192620 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 361537 Page 1 of 1
ONE CIVIC SQUARE CARDIAC SCIENCE CORP
CHECK AMOUNT: $18,604.91
CARMEL, INDIANA 46032 DEPT 0587, PO BOX 120587
DALLAS TX 75312
CHECK NUMBER: 192620
CHECK DATE: 12/10/2010
DEPARTMENT ACCOUNT P NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239012 1341581 12,114.91 SAFETY SUPPLIES
1081 4239012 1341965 6,490.00 SAFETY SUPPLIES
CAS DIAC REMIT TO- INVOICE
Cardiac Science Corp. invoice No.1341965
P.O. Box 120587 Page 1 of 1
science" Dept. 0587
Dallas, TX 75312-0587 Date 11/18/2010
Bill to: CITY OF CARMEL Ship to: CARMEL CLAY PARKS REC
I civic SO 1235 CENTRAL PARK DR E
ACCOUNTS PAYABLE ATTN SERRA GARSKE
CARMEL, IN 46032-2584 CARMEL, IN 46032
6 q P OD/ Reference Sales`Person
86999 8000995813 24073 PIFLUGNER, TROY
-,u,rr.enc
C
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,T erms y
FOB Orgin net 30 USD US Dollars
0 s ct 'Ulm Oty r ty'8
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9730-002 ELECTRODES, PEDIATRIC WITH MANUAL EA 11.00 11.00 0.00 0-00
11/17/2010 259245360751375
9051-005 ADAPTER, ELECTRODE, PHYS 10 QUIK COMBO EA 11.00 11.00 0-00 0.00
11/1712010 259245360751375
9928-001 Prescription for AED EA 1.00 1.00 0.00 0.00
11117/2010 259245360751344
9940-005 Annual Svc. w/o PM-1st Vist in 1 -Year EA 22.00 22-00 295-00 6,490.00
11/17/2010 259245360751344
D a b13 P
P.O.
G.L. 4
Budget
Line Desor
Date
Purchaser—,
Approval Zg�uate
Contact info: Ne t S i6 repaid,A
H an 0 m
Customer care phone: 1-800-426-0337
l ','Z i
Customer care e-mail: care@cardiacscience.com 6,490-00 0.00 0.00 0,00 n nn
Credit services phone (425) 402-2200
Credit services e-mail Amount: Due.
creditservices@cardiacscience.com 6,490.00
Fed Tax ID: 94-3300396
RI-129346626237187500-94-365
CARDIAC REMIT TO- INVOICE
Cardiac Science Corp. Invoice No. 1341581
sc ien c e, Dept. 0587
P.O. Box 120587 Page 1 of 1
Dallas, TX 75312 -0587 Date: 11/17/2010
B ill to: CITY OF CARMEL Ship to: CARMEL CLAY PARKS REC
1 CIVIC SQ 1235 CENTRAL PARK DR E
ACCOUNTS PAYABLE ATTN SERRA GARSKE
CARMEL, IN 46032 2584 t" 71 3 �7' CARMEL, IN 46032
F
fi b 'U1 2 y 2010
BY:
Customer No :Sales rd No Cust PO /Reference' Sales Person'
86999 B000995813 24073 PFLUGNER, TROY
SFiip Via FQB;: Terms Currency
FOB Orgin net 30 USD US Dollars
,Item Description f
U/M Qty,Ortt Qty Shp ;Unit Price Amounts a
Ship Date Tracking yNo S g
9390A -501 G3 PLUS AUTO, AED, ENGLISH, PKG EA 11.00 11.00 1,095.00 12,045.00 a
1V17/2010 259245360751344 4341813
11/17/2010 259245360751351 4341817
11/17/2010 259245360751368 4341827
4342151
4342226
4342229
4342276
4342314
4342373
4342382
4342399
9131 -001 ELECTRODES, DEFIBRILLATION G3 EARLIER EA 11.00 11.00 0.00 0.00
11/17/2010 259245360751375
168- 6000 -001 SOFT -SIDED CARRYING CASE, AED 2.0 EA 11.00 11.00 0.00 0.00
11/17/2010 259245360751382
5550 -005 READY KIT, G3 AED EA 11.00 11.00 0.00 0.00
11/17/2010 259245360751382
Purchase
Description
P.O. a4g 13 or F
G.L.#
Budget °�Dtjuf S
Line Desc x-!
Purchaser Date
i I! i .ry C
A�nrnkkql D ate
Contact info:
<Net Sal Misc;Chg,5� Ship Handiirig :Tax °Prepaid Amt;o-
Customer care phone: 1- 800 -426 -0337 12,045.00 fl.fl0 69.91 0.00 0.00
Customer care e -mail: care @cardiacscience.com
Credit services phone: (425) 402 -2200
Credit services e -mail ACTlOUnt�:,�kle
creditservices @cardiacscience.com 12 ,114.91
Fed Tax ID: 94- 3300396
RI- 129345214522031250 -53 -181
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Cardiac Science Corp. Terms
Dept. 0587
P.O. Box 120587
Dallas, TX 75312 -0587
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/18110 1341965 AED's service plan 24073 6,490.00
11/17/10 1341581 AED's 24073 12,114.91
Total 18,604.91
1 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.
Cardiac Science Corp. Allowed 20
Dept. 0587
P.O. Box 120587
Dallas, TX 75312 -0587 In Sum of
18,604.91
j ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 1341965 4239012 6,490.00 1 hereby certify that the attached invoice(s), or
1081 -99 1341581 4239012 12,114.91 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
9 -Dec 2010
Signature
18,604.91 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund