168659 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 242000 Page 1 of 1
ONE CIVIC SQUARE PHYSIO CONTROL CORP
CARMEL, INDIANA 46032 12100 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $612.97
CHICAGO IL 60693
CHECK NUMBER: 168659
CHECK DATE: 2/4/2009
DEP ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
102 4239011 PH516815 612.97 SPECIAL DEPT SUPPLIES
,'y
101/09/09 Mark CSPPPI EALL71 qxi
00 3120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
WSGRD 0341425604 CNT 1 52716302 -00 Net 30 Days
.T'tl�.
111996- 000093: Pedilatric EDGE System RTS 20 EA 20 0 37.0;0 588.`97 E
electrodes with Discounts 7.55
QUIK -COMBO connector INTL j
L /C: 1827728 Expires: 03/2$/10 20
I
Contact: MARK, HULETT
%Phone: 317 -1571 -2663
j Sub Total! 588.97
Freight and Handling 24.00
I
THIS PRODUCT IS:,: SUBJECT TO A CONSENT DECREE OF PE IENT I N JUNCTION, FILED
IN UNITED STATES V. MEDTRONIC, INC. AND 'PHY IO -CO TR L, INC., ET AL.,
1CIV1 NO C08- 0649(W.D. WASH. 2x008). UNDER HE :TERMS OF THE CONSENT DECREE
THEISALE ORDISTRIBUTION OF THIS 'PRODUCT IS AUTHO IZ D IN LIMITED
CIRCUMSTANCES TO:MEET THE :SPECIFIC AND IMME IATE EELS OF RTICULAR
IINDIUIDUALS AND ORGANIZATIONS. THE RESTRIC IONS HE SALE OR DISTRIBUTIiON
DF iHJS PRODUCT WELL BE RE14OVEL WHEN PHYS10 C0 zT?R. L, INC. S SATISF= FDA.
THAT
ITS:: FACILITIES, METHODS, PROCESSES, AN I CONY OL RELA11ED TOi THE
MANUFACTURE AND °UALITY THE PRODUCT ARE _N C0N�ORt�1ITY wIl$ THE U �LITY
iSYSTEM'REGULATION, 21 C.F..R. PART 820 AND THE TER ,S: F THE CONSENT DECREE:;
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612.97
Site: 20
O R I G I N A L
visa
ACCEPTED
NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.
point. Partial deliveries may be made and partial invoices shall be permitted and shall become due in accordance with the payment term In the
r mce of shipping instructions from the Purchaser, Physio ;.ill obtain transportation on the Purchasers behalf and for the Purchaser's account.
Excess charges for expedited deliver are the responsibility of the Purchaser unless specifically waived by Physio. ARRANGEMENT FOR INSURANCE
OF MERCHANDISE IS THE RESPONSIBILITY OF THE PURCHASER.
5. Delays
Delivery dales are apprexi €irate. Physio will not be liable for any loss or clarnage of any kind due to delays in delivery or non- delivery resulting from any
cause beyond its reasonable control, including but not. lin;ited to, arts of Cod, labor disputes the requirements of any governmental authority, :war, civil
unrest, delays in manufacture, obtaining any required license or permit, and Physio inability to obtain goods from its usual sources. Any such delay shr3il
not be considered a breach of Physio and the Purchaser's agreement and the delivery elates shall be extended for the length of sr €ch delay.
8. Inspection and Acceptance
Claims by the Purchaser for clan; =age to or shortages of goods delivered shall be made within thirty (30) days after shipment by providing Physio
~mitten notice of any deficiency. In the absence of such notice, Physio will deem products and services accepted by Purchaser. Payment is not
contingent upon irnrnediate correction of any deficiencies and Physio prior approval is required before the return Of any goods to Physio.
7. Warranty
Physio .'vaifants its products in accordance with the t r:rrris of the standard Physio product ti'rarr:anty applicable to the product to be supplied, and tf,e
rc' t,
r c! e5 provided r.mraer such warranty shall be the Purchaser's sole and exclusive remedies. Tl e warranties see ;orth therein are conditioned upon tl;e
proper use and maintenance and conformance with any applicable recormnendations of Physic and upon Purchaser promptly notifying Physio of any
defects. Physio makes no other warranties, express or implied, including, without limitation. NO WARRANTY OF MERCHANTABILITY OR FITNESS
FOR A PARTICULAR PURPOSE AND IN NO EVENT SHALL PHYSIO BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL Of i 01 HER
DAMAG=ES.
Non Warranty Service
Nora- taliaira; ity service is available by contacting a district office or the headquarters of Physio. All risk of loss, darnage, freight and othei costs fo€
shipment to and from the point of repair z hall be tyre responsibility of the Purchaser.
9. Patent Indemnity
1.) pon recelnt of prompt notice from the P rchasei and ir•.'ith the. Purchaser's authority and assistance. Physio agrees to defend, indemnify an:! hoid the
Pu €chaser harmless against any claim that the Physio products covered by this document directly infringe any duly issued United States of America
patent.
10. "T"hird Party Liability
Physio shall not be liable for and Purchaser shall hold Physio harmless from any liability sustained in favor of third parties, arising from or during
Purchaser's possession, use or sale of Physio equipment except try the extent that such liability arises solely fiom Physic's negligence. Physio shall not
be liable for and Purchaser shall hold Physio harmless ,`rorn any liability for consequential darnages sustainer; by Purchaser including tho:,e arising from
r measured by lost profits under I ls contacts ,;-ith third parties.
11. rAiscellaneous
a) The Purchaser agrees that products purchased hereunder will not be reshipped or resold to any persons or places prohibited by the taws of the
United States of Arnericea.
b) Through the purchase Of PhysiQ urc}ducts, tile Prnchasr r does not acquire any inte!est in any tooling, diawings, design information, computer
Enid' =:ir:t. sw 'ghtad i,,r t�F r informat r ;.,t£;d O c.id ,�r l}Cl iai, l,;d E? Pu, ark,a.,' expr', ly.al')[f es not tiS rr', l.; r.. P.,
engine ar deco €riche such pro; "l .:Cts or related }ftvvr:tre' anff !nfor>rt<at €on,
c'} Physic shall have "le r ght to cancel or suspend this .Agreement at any time upon Purchaser making an assignment for tr.e benefit of cre n or:s rr
i_ bankrupt of insolvent, or upf a petition being filed in a our of coinpelent iiirisclich-on propos€ng the apps intment of a re; er of that
Purcf asei is ad ;.€dicatea bankr€ pt or insolvent Or reownized under the provisions of zany applicable, bankruptcy or insolvency lar�t.
In ddit.an v') ttt ;tP and rerned�es des .r ve P. rerr�. phys €o s =call hawe. all the r q€ is n remedies confeir�d by IaUV tiled s ail riot k, .r ~e:. tit,
x l•.i +fr r;erforrnance; rf the contract ::frisirng here it P :Uic "Ise- is in def:ar. It to Physio and r this or any con tra, t.
e? i valets ob :g. :c.rf, of Ph.Vsi0 and flee P€+€ch€.d see related tt ffi:e par n,as e; and ;ale of Products. rand s ,s described in th s d c urn €nt _hals
nee i e lays o th stare 'o' Wasl i :t n, t I C tare Of E rid. 1 f f Nr r ceme
agave y tad Ar7 r •a A )sts an cx,�cn: =cis �acr r� :a`d by P�ys�o .a�_.v,i t, ,n _::f
its rights Unde tuts document, includi ^g reasonob e attom y's fees, shal be rein €bursed by the Pii3chaser.
�c.CG? €vJsio "rd Inc" o€t.€. ieiWo, MI <0'01: CAT ..,':0000 •.';g
VO NO. !/:.!ARRANT NO.
ALLOWED 20
Physid Control
IN SUM OF
12100 Collections Center Drive
Chicago, IL 60693
$612.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 PH516815 102 390.11 $612.97 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
FEB 2 2009
i4" e
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))
PH516815 Misc. EMS Supplies $612.97
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