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156844 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 00350398 Page 1 of 1 ONE CIVIC SQUARE TECH MED CARMEL, INDIANA 46032 5230 PARK EMERSON DRIVE CHECK AMOUNT: $252.25 INDIANAPOLIS IN 46203 CHECK NUMBER: 156844 CHECK DATE: 2/2112008 DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 102 '4467006 68012 252.25 EMS EQUIP ti TECH+MED WDUSTMES, L.P. TECH-o-MED INDUSTRIES, L.P. 6230 Park Emerson Dr. Suite C invoice Number: Indianapolis, IN 46203 Invoice Date: Jan 31, 2008 Page: ,www.pmrtechmed.com Voice: 1-317-783-6554 Fax1-317-783-6901 -.4-ft Carmel Fire Department, City of Carmel Fire Department, City of 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 0 Eg.. 317-571-2600 e-mall mark Met 30 Days m 0. 03 Hand Deliver 311108 -A .1-"� Fit) Ui* A 2.00 PE- 1 550 -DT "a. n 1550 Box Desert Tan' 236. 28 129362399034276384 1.00 104 Please ship this order UPS Ground. Standard delivery tracking #1 Z52E4710347821449 1.00 15-1 Shipping Handling 15.97 15.97 Subtotal 32964 252.25 Sales Tax 317-571-2615 Total fnvoiceAmount 252.25 PaymentCreditAppW 1. Back orders will be invoiced when shipped, if applicable. I 2. No Merchandise will be accepted for return without our authorization. Check Cm Overdue invoices are subject to keecharges. Prescrb d 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)) Total 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 NO. WARRANT NO. i ALLOWED 20 IN SUM OF c� ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. I 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 t Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund