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160793 06/25/2008 CITY OF CARMEN., INDIANA VENDOR: 056600 Page 1 of 1 0 ONE CIVIC SQUARE CHANNING L BETE CO, INC CHECK AMOUNT: $1,016.50 a CARMEL, INDIANA 46032 PO BOX 84-5897 BOSTON MA 02284 -5897 CHECK NUMBER: 160793 CHECK DATE: 6/25/2008 DEPAR ACC PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION �T 1120 4357001 51924359RI 1,016.50 INTERNAL TRAINING FEE n u anning One Community Place INVOICE DATE INVOICE NO, PAGE South Deerfield, MA 01373 -0200 Bete -800- 322 -3564 1- 413 -685 -7611 06/04/08 51824359 RI 1 CO M P A N Y® custsvos@channing-bete.com 11 1 Mark A. Hulett ORIGINAL INVOICE SHIP TO EMS Division Chief CUSTOMER PURCHASE ORDER NO. Carmel Fire Department 2 Civic Square Mark Carmel IN 46032 SHIP DATE TERMS 06/04/08 Net 30 Days Mark A. Hulett Customer: 11610948 SOLDTO EMS Division Chief OrderNbr: 12473381 SO Carmel Fire Department 2 Civic Square MESSE_P Carmel IN 46032 QUANTITY DESCRIPTION ITEM NO. UNIT PRICE EXTENSION 4 BLS INSTRCTR 3 CD STR -LAM 24/ 70 -2916 30.000 120.00 4 PALS INST 3 CD STRIPS -LAM 24/ 70 -2919 66.000 264.00 4 ACLS INST 3 CD STRIPS -LAM 24/ 70 -2921 66.000 264.00 6 HEARTSAVER CPR CRS CD 3 CD SH 80-- 1204 30.000 180.00 6 BLS HCP 3 CD STRIPS -LAM 24 /PK 70 -2915 30.000 180.00 1 SHIPPING HANDLING CHARGE 904905 8.500 8.50 Channing Bete Company is an authorized distributor of American Heart Assoc products Subtotal 1,016.50 Sales Tax .00 Total Amount Due 1,016.50 VOUCHER NO. WARRANT NO. ALLOWED 20 Channing Bete Company IN SUM OF P.O. Box 84 -5897 Boston, MA 02284 -5897 $1,016.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #friTLE AMOUNT Board Members 1120 51824359RI 43- 570.01 $1,016.50 1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except a Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City. No. 201 (Re 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)) 06/04/08 51824359131 Supplies for CTC $1,016.50 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