HomeMy WebLinkAbout194395 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 362454 Page 1 of 1
ONE CIVIC SQUARE VERATHON
CHECK AMOUNT: $210.04
CARMEL, INDIANA 46032 20001 NORTH CREEK PARKWAY
BOTHELL WA 98011 CHECK NUMBER: 194395
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 24194 210.04 REPAIR PARTS
IN Invoice Purchase Order
V RATS Q'N 24194Nerbal
Invoice 270365
Remit to: Date: 1/18111 Sales Order DSA1039125 -000
Verathon, Inc. Order Date: 1/18111 Customer 1046326
PO Box 935117 Ship Date: 1/18111 Terms: Net 30 Days GFT
Atlanta, GA 31193 -5117
United States Ship Via 3 Day
Packlist 281742 Formerly Diagnostic Ultrasound
800- 331 2313/425- 867 -1348 PLEASE NOTE OUR NEW REMIT TO ADDRESS
425 883 -2896 Fax
Bill To Ship To
City of Carmel Fire Department City of Carmel Fire Department
Attn: Accounts Payable 2 Civic Sq
2 Civic Sq Carmel, IN 46032 -2584
Carmel, IN 46032 -2584 United States
United States
Part Description /Serial Number(s) Ship Qty Unit Price Amount
0800 -0405 Ranger Monitor Repl. Battery Kit 1 198.00 198.00 USD
0001 -0001 Freight 1 12.04 12.04 USD
SALESTAX 1 0.00 0.00 USD
Sub Total $210.04
Tax 0.00
Freight 0.00
Payments 0.00
Grand Total $210.04
USD
E
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verathon
IN SUM OF
20001 North Creek Parkway
Bothell, WA 98011
$210.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
1120 I 24194 I 42- 370.00 I $210.04 1 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
AN 1 X11
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board or 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))
24194 $210.04
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