159979 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 242000 Page 1 of 1
ONE CIVIC SQUARE MEDTRONIC PHYSIO CONTROL CORP CHECK AMOUNT: $1,697.87
CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE
w CHICAGO IL 60693 CHECK NUMBER: 159979
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 PH388405 1,038.00 EMS EQUIP
102 4467006 PH389335 659.87 EMS EQUIP
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DATE SHIPPED PURCHASE ORDER NUMBER SALES /SERVICE REPRESENTATIVE
05/08/08112549 C EALL71 campbj10 003120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
GRD -NC S2566901 -00 lNet 30 Days
I E t1# eta: 1##RA 4• ,5<, ail# 4IOtt�.::::::::::::::::::::::::::::: ::.:::::::::::::�7'.�:b#i13:::.
1'43400 021051 LP12 UPGRADE ORDER 1 EA 1 0� 649.00 519.00:'
Discountl 130.00-
Upgrade for Unit S N: 36266689
S IN: 1 36266689
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2.;43400- 021052 ,LP12 UPGRADE :ORDER 1 EA 1 0 t 649.00 519.00 :E:
Discount) 130.00-
1 Upgrade for Unit S N: 36266 91
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S IN: 36266691
Contact: MARKS HULETT 1
Phone: 317 -15 2660
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Sub Total 1038.00
BT:_UPGRADE.,FnR ORDER S2545211:_2- 22- 08_JAC...
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1038.00
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visa
ACCEPTED
NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.
Unless otherwise indicated in this document, delivery shall be FOB Physic point of shipment and the Purchaser at Mat
point, Partial deliveiies may be Made and paitial invoices shall be permitted and shall becorne due in accordance with tne payment terms, In the
absence of sl ipping instriuctions frorn the Purchaser. Physic will obtain transportation on the Purchaser's behalf and for the Purchaser's account. 0
Excess charges for expedited delivelily are the responsibility of the Purchaser unless specifically by Physio. ARRANGEMENT FOR INSURANCE
OF MERCHANDISE 13 THE RESPONSIBILITY OF THE PURCHASER.
a Delay
Delivery dates are approximate, Physic, will riot be liable for any loss or darnage of any kind due to delays in delivery or non-delivery resulting from any
causom�onu its mascnomeoomw|.im:|uming but not mnited to, acts m Clod, labor disputes, the mquien,nntso( any govemmemu| aut war, civil
unrest, delays in manufacture, obtaining any required license o,p
onn//.andPsioinaui|dyoznmm
obtain goods msUsual anunms. Any nuoxdo�yshao
ncvbe considered ab�aoocxPxyv/u and mepu�»osn,'aaq"eemvn/and the delivery dates shall uo extended for the |engmo/ such delay
8. inspection and Accep
Claims by the Purchaser for darmage in or shortages of goods delivered shall be made within thirty f30) days after shipment by providing Phyoio with
wi itten notice of any deficiency. In the absence Of SLAch notice, PhysioWil deern products and seivices accepted by Purchaser. Payment iunot
contingent upon /mmadimacoirection of any deficiencies and Physio prior approval is required before tile return of any goods to Physic.
7� Warranty
Physiomonamm its products m accor with Wotc.�nnscf the standard Phyxioproduct warranty oppkatbiew the product u`ho supplied, and Tile
remedies provided under Such warranty shall uemePurc»asvr;no|eondexc!uuivemmeu|ea.Toewanam'eapet/unomommareuoomuu:eguponme
prop�r rise and n-taintenanco and conforniance any applicable recommendations of Physic, and Upon Purchaser promptly notifying Physic ofany
defecls.Poysin makes nomxa,=nn implied,
FOR Ap^�T|CULAn PURPOSE AND |mwO EVENT SHALL PHYSmBsuxoLE FOR INCIDENTAL, COmSBQuEwT|AL. SPECIAL OR0T*sn
DAMAGES,
mnn4mandmySemico
N(ari-Wairanty service is available by contacting a district office or the headquarters of P�vsjo. All risk ni loss, damage, freight and other costs io,
shipment ,o and imm [he point of repair :hanbe the responsibility ofmuPurchaser,
9. Patent Indemnity
Upnn�:n�x�pmmpt notice tron thoPuohnoet and o, the Purchaser's ouVmmyand assistance, Physm agrees oodrf ingemoJy and hold, mv
Pu/d'ase. harmless against any r!nm thio, the Physiounmu;s covered bym/s(Jonumen/ direc infringe any duly issued United States o/Ame/ica
patent,
10. Third Party Liability
Physio shall not ho|able for and Pvrchnne, shall hold Phy johannleoshomany!iaoi|otyouvtainedinfavo/cf third parties arising from or during
Purchaser's pos use u,aa|oc/pnys/ooqu/pment. except to the Pxtent that such liability arises solely froin Physio's negligence. Phvsio ,hall riot
be h,ible for and Purt shall holo PI ivsio hairifless from any liability fiat consequential damages sustained by Putchaset including those arising from
mmeswedby lost profi under /|s cot `o acts with Lthirdparties.
