HomeMy WebLinkAbout157503 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 357526 Page 1 of 1
ONE CIVIC SQUARE HENRY SCHEIN INC
0 CHECK AMOUNT: $162.00
CARMEL, INDIANA 46032 DEPT CH 10241
PALATINE IL 60055 -0241 CHECK NUMBER: 157503
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 6840384 -01 162.00 SPECIAL DEPT SUPPLIES
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WHSE G Fed ID: 11- 3136595
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his order ias been processed by our NORTHEAS D.C.
41 WEAVEZ ROAD
DENVER, A 175 L7
1 489 -9244 2RL /BX LIFEPAK12 PAPER RECORDER 100MM 10 10 16.20 162.00 1
F YOU ARE DARTICIPATING IN A DISCOUNT PROGRAM (E.G. POIN S, GIFTS OR OTHER
PECIAL AWA DS "DISCOUNT WITH THIS PURCH SE YOU HAVE EARNED A CREDI TOWARD
GOODS OR S RVICES, RECEIVABLE OR REDEEMABLE N ACCORDANCE WITH DISCOUNT PROGRAM
RULES. UPO DISCOUNT RECEIPT OR REDEMPTION, IOU ARE RECEI ING OR WILL RECEIVE
OTICE OF T E DISCOUNT VALUE. FROM TIME TO TI E, MEDICARE, MEDICAID, TRI ARE OR
THER PAYER MAY REQUEST INFORMATION REGARDING SUCH V LUE, PND UPON ANY S CH
R EQUEST, SU H VALUE MUST DISCLOSED A A DI COJNT AGAINSI THE PURCHASE "THAT
E ARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RE AIN THESE RECORDS. IF YOU iAVE
U SED A HENR SCHEIN "HS") CREDIT CARD TO MAKE THIS URCHA E, THEN ANY BENEFITS
F ROM PURCHA ES OF HS PRODUCTS WITH THE CARD IN EXCES3 OF T OSE BENEFITS TIVEN
OR NON -HS DURCHASES MUST ALSO BE TREATED AS DISCO T AN SIMILARLY DI CLOSED.
OUR ORDER 6117425 HAS BEEN SPLIT INTO MULTI LE SHI MENTS. CERTAIN ITEMS WILL
E SHIPPED 3EPARATELY. YOU WILL BE BILLED FOR THESE ITEMS HEN THEY ARE SHIPPED
MERCHANDI E TOTAL 162.00
INVOI E TOTAL 162.00
PLEASE PAY WITHIN THIRTY(30) DAYS OF RECEIPT OF THIS NVOICE. 162.00
BILL TO INVOICE# CUSTOMER PO4 ITEM STATUS KEY REM KEY
130 8571 6 8 4 0 3 8 4 01 MARK B Backordered: Item will follow SK School Kit
HIP T INVOICE T F B I)isconiinued: Item no longer available NC No Charee
i=- Special Schein I�ree Goods
M Manufacturer will ship Item directly to you
1308572 3/03/08 1 P- Prescription Drug: Return Authorization Required
R Refrigerated Item: May he shipped separately
HSI NUMBER INVOICE TOTAL PAGE# Special Schcin Pricing
U Temporarily unavailable: please reorder
1145220- 1 162.00 1 OF 2 j T Taxable Item Continued on Next Page..........
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i 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 invoices) or bill(s))
03/03/08 6840384 -01 EMS Supplies $162.00
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.
Henry Schein ALLOWED 20
IN SUM OF
Dept Chi 10241
Palatine, IL 60055
$162.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 6840384 -01 102 390.11 $162.00 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
c
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund