HomeMy WebLinkAbout202774 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 364769 Page 1 of 1
ONE CIVIC SQUARE STRYKER SALES CORP
CARMEL, INDIANA 46032 PO BOX 93308 CHECK AMOUNT: $694.46
CHICAGO IL 60673 -3308
CHECK NUMBER: 202774
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 873548M 694.46 EMS EQUIP
INVOICE
SHIP TO: 1066238 MAKE PAYMENT TO:
2 CARMEL CIVIC SQUARE
CARMEL FIRE EMS
STRYKER SALES CORPORATION
P.O. BOX 93308
CHIEF BOB VANVOORST 317.664.0958
CHICAGO, IL 60673 -3308
CARMEL IN 46032
BILL TO: 1066238 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 STRYKER MEDICAL
CARMEL FIRE EMS rebates or additional discounts, for which documentation is provided by 3800 E. Centre Ave.
Stryker. You must properly report and appropriately reflect discounts and
2 CARMEL CIVIC SQUARE rebates in Medicare /Medicaid cost reports and all claims for payment Portage, MI 49002
CARMEL IN 46032 filed with third party payors as required by law or contract, and provide Phone Number: (800) 669 -4968
agents of the United States or a state agency with access to all infor-
mation from Styker concerning discounts and rebates upon request Fax Number: (866) 551 -2618
www.stryker.com
VISA AND MASTERCARD ACCEPTED
jINVOICE NUMBER PATE CUSTOMER i O g st ORDER NUMBER 1',,fi� PAGE
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873548M 04/04111 A40 WARD, NATALIE A 1903473 SO 1 of 1
,TERMS AN 22 SHIf?PING INETHOD
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�E �I r DESCRIPTION r ITEM QUANTITY UNIT PRICE r
NO r r xa��; �PRIGE
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IPPED r ss,
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1.000 INSTRUMENTS KIT, CHARGER 6500201000 1 563.4800 563.48
2.000 12V CABLE, STANDARD 65002011475 1 26.3500 26.35
3.000 IN- AMBULANCE SHUTOFF ASSY 6500DOIO27S 1 97.7500 97.75
4,000 GENERAL FREIGHT 5555522000 1 6.8800 5.88
CLAIMS FOR SHORT SHIPMENT MUST BE MADE WITHIN 30 DAYS CUR ER NCY s
SUBTOTAL SALESTAX TOTAL
OF RECEIPT. NO MERCHANDISE MAY BE RETURNED TO STRYKER r a r a, "�3�
FOR CREDIT WITHOUT OUR EXPRESS PERMISSION IN ADVANCE.
USD 694.46 694.46
Subject to applicable shipping and handling charges
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. 04fo412011 21:42:29
VOUCHER NO. WARRANT NO.
ALLOWED 20
Stryker Medical
IN SUM OF
P.O. Box 93308
Chicago, IL 60673
$694.49"
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 873548M 1 102 670.06 I $694.48 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
OCT 10 2011
�o f
k 7 sd i
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
873548M $694.49
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