205136 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 365929 Page 1 of 1
ONE CIVIC SQUARE AED BRANDS CHECK AMOUNT: $370.00
i• CARMEL, INDIANA 46032 3640 KENNESAW NORTH INDUSTRIAL PKW
o� STE A CHECK NUMBER: 205136
KENNESAW GA 30144
CHECK DATE: 115/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 19544 370.00 OTHER EXPENSES
y 'A E D Invoice
brands,
3640 Kennesaw North Industrial Pkwy Date Invoice
Suite A 12/19/2011 19544
Kennesaw, GA 30144
www.AEDbrands.com
Bill To Ship To
Accounts Payable Jeff Cooper
Carmel Utilities Wastewater Carmel WWTP
760 Third Ave. 9609 Hazel Dell Parkway
Suite 110 Indianapolis, IN 46280
Carmel, IN 46032
P.O. Number Order Number Terms Due Date Rep
Net 30 1/18/2012 SP
Quantity Item Code Description Price Each Amount
2 00185 -3 Welch Allyn Adult Pads Leads In 45.00 90.00T
2 00185 -2 Welch Allyn AED 10 Battery 140.00 280.00T
FREE SHIPPING FREE SHIPPING 0.00 O.00T
FedEx Package 1 Tracking 688725015069034
Out -of -state sale, exempt from sales tax 0.00% 0.00
Total $370.00
Thank you for your business. Phone Fax
Please remit to above address. Balance Due $370.00
800 580 -1375 770 429 -3882
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
365929
AED BRANDS Purchase Order No.
3640 KENNESAW NORTH INDUSTRIAL PKWY Terms
STE A Due Date 12/30/2011
KENNESAW, GA 30144
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201' 19544 $370.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER 116530 WARRANT ALLOWED
365929 IN SUM OF
AED BRANDS
3640 KENNESAW NORTH INDUSTRIAL
STE A
KENNESAW, GA 30144
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
19544 01- 7202 -05 $370.00
r
Voucher Total $370.00
Cost distribution ledger classification if
claim paid under vehicle highway fund