The URL can be used to link to this page

Home My WebLink About180883 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 363647 Page 1 of 1 ONE CIVIC SQUARE MEDTECH FORENSICS, INC k CARMEL, INDIANA 46032 4369 HUGGINS HILL LANE CHECK AMOUNT: $429.80 TALLAHASSEE FL 32311 CHECK NUMBER: 180883 CHECK DATE: 12/30/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION '1110 4342100 11283 26.00 POSTAGE 1110 4239099 21278 11283 403.80 LAB SUPPLIES MEDTECH Forensics, Inc. Invoice 4369 Huggins Hill. Lane Tallahassee, FL 32311 -0731 Date Invoice (850) 878 -7061 12/17/2009 11283 (850) 878 -6103 FAX Bill To Ship To Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 Attention: Teresa Anderson Attention: John Elliott Attention: P.O. #21.278 P.O. Number Terms Rep Via Due Date P.O. #21278 Net 30 JEH UPS 1/16/2010 Quantity Item Code Description Price Amount 1 1219 Synthetic Blood, 250mL Bottle 15.00 15.00 1 1220 Spatter Blood, 250rL Bottle 20.00 20.00 1 3148 Indanedione, HFE -7100 Base, 125mL 31.95 31.95 1 3149 Zinc Chloride, HFE -7100 Solution, 8 oz 29.95 29.95 1 3156 5 -MTN Zinc Chloride Solutions, 125mL 45.95 45.95 1 3151 Oil Red 0 Lipid Stain, 1 Liter 31.95 31.95 1 3152 RTX, 60cc 57.00 57.00 2 150 -4945 8511 N95 Disposable Particulate Respirator with 24.00 48.00 Exhalation Valve, 10 /Box 10 9101 Blue -Rock Casting Medium Kit, Low 5.50 55.00 Temperature 1 CABK- 1000 -CAM Camelot Third Arm Basic Kit w/Case 69.00 69.00 1 SH Shipping and Handling 26.00 26.00 T(1 4 04- Thank you for your business. Total $429.80 www.medtechforensics.com 4 INDIANA RETAIL TAX EXEMPT PAGE Clty f C r e l CERTIFICATE NO.003120155 002 0 1 of 1 C4.� 1a u 1a PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 21278 3j'1 CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A!P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION December 8. 2(09 lab supplies VENDOR MEDTECH Forensics, Inc. SHIP City of Caul. Police Department 4369 Huggins Hill Lane TO 3 Civic Square Tallashassee, FL 23211 -0731 Cammel, IN 46032 ATTN: John Elliott CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Estimate #872 1 1219 Synthetic blood, 250 mL bottle 15.00' 1 1220 Spatter Blood,,250mL bottle 20.00/ 1 3128 indanedione, H7'E -Y100 Base, 125mL 31.95✓ 1 3149 Zinc Chloride, HFE -7100 °dilution, 8oz 29.95E 1 3156 5 -MTN Zinc Chio.� r,i�d O1 o 125mL 45.95' 1 3151 Oil Red 0 Lipi•. a:8 'a� .4 31.95 1 3152 RTX, 60cc I Y 57.00/. 2 38025 it or w//h 3M N95 (851# e 10 /box 24.00 48.00✓ 10 9101 Blue -Roc t1i g •M e dium Kit, toT� ture 5.50 55.00/". 1 CABK -1000 Camelom 4, Basic Kie Case... 69.00✓ -CAM a ,a g 3 I 6 m 0<' ._,,k, 1 .r., 1 1 A ,k a E ,4,a m 4,1- -.m E. Send Invoice To: City of Carmel Folic: ;s p� a i I t F ATM: Teresa Anders: a 3 Civic Square Carmml, IN 46032 PLEASE INVOICE IN DUPLICATE 403.80 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 394+99 other miscellaneous 4 /PAYMENT All. VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. r C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f :ft ,.9 t b 1Y PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ti THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO CLERK TREASURER 212 DOCUMENT CONTROL NO. A.P .COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 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_�� 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Medtech Forensics, Inc. Purchase Order No. 21278F 4369 Huggins Hill Lane Terms Tallahassee, FL 32311 -0731 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/17/09 11283 payment for lab supplies 429.80 Total 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Medtech Forensics, Inc. IN SUM OF 4369 Huggins Hill Lane Tallahassee, FL 32311 -0731 429.80 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# INVOICE NO ACCT #/TITLE AMOUNT I hereby certify DEPEP T. that the attached invoice(s), or 21278F 11283 390 -99 403.80 bill(s) is (are) true and correct and that the 1110 11283 421 26.00 materials or services itemized thereon for which charge is made were ordered and received except December 22 20 09 Signature Assistant Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund