HomeMy WebLinkAbout155821 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 360705 Page 1 of 1
ONE CIVIC SQUARE MASIMO AMERICAS, INC CHECK AMOUNT: $15,006.00
CARMEL, INDIANA 46032. Po Box 51210
LAS ANGELES CA 90051 -5510 CHECK NUMBER: 155821
CHECK DATE: 1/23/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.102 4467099 12548 263309 15,006.00 OXIMETER
i
I
j Alasimo Americas, Inc. INVOICE
e
Remit to address:
PO Box 51210 Date Number Type Page
IA51mu Los Angeles, CA. 90051 -5510 1/8/2008 263309 SO INVOICE 1
(949)297 -7000
Customer PO MARK Currency Code:
SOLD TO
Carmel Fire Dept. CA114 -0$ Sales Order ID: 490480
2 Civic Square Confirm To: PAM MULLINS
Carmel, IN 46032 Attention: Mark Hulett
Reference: EMS Sales Rep: PAM
Region: US EAS Order Class: N Order Entry: MEM
BILL TO
Carmel Fire Dept. CA114 -0$ Bill To Phone: 317- 571 -2663
2 Civic Square Bill To Fax: 317 -571 -2615
Carmel, IN 46032 Resale Number:
Ship Via: FED EX GROUND
FOB: SHIPPING POINT
Freight Terms: NO CHARGE
Terms: NET 30 DAYS
LINE DESCRIPTION U/M ORDER QUANTITY UNIT PRICE DISC
PART ID CUSTOMER PART ID SHIP DATE SHIPPED QUANTITY EXTENSION TAX
1 Rad -57c Handheld, Masimo EA 4.0000 3,750.00
2050 1/8/2008 4.0000 15,000.00 R
2 CARRYING CASE, RAD -57, RED EA 4.0000 0.00
2208 1/8/2008 4.0000 0.00 R
PRICING FOR LINE ITEM #2 HAS BEEN ADDED TO LINE ITEM #1
3 FREIGHT CHARGED EA 1.0000 6.00
FREIGHT 1/8/2008 1.0000 6.00 R
INVOICE SUBTOTAL DISC DISC AMT TAX AMT VAT AMT FREIGHT AMT INVOICE TOTAL
15,006.00 0.00 USD 15,006.00
CUSTOMER
I N
1
Presc'Y'61d by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
o-
r
a
Total
1 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 NO. WARRANT NO.
ALLOWED 20
\CaL���� �'�����5 S- IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
204tzz,�
i6natur��
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund