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Home My WebLink About160900 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 357526 Page 1 of 1 *f ONE CIVIC SQUARE HENRY SCHEIN INC s` CARMEL INDIANA 46032 DEPT CH 10241 CHECK AMOUNT: $8,032.24 PALATINE IL 60055 -0241 CHECK NUMBER: 160900 CHECK DATE: 6/25/2008 7EPARTMENT A CCOUNT PO NUM BER I NVOICE NUMB AMOUNT DES CRIPTION 102 4239011 3336048 -01 63.60 SPECIAL DEPT SUPPLIES '102 4467006 5960715 -02 561.00 EMS EQUIP 102 4467007 5960715 -04 7,407.64 TRAINING EQUIPMENT I ;i 4 i WHSE DEA# Fed ID: 11- 3136595 9 a. t ai v UOTE DATED 05 -13 -08 JULIE BAKER 800-845-3550 X328 PPROVED ORDERED BY MARK HULETT 17 -571 -266 17- 571 -261 17- 428 -878 1 608 -2408 EA PDA STAT ADULT TRAINER 1 0.00 0.00 AIL 1-800-131-4310 SPECIA APPROVAL EXTRA ITEMS APPROVED TO GO WITH PDA STAT 101— 00 PER GAI RE AS FOLL WS: (03 -26 -08 FOR THIS QUOTE ONLY TOMACH 145 QTY 1 UNGS 902 QTY 1 EMBRANE TA ?E PP0283 QTY 1 YRINGE PPO 161 QTY 1 YRINGE PP( i05 QTY 1 JULIs BAKER 1- 800 845 -3550 X328 LEASE.CALL JULIE SHOULD YOU HAVE ANY QUESTIONS HANK YOU 14 ADVANCE JB ULIE.BAKER_HENRYSCHEIN.COM PRODUCT IS EING SHIPPED TO YOU DIRECTLY FROM THE MARUFACTLRER. 2 499 -0946 EA CARRY CASE 3 3 187.00 561.00 PRODUCT IS 3EING SHIPPED TO YOU DIRECTLY FROM THE MATUFACTLRER. 3 466 -6986 1 IV REPLACEMENT SKIN 1 0.00 0.00 PRODUCT IS EING SHIPPED TO YOU DIRECTLY FROM THE MANUFACT RER. HILL TO INVOICE# CUSTOMER PO# ITEM STATUS KEY REM KEY 1308571 5960715-02 MARK HUI ETT s nackordered: Item will follow SK School Kit SHIP TO INVOICE DATE F BOXES Discontinued: Item no longer available NC N'o Charge P Special Schein Free Goods M Manufacturer will ship Item directly to you 1308572 6/09/08 1'- Prescription Drug: Return Authorization Required R Refrigerated Item: May be shipped separately H I NTJMBER INVOICE Special Schein Pricing U Temporarily unavailable: please reorder 1145220- 1 5 61.0 0 1 OF 2 T Tazablc Item Continued on Next Page... WHSE DEA# Fed ID: 11-3136595 M n. IF YOU ARE 3ARTICIPATING IN A DISCOUNT PROGPAII (E.G. POINIS, GIFTS OR O 3PECIAL AWA DS ("DISCOUNT")), WITH THIS PURCHASE YOU HAVE EARNED A CREDI" TOWARD GOODS OR SERVICES, RECEIVABLE OR REDEEMABLE N ACCOZDANCE WITH DISCOUNT PROGRAM RULES. UPO4 DISCOUNT RECEIPT OR REDEMPTION, 'OU ARE RECEIIIING OR WILL R,CEIVE OTICE OF TIE DISCOUNT VALUE. FROM TIME TO TI E, MEDICARE, MEDICAID, TRI( OR DTHER PAYER MAY REQUEST INFORMATION REGARDING SUCH V LUE, PND UPON ANY SITCH :ZEQUEST, SU_ VALUE MUST BE DISCLOSED AS A DI COUNT GAINS U THE PURCHASES THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RE TH RECORDS. IF YOU IIAVE JSED A HENIZ SCHEIN ("HS") CREDIT CARD TO MAK THIS DURCHAEE, THEN ANY B NEFITS R U ROM P OF THOSE BENEFITS t IVEN 0 N !C H :A ES OF HS PRODUCTS WITH THE CARD IT EXCES, R NO URCHASES MUST ALSO BE TREATED AS DISCO AN E SIMILARLY DISCLOSED. MERCHANDISE TOTAL 561.00 INVOICE TOTAL 561.00 PLEASE PAY WITHIN THIRTY(3)) DAYS OF RECEIPT OF THIS NVOICE. 