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Home My WebLink About161391 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 357526 Page 1 of 1 ONE CIVIC SQUARE HENRY SCHEIN INC CARMEL, INDIANA 46032 DEPT CH 10241 CHECK AMOUNT: $1,792.92 PALATINE IL 60055 -0241 CHECK NUMBER: 161391 CHECK DATE: 7/11/2008 DE PARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION 102 4467007 5960715 -03 1,637.00 TRAINING EQUIPMENT 102 4467007 5960715 -05 36.40 TRAINING EQUIPMENT 10.2 4467006 8740632 -01 119.52 EMS EQUIP WHSE DEA# Fed ID: 11- 3136595 UOTE DATED 05 -13 -08 JULIE BAKER 800-845-3550 X328 APPROVED ORDERED BY MARK HULETT 17 -571 -266 17 -571 -261 17- 428 -878 1 499-2476 EA RESCUE RANDY 145LB 2 2 774.00 1548.00 PRODUCT IS 3EING SHIPPED TO YOU DIRECTLY FROM THE MATUFACTLRER. 2 499 -4063 EA OVERLAY- TEACHING SKIN 1 1 89.00 89.00 PRODUCT IS BEING SHIPPED TO YOU DIRECTLY FROM THE MANUFACTIRER. F YOU ARE PARTICIPATING IN A DISCOUNT PROGP (E.G POIN S, GIFTS OR OTHER PECIAL AWA DS "DISCOUNT WITH THIS PURL SE YOU HAVE EARNED A CREDIT TOWARD, GOODS OR S RECEIVABLE OR REDEEMABLE EN ACCORDANCE WITH DISCOUNT PROGRAM RULES. UPO4 DISCOUNT RECEIPT OR REDEMPTION, OU ARE RECEI ING OR WILL RECEIVE .11OTICE OF T E DISCOUNT VALUE. FROM TIME TO TIME, MED CARE, MEDICAID, TRI ARE OR THER PAYER MAY REQUEST INFORMATION REGARDING SUCH V LUE, PND UPON ANY S CH EQUEST, SUM VALUE MUST BE DISCLOSED AS A DI COUNT AGAINS7 THE PURCHASE THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RE AIN TH SE RE ORDS. IF YOU VE SED A HENR SCHEIN "HS CREDIT CARD TO MAKE THIS URCHA E, THEN ANY BENEFITS ROM PURCHA ES OF HS PRODUCTS WITH THE CARD IN EXCES3 OF T11.OSE BENEFITS TIVEN OR NON -HS PURCHASES MUST ALSO BE TREATED AS DISCOJNT ANE SIMILARLY DI CLOSED. MERCHANDI E TOTAL 1637.00 INVOI E TOTAL 1637.00 PLEASE PAY WITHIN THIRTY (3 DAYS OF•. RE EIPT OF ,THIS NVOICE:, BILL TO INVOICE# CUSTOMER ITEM STATUS KEY REM KEY 1308571 5 9 6 0 715 0 3 MARK HUI ETT n Backordered: Item will follow SK School Kit HIP T INVOICE DATE F BOXES D Discontinued: Item no longer available NN No Charge F Special Schein Free Goods M Manufacturer will ship hem directly to you 13 0 8 5 7 2 6/23/08 1' Prescription Drug: Return Authorization Required R Refrigerated Item: May be shipped separately H I NUMBER INVOICE TOTAL PAGE Special Schein Pricing U Temporarily unavailable: please reorder 1145220— 1 1637.00 1 OF 2 T- Taxable hem Continued on Next Page LP300 WHSE DEA# Fed ID: 11- 3136595 UOTE DATED 05 -13 -08 JULIE BAKER 800-845-3530 X328 PPROVED RDERED BY MARK HULETT 17- 571 -266 17 -571 -261 17- 428 -878 1 466 -6986 1 IV REPLACEMENT SKIN 1 1 36.40 36.40 PRODUCT IS 3EING SHIPPED TO YOU DIRECTLY FROM THE MAIUFACTURER. F YOU ARE ARTICIPATING IN A DISCOUNT PROG (E.G. POINTS, GIFTS OR 0 1, HER PECIAL AWA DS "DISCOUNT WITH THIS PURL SE YOU HAVE EARNED A CREDI TOWARD GOODS OR S RVICES, RECEIVABLE OR REDEEMABLE N ACCO DANCE WITH DISCOUNT PROGRAM RULES. UPO4 DISCOUNT RECEIPT OR REDEMPTION, YOU ARE RECEI ING OR WILL RECEIVE OTICE OF'T E DISCOUNT VALUE. FROM TIME TO TIME, MEDICARE, MEDICAID, TRI ARE OR THER PAYER MAY REQUEST INFORMATION REGARDING SUCH V LUE, PND UPON ANY S CH EQUEST, SU H VALUE MUST BE DISCLOSED AS A DISCOUNT AGAINSI THE PURCHASE THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RETAIN TH RECORDS. IF YOU RAVE SED A HENR SCHEIN "HS CREDIT CARD TO MAKE THIS URCHA E, THEN ANY BENEFITS FROM PURCHA ES OF HS PRODUCTS WITH THE CARD III EXCES3 OF T OSE BENEFITS IVEN OR NON -HS URCHASES MUST ALSO BE TREATED AS A DISCOJNT ANE SIMILARLY DISCLOSED. MERCHANDISE TOTAL 36.40 INVOI E TOTAL 36.40 PLEASE PAY WITHIN THIRTY(3 DAYS OF RECEIPT OF THIS NVOICE. 36.40 B TO INVOICE# CUSTPMER PO# ITEM STATUS KEY REM KEY 1308571 5960715 -05 MARK HUIETT B- Backordered: Item will follow SK SchoolKit 0 INVOICE DATE BOXES D Discontinued: Item no longer available NC -No Charge SHIP 1= Special Schein Free Goods M Manufacturer will ship Item directly to you 1308572 6/23/08 P- Prescription Drug: Return Authorization Required R Refrigerated Item: May be shipped separately H Z NUMBER INVOICE TOTAL PA Special Schein Pricing 1145220— 1 36.40 l OF 2 T- Taxable I te m u navailable: please reorder g Continued on Next Page LP300 WHSE DEA# Fed ID: 11-3136595 a 13 z r his order as been processed by our NORTHEAS D.C. 41 WEAVER ROAD DENVER, DA 17517 14ARK 317-57--2663 SCHEDULED F R MONDAY DELIVERY 1 143 -7757 EA CARDIOLOGY STETH SS HEAD D 2 2 59.76 119.52 1 F YOU ARE DARTICIPATING IN A DISCOUNT PROG (E.G. POIN S, GIFTS OR OTHER PECIAL AWA S "DISCOUNT WITH THIS PURCHASE YOU HAVE ARNED A CREDI TOWARD GOODS OR SERVICES, RECEIVABLE OR REDEEMABLE N ACCO DANCE WITH DISCOUNT PROGRAM RULES. UPOq DISCOUNT RECEIPT OR REDEMPTION, MU ARE RECEI ING OR WILL RECEIVE OTICE OF T E DISCOUNT VALUE. FROM TIME TO TI E, MEDICARE, MEDICAID, TRI ARE OR D PAYER MAY REQUEST INFORMATION REGARDING SUCH V LUE, PND UPON ANY S CH REQUEST, SU H VALUE MUST BE DISCLOSED AS A DI COUNT AGAINSq THE PURCHASES THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RE AIN THESE RECORDS. IF YOU 11AVE SED A HENR SCHEIN "HS") CREDIT CARD TO MAKE THIS URCHA E, THEN ANY B NEFITS FROM PURCHA ES OF HS PRODUCTS WITH THE CARD IN EXCES3 OF THOSE BENEFITS IVEN OR NON -HS URCHASES MUST ALSO BE TREATED AS A DISCOJNT ANE SIMILARLY DI CLOSED. MERCHANDI E TOTAL 119.52 INVOI E TOTAL 119.52 PLEASE PAY WITHIN THIRTY(3 DAYS OF RECEIPT OF THIS NVOICE. 119.52 BILL TO INVOICE# CUSTOMER P ITEM STATUS KEY REM KEY 1308571 8740632-01 MARK 13 Backordcred: Item will follow SK School Kit D Discontinued: Item no longer available NC -No Charge HIP TO INVOICE DATE OF B XE P- Special Schein Pree Goods M Manufacturer will ship Item directly to you 1308572 6/19/08 1 1' Prescription Drug: Return Authorization Required R Refrigerated Item: Nlay be shipped separately HSI NUMBS Special Schein Pricing U Temporarily unavailable: please reorder 1145220- 1 119.52 1 OF 2 T Taxable hem Continued on Next Page 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)) 06/19/08 8740632 -01 Stethoscopes $119.52 06/23/08 5960715 -03 Eqpt. for Manikins $1,637.00 06/23/08 5960715 -05 Eqpt. for Manikins $36.40 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 VOUCHEk K0 WARRANT NO. ALLOWED 20 Heory..Schein IN SUM OF Dept Ch 10241 Palatine, IL 60055 $1,792.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 8740632 -01 102 670.06 $119.52 1 hereby certify that the attached invoice(s), or 1120 5960715 -03 102 670.07 $1,637.00 bill(s) is (are) true and correct and that the 1120 5960715 -05 102 670.07 $36.40 materials or services itemized thereon for which charge is made were ordered and received except v Title Cost distribution ledger classification if claim paid motor vehicle highway fund