/t Miscellaneous
a) T:epurchnoer agrees tha products p hele under wil 1 not be reshipped or reso to any -ollsons ot placestarrihibited by the 'a of tile
United States o/ Air, elea,
W rorouVh the poc0000cfPhyoio Products, tile Purchaser does not wxjw^o any interest io any tooling, dowxnUo, design information, computer
piog palonts or copyrighted ornn:hdonia/infonnahon'e!iamdmsaidpmd:ommmthePumms,;e'axpmselyagreoywmtonevnme
.mg':eo,nrdo:vmpi|n such pmd:cuore|o�d�nMrm� -and iofonnxUnn.
px�smoxoxxovv��ngh�moancn|u,o��p�ndx.����'eon���arvbmnuponP:/c�ase'ma:inqnnm�igvme��,meban��6c�u^omo,
l0ecnmingoonkropto/in solve n,.nrvpooupekuonbningi8edinuvo^nof:wnpo1 eot ju,iwgimwnpmpnningIheuppoiotmo^,n|a'ece/m/ /hat
Puicl-aset is ad':udicaled bankruPt or insolven o r reorganized unmir Tie piovisicns f-A any applicable oankiliptcy or insolve law
mpgUhionmmex0�o and �meUioomnc/xodxc,n/n. Physic u�a|| have aU�h;/ig!�waom/omeuienux`�mrc�by/u�andoi,a||no�h:'nqo/roum
proceed vvim performance of the contract arising horefrom it Purcha is in d(afaiilt it) Physio und this or any conunu
Tnexghmanuvb|ig�ionoofP|� u�h Pvnr�me,m|x�um the purchase and safe cxprxk/un',nd,uwicesdwsnuouin this document shall
ue governed by the laws o/thv State o/ Washington, United States cfAmerica All costs and nxpomoo/novnedhyFit vs related montomenantcx
:i ,i8hts under this document, incluoing reasonabie attomey's fees, shall be teimbursed by 'he Pu!&,asei�
DATE SHIPPED URCHASE ORDER NUMBER SALES /SE CE REPRESENTATIVE
05/07/08 12544 CEKKPI EALL71 003120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
GRD C0112536 -00 Net 30 Days
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...........................b GAI#?k1 E............... #.Y.O#�1 t�.....�t.V $uHP.....Q .Y.. JCI..�fil .................1 CF..1 t1 E..:::.1t
ANNUAL 459.40
(FOR MAINTENANCE
AGREEMENT: PB09PB29
PERIOD: 11/01/07
10/31/08
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Sub Total 459.40
Contact Mark Hulett
Phone 317 57.1 -12663
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Fax:: 317- 571 7
Terms
I 10,% DISCOUNT ON .'ACCESSORIES
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11
o DISCOUNT
5:ON DEFIB ELECTRODES
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DISCOUNT ON LP12 UPGRADES
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459.40
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ACCEPTED
NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.
DATE SHIPPED PURCHASE ORDER NUMBER SALES /SERVICE REPRESENTATIVE. <;Y??Ii?(AH3:22':
05/09/08 Mark CEKKPI EALL71 mfgbatch 003120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
-GRD 0342446429 CNT -1^ S2603657 -00 i.Net _3 0- -DayS-
j:LfE W1i :t �Vi :i '7•' ::::r::; .::i is :i:::::::::
b.::.. ti..
1 1 11110- 0.00103:_ 12 -lead ECG Tatient„ 2 EA 2 0 100. 00 180.: 00 E...
cable. 6 -wire pre- cordial Discount 10.00-
lead attachment.
L /C: 5353290401 2
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j Sub Total 180.00
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Freight and Handling 20.47 a
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Mark A. Hulett 317 -571 -2663 200.47
Site: 20
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ACCEPTED
NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.
VOUCHER NO. WARRAN NO.
ALLOWED 20
Medtronic
IN SUM OF
12100 Collections Center Drive
Chicago, IL 60693
$1,69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 PH388405 102 670.06 $1,038.00 1 hereby certify that the attached invoice(s), or
1120 PH389335 102 670.06 $459.40 bill(s) is (are) true and correct and that the
1120 PH389335 102 670.06 $200.47
materials or services itemized thereon for
which charge is made were ordered and
received except
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/08/08 PH388405 EMS Supplies $1,038.00
05/09/08 PH389335 EMS Supplies $459.40
05/09/08 PH389335 EMS Supplies $200.47
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
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Clerk- Treasurer