561.00 PLEASE NOTE NEW REMIT TO ADDRESS Please remi payments only to the following a3dress: HENRY SCHEI4 INC. DEPT CH 10211 PALATINE, 1, 60055-0241 BILL TO INVOICE# CUSTOMER PO# FTEff Mmvi KEY �K ITEM STATUS KEY 1308571 5960715-02 MARK HUIETT It liackordered: Item will follow SK School Kit 1) Discontinued: Item no longer available NC NoC SHIP TO INVOICE DATE OF BOXES F Special Schein Free Goods M Manufacturer will ship Item directl vou 1308572 6/09/08 11 Prescription Drug: Return Autho Required IZ Refrigerated Item: May be shipped separately FS1 NUMBER INVOT(`E TOTAL PAGE# Special Schein Pricing' U Temporarily unavailable: please reorder 114S220- 1 561.00 2 OF 2 T Taxable Item y.nier d I"n"ns: lI vVe make every effort to maintain prices for the duration of a Payment by CHECK or by the HENRY SCHEIN PLATINUM BUSINESS catalog, however, we reser e the right to make price adjustments in price changes CARD, VISA, MASTERCARD DISCOVER and AMERICAN EXPRESS response to manufacturers Guaranteed Satisfaction. visa or It you have tried a roduci and it IS detective or Goes not p erform r p p =1+ r our Order T c- our Open c, -,aunt sailSfaciOrlly, we provide a fedil, refund, or exchang it's your �nl^ ra, ri nrG n I I a c voice. Simply call our custorer service department within 3v day Avail o !i nse practition L, +h S. All in oices ar N payable ithin 30 nays. of receipt of the merchandise to arrange for the return. Fora ,,arrant'reaair or if you were sent something you did not order simply call: Rx Products Controlled Substances: Matrx Medical 1 -800 -845 -3550 Regulations require us to limit the sale of Rx and controlled substances only to registered, licensed healthcare Professionals. t you are a nel.- customer or have recently moved, please furnish us with a copy of your updated state registration. For controlled substances, furnish a coov of your DEEA certificate verifying your shipping address. Class it drugs can be orderer; only by mail. International Orders: Please Nate: `,'sje proudly serve heait!lC,are p''Oe55!ona1S and governments Opened handpieces and equipment may not be returned for throughout the world, To place orders or for inquiries on export credit but will be repaired or replaced in accordance with terms and conditions, please contact our International Department: manufacturer warranties, Before opening handpieces or 1-800-845-3550 equipment, o. suggest that you check the shipping container and packing l ist to verity that you have receives exactly what Prescription Drug Returns Instructions: you ordered.Opened Computer Software is not returnable. Other restrictions may also apply. A Return Authorization is Required for all prescription Drugs. Simply call our Customer Service Deparment @1 -800- 845 -3550. LP300 WHSE DEA# Fed ID: 11- 3136595 IN w 01 RIM WON'* UOTE DATED 05 -13 -08 JULIE BAKER 800-845-3530 X328 PPROVED ORDERED BY MARK HULETT 17 -571 -266 17- 571 -261 17- 428 -878 1 608 -2408 EA PDA STAT ADULT TRAINER 1 1 7407.64 7407.64 AIL 1-800-131-4310 SPECIA APPROVAL XTRA ITEMS APPROVED TO GO WITH PDA STAT 101- 00 P R GAI RE AS FOLL WS: (03 -26 -08 FOR THIS QUOTE ONLY TOMACH 145 QTY 1 UNGS 902 QTY 1 EMBRANE TA DE PP0283 QTY 1 YRINGE PPO 161 QTY 1 YRINGE PPO 105 QTY 1 JULI BAKER 1- 800 845 -3550 X328 LEASE CALL JULIE SHOULD YOU HAVE ANY QUESTIO S HANK YOU Il ADVANCE JB ULIE.BAKER HENRYSCHEIN.COM PRODUCT IS 3EING SHIPPED TO YOU DIRECTLY FROM THE FACT RER. 2 466 -6986 1 IV REPLACEMENT SKIN 1 0.00 0.00 PRODUCT IS BEING SHIPPED TO YOU DIRECTLY FROM THE FACT RER. F YOU ARE ARTICIPATING IN A DISCOUNT PROG (E.G. POIN S, GIFTS OR OTHER PECIAL AWARDS "DISCOUNT WITH THIS PURC SE YOU HAVE 1ARNED A CREDI TOWARD BILL TO INVOICE# CUSTOMER ITEM STATUS KEY REM KEY 1308571 5960715-04 MARK HUI ETT H nackordered: Item will follow SK School Kit D Discontinued: Item no longer available NC No Charge S HIP TO IYVOICE DATE OF BOX S P- Special Schein I Goods M Manufacturer will ship Item directly to you 1308572 6/13/08 P- Prescription Drug: Return Authorirution Required R Refrigerated Item: May be shipped separately HSI NUMBER INVOTCE TOTAL PAQE# Special Schein Pricing U Temporaril unavailable: please reorder 1145220- 1 7407.64 1 OF 2 T Taxable hem Continued on Next Page.......... WHSE DEA# Fed ID: 1 1- 31 36595 E GOODS OR SERVICES, RECEIVABLE OR REDEEMABLE N ACCO DANCE WITH DISCOUNT PROGRAM RULES. UPON DISCOUNT RECEIPT OR REDEMPTION, OU ARE RECEI ING OR WILL RECEIVE 1 7OTICE OF TIE 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 REQUEST, SU H VALUE MUST BE DISCLOSED AS A DI COUNT GAINSI THE PURCHASES THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RE AIN THESE RECORDS. IF YOU lusVE SED A HENRe SCHEIN "HS CREDIT CARD TO MAKI THIS URCHA E, THEN ANY BENEFITS FROM PURCHA ES OF HS PRODUCTS WITH THE CARD 14 EXCES3 OF THOSE BENEFITS GIVEN OR NON -HS URCHASES MUST ALSO BE TREATED AS DISCOJNT ANE SIMILARLY DI CLOSED. MERCHANDISE TOTAL 7407.64 INVOI E TOTAL 7407.64 PLEASE PAY WITHIN THIRTY(3 ll DAYS OF RECEIPT OF THIS NVOICE. 7407.64 LEASE NOTE NEW REMIT TO ADDRESS lease remi payments only to the following a dress: ENRY SCHEI4 INC. DEPT CH 10211 ALATINE, I 60055 -0241 BILL TO INVOICE# CUSTOMER PO4 ITEM STATUS KEY REM KEY 1308571 5960715-04 MARK HUI ETT 13 Backordered; Item will follow SK School Kit D Discontinued: Item no longer available NC -No Charge INVOIC SHIP TO DATE OF BOXES P- Special Schein Pree Goods M Manulacturer will ship Item directly to you 1308572 6/13/08 P- Prescription Drug: Return AuthoruAtlon Required R ReGigerated Item: May be shipped separately H I NUMBER S- Special Schein Pricing 1145220- 1 7407.64 2 OF 2 T -Ta able Ite n unavailaMe: please reorder Payr en Terms- We make every effort to maintain prices for he duration of a Payment by CHECK or by the HENRY SCHEIN PLAT1NUIV BUSINESS catalog, however, }Ne resente the right to make price adjustments in response to manufacturers pr,c changes CARD, VISA MASTERCARD, DISCOVER and AMERICAN EXPRESS r Bwneu N m x� V /SA Guaranteed Satisfaction:. or If you have tried a product and it is detective or does not perform i il! Your Order To Your Open A caunt satisfactorily, we will, provide a credit, refund, or exchange', it's your choice. Simply call our customer service department within 30 days Available licensed to licensed practitioners in th U.S. All invoices are of receipt of the merchandise to arrange for the return. Fora payable within 30 days. warranty repair or if you were sent something you did not order simply call: Rx Products Controlled Substances: Mi atrx Medical 1- 800 845 -3550 Regulations require us to limit the sale of Rx and controlled substances only to registered licensed healthcare professionals. It you are a new customer or have recently moved, please furnish us with a copy of your updated state registration. For controlled substances, furnish a copy of your D-A certificate verifying your shipping address. Class 11 drugs can be ordered only by mail. International Orders: Plea N ote: iAje proudly serve healthcare professionals and governments Opened handpieces and equipment may not be returned for throughout the world. To place orders or to inqu on export credit but will be repaired or replaced in accordance with and conditions, please contact our International Department: manufacturer warranties. Before opening handpieces or 1 -800- 845 -3550 equipment we suggest that you check the shipping container and packing list to verify that you have received exactly what Prescription Drug Returns Instructions: you ordered.Opened Computer Software is not returnable. Other restrictions may also apply. A Return Authorization is Required for all Prescription Drugs. Simply call our Customer Service Department @-800-845-3550. LP300 WHSE DEA# Fed ID: 11- 3136595 his order ias been processed by our NORTHEAS D.C. 41 WEAVE ROAD DENVER, A 1751.7 1 499 -0814 24 /CA INSTANT WINTER COLD PK OD 6 6 C 10.60 63.60 6 ASE GOOD I EM, MAY BE SHIPPED SEPARATELY. F YOU ARE ARTICIPATING IN A DISCOUNT PROG (E.G. POIN S, GIFTS OR 0 HER PECIAL AWA DS "DISCOUNT WITH THIS PURL SE YOU HAVE EARNED A CREDI TOWARD GOODS OR S RVICES, RECEIVABLE OR REDEEMABLE N ACCORDANCE WITH DISCOUNT PROGRAM RULES. UPO4 DISCOUNT RECEIPT OR REDEMPTION, IOU ARE RECEZ ING OR WILL RECEIVE OTICE OF T E DISCOUNT VALUE. FROM TIME TO TI E, MEDICARE, MEDICAID, TRI ARE OR THER PAYER REQUEST INFORMATION REGARDING SUCH V LUE, 'QD UPON ANY SUCH REQUEST, SU H VALUE MUST BE DISCLOSED AS A DISCOUNT AGAINSI THE PURCHASES THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RE AIN THESE RECORDS. IF YOU ]LAVE USED A HENRC SCHEIN "HS CREDIT CARD TO MAKE THIS PURCHASE, THEN ANY BENEFITS FROM PURCHA ES OF HS PRODUCTS WITH THE CARD IT EXCES3 OF T OSE BENEFITS GIVEN OR NON -HS URCHASES MUST ALSO BE TREATED AS DISCOJNT ANE SIMILARLY DI CLOSED. MERCHANDI E TOTAL 63.60 INVOI E TOTAL 63.60 PLEASE PAY WITHIN THIRTY(3 DAYS OF RECEIPT OF THIS NVOICE. 63.60 BILL INVOICE# CUSTOMER PO# ITEM STATUS KEY REM KEY 1308571 3336048-01 MARK HUE I TT B Backordered: Item will follow SK School Kit D Discontinued: Item no longer available NC No Charge IP TO INVOICE DATE OF BOXES P Special Schein Free Goods M Manufacturer will ship Item directly to you 1308572 6/03/08 6 P Prescription Drug: Return Authorisation Required R -Refrigerated Item: May he shipped separately H I NUMBER INVOICE TOTAL PAGE# Special Schein Pricing U Temporarily unavailable: please morder 1145220- 1 63 .60 1 OF 2 T- 'faxahle Item 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)) 5960715 -04 Adult Manikin $7,407.64 06/03/08 3336048 -01 EMS Supplies $63.60 06/09/08 5960715 -02 Addt'I Eqpt for New Manikin $561.00 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 VO'J:.HEZ NO. WARRANT N ALLOWED 20 Henry Schein IN SUM OF Dept Ch 10241 Palatine, IL 60055 $8,032.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 5960715 -04 102 670.07 $7,407.64 1 hereby certify that the attached invoice(s), or 1120 3336048 -01 102 390.11 $63.60_ bill(s) is (are) true and correct and that the 1120 5960715 -02 1 102 670.06 $561.00 materials or services itemized thereon for which charge is made were ordered and received except b c Title Cost distribution ledger classification if claim paid motor vehicle highway fund