HomeMy WebLinkAbout159081 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00351 580 Page 1 of 1
ti ONE CIVIC SQUARE STRYKER MEDICAL
GHEGK AMOUNT: $105,45
CARMEL, INDIANA 46032 6300 SPRINKLE ROAD
KALAMAZOO MI 49001 -9799 CHECK NUMBER: 159081
CHECK DATE: 413012008
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCR
102 4467006 411676M 105.45 EMS EQUIP
i V.01 C E st pyker
SHbP TO 106638 MAKE PAYMENT. TO
CARMEL FIRE EMS
2 CARMEL CIVIC SQUARE STRYKER SALES CORPORATION
P.O. BOX 93308
ATTN: MARK
MARK 317- 571 -2663 CHICAGO, IL 60673 -3308 CONTACT
r
1066'238 The price shown on this invoice is net of discounts provided at the tune STRYKER MEDICAL
of purchase. Some of the products listed on this invoice may be subject to
CARMEL FIRE EMS rebates or additional discounts, for which documentation is provided by 3800 E. Centre Ave.
2 CARMEL CIVIC SQUARE Stryker. You must properly report and appropriately reflect discounts and Portage, MI 49002
rebates in Medicare/Medicaid cost reports and all claims for payment phone Number: (8001 327 0770
CARMEL IN 46032 filed with third party payors as required by law or contract, and provide
agents of the United States or a state agency with access to all infor Fax Number: (800) 329 7879
mation from Styker concerning discounts and rebates upon request. www.stryker.com
VISA AND MASTERCARD ACCEPTED
INVOICE NU BE DATA cUSTOM1 =�iP o s DES RE oR0M.NuMk AGE
411676 M 04/11/08 MARK WARD, NATALIE A 1376161 SO 1 of 1
TERMS SWPPING.'METH0D
Net 30
FED EX GROUND
SHIPPING.INS:TRUCTIONS
LINE: EXTEN ED D
NO DESC.RIPTICIN: ITEM Sft1AL QUANTITY
UNIT PRICE
NUMBER NUMBER SFi1PPED
PRICE
1.000 POLYPROPLN RESTRAINT STRAP SET 62500010185 2 51.0000 102,00
2.000 SHIPPING AND HANDLING 1 3.4500 3.45
i
CLAIMS FOR SHORT SHIPMENT MUST BE MADE WITHIN 30 DAYS GUARENOY SUBTOTAL SALES TAX TQTA4'
OF RECEIPT. NO MERCHANDISE MAY BE RETURNED TO STRYKER
FOR CREDIT WITHOUT OUR EXPRESS PERMISSION IN ADVANCE.
USD 105.45 105.45
FINANCE CHARGE OF 1 112% (ANNUAL PERCENTAGE RATE IS 18 IS ADDED TO ALL PAST DUE ACCOUNTS.
Lease payment plans are available. If interested, please contact AIR immediately to start the application process. 04/11/2008 21:16:13
0
Service Parts
Service parts are sold by Stryker with the understanding that there is no warranty,
expressed or implied, for merchantability or fitness for use. Further, these parts
are provided with the understanding that they will be installed by trained and
qualified technicians possessing appropriate service and test equipment, the
completed maintenance or service will be properly inspected, and the repaired
product will be tested for performance.
Service Warranty
Stryker assumes no warranty or liability for the maintenance work performed by
non Stryker certified technicians.
Reporting Discounts
The price shown on this invoice is net of discounts provided at the time of
purchase. Some of the products listed on this invoice may be subject to additional
discounts, for which separate documentation is provided by Stryker. You may
have an obligation to report discounts to Medicare, Medicaid, and other state or
federal health care programs and third party payers as required by law or contract.
Reporting Damages or Shortages
Claims for shortages or damages must be filed within 30 days from invoice date.
In -full Payment
Stryker maintains a purchase money security interest in the product until such
time as the product is paid in full.
Equal Opportunity
Stryker is an equal opportunity /affirmative action employer and considers
applicants for employment without regard to race, sex, color, religion, national
origin, age, marital or veteran's status, the presence of a disability (which, with or
without accommodation, is unrelated to the applicant's ability to perform the
essential job functions), handicap, or any other legally protected status.
i
Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 199 5)
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))
04/11/08 411676M Restraint Straps $105.45
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
Stryker Medical
IN SUM OF
P.O. Box 93308
Chicago, IL 60673
$105.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
411676M 102 670.06 $105.45 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
U
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund