160528 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 242000 Page 1 of 1
ONE CIVIC SQUARE PHYSIO CONTROL CORP
I O 12100 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $444.26
CARMEL, INDIANA 46032
CHICAGO 60693 CHECK NUMBER: 160528
>o+
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMB AMOUNT DE
102 4467006 PH394660 444.26 EMS EQUIP
I
DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE
T�"EJl7(:FfBEE•`•. ff�E7(ffIYtIPF
05/2 108 Mark 6KKP1 EALL71 mfgbatch 003120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
GRD 0342855086 CNT 1 S2608415 -00 Net 30 Days
#�1s19f� {fit::::::: ?is::::::::r':: 1..:
QA4:::. X i.� b##1 .:::.1 l 1 F11?. t0.:::::...1 EE f..P.RIC J 1 4
11 11996- 000017 !!'QUIK- COMBO w /REDI PAK 12. >EA 12 0 >;1 42.00 421.80 E i
(Electrodes Discount 6.85- j
I
L /C: 808118 Expires: 10/28/10 2 j
Sub Total 421.80
Frei ht and Handling, 22.46
�THI PRODUCT IS SUBJECT TO'A CONSENT DECREE OF PE. ENT
INJ ION FFI LED: IN UNITED STATES V. MEDTR NIC, :INC. AND
LP-H k—a YSIO- CONTROL, INC., ET AL., CIV. NO C08 -0 4!9 (W; WASH. :2008)
bbi� THE TERMS O THE CONSENT 'DECREE, THE ALE O D STRIB ITION
OF THIS.PRODUCT IS AUTHORIZED I LIMITEDCI CUMST C S!TO MEET
THE SPECIFIC` AND IMMEDIATE
OF!PARTICU AR IN IVDUALS (AND
ORG IZATION..S.. THE RESTRICTIONS ONTHE SAL' `OR DIST IBUTI..
OF TH PRODUC T WLL I BE REMOVED. WHEN PH IO L
Y CONTR:,INC
IS S
SATISFIED FDA THAT ITS FACILTTI :ES,: PROCESSES,' ,::AND:. !ONTROLS i
�ZELATED TO THE MANUFACTURE' AND QUALITY OF T E PRO C ARE I
CONFORMITY WITH THE QUALITY SYSTEM. REGULATI N, 21 C. R. 'PART 820
I D TITHE TERMS OF CONSENT DECREE III
I
a
I
Mark A. Hulett, 317 -571 -2600 444.26
Site: 20
O R I G I N A L
V
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 docurnent, delivery shall be FOB Physio point of shipment and title and risk of loss sha pass to the Purchaser at that
point. Partial deliveries may be made and partial invoices shall be permitted arid shall be dUe in accordance with the payment lannvmthe
absence m shipping instructions from the Purchaser, Physio vwn obtain transportation onmopurcomparxbexa|funum,maPurchaao/000voun/.
Excess charges for expedited delivety are the responsibility of the Purchaser Unless specifically waived by Physic. ARRANGEMENT FOR INSURANCE
OF MERCHANDISE |S THE RESPONSIBILITY Op THE PURCHASER.
o. Delays
Delivery dales are pnmx will riot be liable for any loss or damage of any kind due to delays in delivery eny
Civil
Unrest, delays in manufacture, obtaining any required license m permit, and physm inability m obtain goods from its usual sources. Any Such delay sha
not be considered a breach of Physio and the Purchaser's agreement and the delivery dates shall be extended for the length Oxuuondelay.
s Inspection and Acceptance
C P wo x cx delivered mimouymo um�aoo, amagemo,o shortages yoousuonvv shall uo made within thirty (3c) days after shipment uy providing Physic with
wiitten notice of any deficiency. In the absence Of Such notice, Physio will deern products and services accepted by Purchaser. Payment is not
contingent upon immediate correction of any deficiencies and Physio piior approval is required before the return of any goods to Physic.
r� Warranty
Phya|c warrants its p/nuou� with te,moo|/he standard phyaiopm m
product warranty m the
uotouosupp:ed.w`umo
remedies Pmviuemunue,svr: warranty shall uemePvrcxnsornou|eandexr|usi*urammuieo.Tne,emandesxetozrtomoemax,munmtmnyduponmo
proper LlSe and maintenance and conformance with any applicable recommendations of Physio and upon Purchaser promptly notifying Physic of any
defects, Physio makes no other war express or implied, including, without limitation, NO WARRANTY OF MERCHANTABILITY OR FITNESS
FOR A PARTICULAR PURPOSE AND IN NO EVENT SHALL PHYSIO BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL OR OTHER
DAMAGES.
8. Non-Warranty Service
Non-Waf ranty service is available by contacting a district office or the headquarters of Physio, All risk of loss, damage, freight and other costs for
xhipmen/m and homthe point n/ repair shall bo the responsibility of the Purchaser,
e. Patent Indemnity
Upon Y.acceiipt of prompt notice from the PLlichase and with the Purchaser's authority and assistance Physic agrees to defend, inder arid hold the
Purchaser harmless against any claim that the Physic products covered by this dOCUment directly infringe any duly issued United States of Anneiica
patent.
10. Third Party Liability
Physic shall not be liable for and Purchaser shall hold Poy io harmless frorn any liability xuvminedmfavo cx third parties arising from muunnV
Purchaser's possession., use or sale of Physio equipment except to the extent that Such liability arises solely frorn Physic's negligence. Physio shall riot
be liable for arid Purchaser shall hold Physio harmless from any liability forconsequential daniages sustained' by Purdiaser including lhose arising from
o, measured by lost profits under its contracts with third parties.
11. Miscellaneous
a), The Purchaser agrees tha products purchased hereunderwili not be reshipped or resold 10 any persons of places prohibited by the laws of the
United States cfA/ne,cu.
Through the punhaSoofPhySiOpmdootS, the Pvohane does riot ocquireany in any tooling, draw design inf computer
pmgmmmm. patents o,00pyr|ghtedo, confidential information related m said pmdun� and �oPumxaso'oxp�so/y agrees ommnaveme
engineer ordoomnpi|o Such products or related mft
�a,aandinh»nna�n.
c'i Physio shall have the right to cancel o r C j ispend this Agmemont at any time upon Pulchaset making an assignment for the benefit of crcclitors ot
becoming bankrupt ot :insolvent, or upon a pelition being filed in a court ofcoinpetent jurisdiction proposing the appointment Ofo receiver n,that
Purchasei is adjudicated bankrupt or insolvent or reorganized under the p?ovisions of any applicable bankruptcy nr insolvency law.
U) )nsddi8nn1nthe,igh'oand,emoUioorooemoVherein.PhyoiosxaX|nmaaUIhahghmaxui emeuimnnmifenedby law arid shall riot 0o required to
proceod wit performance of the contract aising herefrorn it Purchaser is in default to Physio undomisoranyuootraot
o/ The rights and obligations ofPhysic, and th Purchaser related to the purchase an(,' safe Of prodUCtS rid se.ivices described in this docurnent shall
be governed by the laws of the State of Washington, United States of America. All costs and cxponses incurted by Physio ielated to entolccrm-, Of
rights under this document, incli idirig i easonable attoiney's fees, shall be reimbursed by the Purchase!.
�zorp^vs/o' Control, mo'e«wo/uno/Memmx/o. MIN 32mm/y'oo1/CAruosoo-oozme
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))
05/21/08 PH394660 EMS Eqpt. $444.26
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 N WARRANT NO.
ALLOWED 20
°Physio Control
IN SUM OF
12100 Collections Center Drive
Chicago, IL 60693
$444.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 PH394660 102 670.06 $444.26 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
d
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund