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Pediatric Emergency Standards, Inc. dba Handtevy/CFD/$7,345/2023 Access to Handtevy Mobile
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DESCRIPTION 2/8/2023 377035 Handtevy Mobile HANDTEVY Fire Department VENDOR 11870 W STATE RD 84 SHIP 10701 N. College, Ste. A TO SUITE C5 Carmel, IN 46280- DAVIE, FL 33325 - PURCHASE ID BLANKET CONTRACT PAYMENTTERMS FREIGHT 73999 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1120 Fund: 102 Ambulance Capital Fund Account: 44-632.02 1 Each HMPA23 Annual Access to Handtevy Mobile $5,655.00 1 Each HMPS23 Customization & Setup for Handtevy Mobile $1,690.00 1 Each Per Quote Q-06227 $0.00 Sub Total CAA Send Invoice To: Fire Department 5,655.00 1,690.00 0.00 7,345.00 2 Civic Square `' Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $7,345.00 SHIPPING INSTRUCTIONS * A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — Denise Snyder James Crider TITLE Accreditation/Budget Administrator Director of Administration CONTROL NO. 108516 CONTROLLER DocuSign Envelope ID: E3DF1AE4-D2F6-4C0E-B51B-5B387E45F6DF