfzHsfdivlijobu3;55qn-Kvo34-3133
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Page 1 of 1INDIANARETAILTAXEXEMPT
CERTIFICATE NO. 003120155 0020PURCHASE ORDER NUMBERCityofCarmel
FEDERAL EXCISE TAXEXEMPT 106601
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/PONECIVICSQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BYSTATE BOARD OFACCOUNTS FOR CITY OFCARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
AED's AllStations, Admin, CTC, EOC6/12/202200351580
STRYKER MEDICAL Fire Department
VENDORSHIPPOBOX93308 10701 N. College, Ste. A
TO Carmel, IN 46280-
CHICAGO, IL 60673 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
66471
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 1120102Ambulance Capital Fund
Account: 44-670.06
9Each99512-001262LIFEPAK CR2 Defib$2,012.25$18,110.25
Each911101-000021Quik-Step Pacing/ECG/Defib Electrodes$117.80$1,060.20
1EachShipping$167.58$167.58
Sub Total 19,338.03
Send Invoice To:
Fire Department
2Civic Square
Carmel, IN 46032-
PLEASE INVOICE INDUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
19,338.03PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE ASHIPPINGINSTRUCTIONSPARTOFTHEVOUCHERANDEVERYINVOICEANDVOUCHERHASTHEPROPERSWORN
SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
ORDERED BYANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO.
Denise Snyder
TITLEAccreditation/Budget Administrator
CONTROL NO. 106601 CONTROLLER
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