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Home My WebLink About191806 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364867 Page 1 of 1 0 ONE CIVIC SQUARE QUAD MED, INC. CHECK AMOUNT: $1,280.50 CARMEL, INDIANA 46032 PO BOX 550773 JACKSONVILLE FL 32255 -0773 CHECK NUMBER: 191806 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 50589 394.00 SPECIAL DEPT SUPPLIES 102 4239011 50646 886.50 SPECIAL DEPT SUPPLIES Vist us at: INVOICE QuodMed, www.quadmed.com Invoice Number: 50646 Emergency Medical Products sales @quadmed.com Invoice Date: Oct 22, 2010 Page: 1 P.O. BOX 550773 JACKSONVILLE, FL 32255 -0773 Voice: 800 933 -7334 Fax: 877- 367 -7759 Sales Order: 34280 CITY OF CARMEL FIRE DEPT CARMELFD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 R1eP�0k.w; �b'}M. CARF,4EL -FE) lVAav ;Vet -30 -Days- °:.Fi, i n 2 -�*e y�' s 3� ter* 33± Sales Re ID Shi m flflethotl 3 Shi Date�� Due Date 3 UPS Ground 10/22/10 11/21/10 ce r!a s -�m�me ''x".' b Ski ed�UOMItem W Descn ton w t Pnce amount? PPwF�€ Baekordeced'Dm, d�s',aie-af�w °s �r ,.�z,dud�+s 2.00 BOX EDI- 3001 -AV ACUVANCE 16G IV CATH 50 /BOX *MUST 98.50 197.00 BE 3342 4.00 BOX EDI 3002 -AV ACUVANCE 18G IV CATH 50 /BX *MUST 98.50 394 -00 BE 3355" 2.00 BOX EDI 3004 -AV ACUVANCE 22GX1 IV CATH 50 /BX **MUST 98.50 197.00 BE 3350 1.00 BOX EDI 3005 -AV ACUVANCE 24G IV CATH 50 /BX "MUST 98.50 98.50 BE 3353 Subtotal 886.50 Sales Tax 1 Total Invoice Amount 886.50 Check /Credit Memo No: Payment /Credit Applied Freight o"� 886 `50 Your balance as of Oct 22, 2010 is 2,265.50. This balance does not reflect payments or charges processed after that date. Returned Goods Written authorization must be obtained prior to returning merchandise. Allretums shouldbe sent within 30 days in resalable condition. Returns are subject to a 20'1 restocking charge. Merchandise held longer than 90 days, or custom items, are not returnable. All returned goods must be sent prepaid. �k Vist us at: INVOICE C1t dMed, Inc. www.quadmed.com Invoice Number: 50589 Emergency Medical Products sales @quadmed.com Invoice Date: Oct 21, 2010 h Page: 1 P.O. BOX 550773 JACKSONVILLE, FL 32255 -0773 Voice: 800- 933 -7334 Fax: 877- 367 -77 Sales Order: 34280 t °n p 7u� '�i �'p ,4� r,1e x Bltl TO x Sh�p�t0 Sa`,a Ea}±:k..:F; ^yq m" a ^�.s +t<` i Pn r M.a� .at CITY OF CARMEL FIRE DEPT CARMELFD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 i V Customer tD Customer P0a r e eef P rrtent Terms mA C ARMELFJ MAR}<- Net30 Days Sales Fte `ID e a k P �Ix SFiippi?9Metho[1,!.� hi Date,, "uE Date UPS Ground 10/21/10 11/20/10 fls' t a a° h .�..�x;�+7 m -rw x*e� .a wt''i 5hippeaUOM ��.em Desch tion a�Backordered '�UnitPnce��,4moun`t, .._3.sm. re°s, It. rz S n7dk 1 .roa,� c..x: n a aM�9'13°4�§ Mn.w.:R't n �a BOX EDI- 3001 -AV ACUVANCE 16G IV CATH 501BOX" MUST 2.00 98.50 BE 3342 4.00 BOX EDI- 3002 -AV ACUVANCE 18G IV CATH 50 /BX *MUST 4.00 98.50 394.00 BE 3355 BOX EDI 3004 -AV ACUVANCE 22GX1 IV CATH 50 /BX *MUST 2.00 98.50 BE 3350 BOX ED[-30C)5-AV ACUVANCE 24G IV CATH 5016X **MUST 1.00 98.50 BE 3353 Subtotal 394.00 Sales Tax Total Invoice Amount 394.00 Check /Credit Memo No: Payment /Credit Applied Freight 39'00 Your balance as of Oct 21, 2010 is 1,379.00. This balance does not reflect payments or charges processed after that date. Returned Goods Written authorization must be obtained prior to returning merchandise. All retums should be sent within 30 days in resalable condition. Returns are subject to a 20% restocking charge. Merchandise heldlonger than 90 days, or custom items, are not returnable. All returned goods must be sent prepaid. VOUCHER NO. WARRANT NO. ALLOWED 20 Quad Med, Inc. IN SUM OF P.O. Box 550773 Jacksonville, FL 32255 -0773 $1,280.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 50589 102 390.11 $394.00 1 hereby certify that the attached invoice(s), or 1120 50646 102 390.11 $886.50 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 NOV 8 2010 fa f Fire Chief 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 50589 $394.00 50646 $886.50 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