168153 01/21/2009 CITY OF CARMEL f INDIANA VENDOR: 242000 Page 1 of 1
ONE CIVIC SQUARE PHYSIO CONTROL CORP
CARMEL, INDIANA 46032 CHICAGO IL COLLECTIONS CENTER DRIVE CHECK AMOUNT: $1,092.85
CHECK NUMBER: 168153
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
102 4239011 PHSO9274 332.64 SPECIAL DEPT SUPPLIES
102 4239011 PHS10354 760.21 SPECIAL DEPT SUPPLIES
DATE SHIPPED PURCHASE ORDER NUMBER SALES /SERVICE REPRESENTATIVE
�12 /29 /081MARK CEKKPI EALL71 moorej22 003120155002/mj
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS
GRD 0340895055 CNT 1 S26368 Net 3 0 Days
ix
t. f,.ls�..::::;tt`#x,�u.NA..::Q.: E,...
t)t'!'..t'�?l'� 40 ...1`tIE.
3 111:10 000110;CABLE ASSY 12!:LEADS 2; EA 2 O i 192 00 326. E
MAINW /ANGLED CONN, FP 8FT. Discount 28.80 -I
I
L /C: 5793311209 2
Contact: MARK HULETT
i
!Phone: 317 1 571 2663
Sub TotalI 326.40
Freight and Handling' 6.24
iCUSTOMER APPROVED PRICING MARK HULETT 317 571 2663
RELEASED ORDER 0X/22/08 JMM
i 1
THIS PRODUCT IS SUBJECT TO A CONSENT DECREE OF PER ENT INJUNCTION: FILED
INIUNITED STATES .U. MEDTRONIC,::INC. AND 'PHY IO -CO TR L IN ET AL
INC.
NO C08- 0649;!1(W.D WASH. 2Q08- UNDER HE TE S�OF TH CONSENT DECREE,
THE ISALE OR DISTRIBUTION OF THIS PRODUCT, IS AUTHOP1Z. IN T,IMI`T'ED
CIRCUMSTANCES TO <MEETTHE SPECIFIC ND A TMME IATE EEDS OF PARTICULAR: j
:INDIVIDUALS AND ORGANTZATIONS. THE RESTRICTIONS HE::.-:S AME OR`!DISTRIBUT:ION
OF THIS- "rRGliuC l jN1LL 1 E REMOVED WHEN PHYSIO CONTR L, INC HAAS SATISFIED FDA
THAT ITS FACILITIES, METHODS, PROCESSES,. ANI CONTROL RELATED TO THE'
MANUFACTURE AND QUALITY OF THE'PRODUCT ARE IN CON ORI�9ITY WITH THE QUALITY i
SYSTEM'REGULATIONj, 21 PART 820 AND T E TERMS OF THE CONSENT DECREE.'
I
317 571 2663 3-32.64
Site: 20
O R I G I N A L
ACCEPTED
NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN.
Unless otherwise-indicated in this docurnent, delivery shall be FOB Pnysio poin of shipi it arid title and nsKmmsshall Pass to the purcnase/aumat
point. Parlial deliveries rnay be Made and partial invoices shall be permitted and shall becon due in accordancewith the payment terins, In [tie
absence of ship inst fm the Purchaser Physio will Obtain transportation on the Purchaser's behalf and for the Purchaser's accOqnt.
Excess charges 'for expedited delivery are the responsibility m the Purchaser vo|wau specifically waived uyP»yuio. ARRANGEMENT FOR INSURANCE
OF MERCHANDISE |S THE RESPONSIBILITY OF THE PunC*ASsn�
s� Delays
Delivery dates Eire apProxiinate. Physio will riot be liable for any loss or darnage Of any kind due to delays in delivery or non-delivery resulting fror� any
cause beyond its reasonable control, including but not limited to, acts of God, labor disputes, the iecluirernents of any goveinmental authority, war, civil
oneot. delays in maowaumn,, obtaining any required license Or permit, and Physic mamoh to obtain goods from its usual sources. Any such delay shall
not be corisidered a breach of Physio arid the Purchaser's agreement and the delivery dates shall be extended for the length Of Such delay.
e. Inspec and Acceptance
Claims by the Purchaser fo,damaga no or shortages of goods delivered shall be made within thirty (a@ days after ohiumom by providing Phyaio ,vim
yx ioen notice of any deficiency. |n the absence Of Such notice, Pxys|o will deem products and services accepted b Purchaser Payment isnut
contingent upon immediate colrec of any deficiencies and Physio prior approval is required before the return of any goods uzPoyoio.
7� Warranty
Phyuiomqnnnm its products in accor with the uamscf the standard Physio pioduct applicab to the product to be supplied, and the
remedies pmvided under Such Warranty shall bo the Purchaser's sole and em|uoive vamed/eu. Tile warranties set forth t»omm are conditioned upon me
proper use and maintenance and conformance with any applicable rpco of Physic and upon Purchaser proniptly notifying Physio of any
defects. Physio niakes no other warranties. exptess orimplied, :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 OnOTHER
DAMAGES.
8. Nonfvar,nn,ySemioe
Nnn'vvo'runty service is avai|ab|e by contacting a district «M/oe or the oPaUquaneo of Physic. All risk of bou, dama0*, freight and other costs for
ohiolncntto and. hnh the point of repair shall ba the responsibility of mw Purchaser,
9. Patent Indemnity
Uponreoe/nt ofpmmp,^m|un-(oorin the Puichasei and �ilh the Purcinascr's authority and assistance, Physio agrees to deforic, and ho/f-Ithe
Pu'nxas^' harmless against any o|n\m 'flat the Physic products coveted by this document directly infringe any duly issued United States o(Amn/ica
patent.
10. Third Party Liability
Phy iosha{i not be liable for and PoomaaernoaU hold Phynio hannless hnn any liability sustained in favor of third Parliasunning from of during
Purchvon/npomsesninn.uoovron|eofPhysiooquipmentexzoptmtoee,temthato"uhoabmtyansesoo|e|yhnmPxyoio'onoO/iganc*.Phyuinshal|ncu
be liable forand Purchasei shall hold Physio hainfless frorn any ';liability for consequential darnages sustained by Pi.Achaser including those arising TIOM
Or measured by lost profits under hnonotrac� ::ird parties
11, Miscellaneous
q} The Purchasora0/e*o that products purchased neraunue,vvm not be mahippadn' resold any pamonu or places prohibited by the /a mo
United States ofAmehca.
o) Tnrou2k the pumxnaeofPxyoiopmducm V u/
��oPrhaoe/ does not �qv/� �g
anyin��^oo�ioony�og.d*xngn,umsigninfnnnn/ion,00mpu�/
pmgemming, p�ootno,00pynghted or confidential information rf. to soid pmductS and the Purchase; expressly agrees not to reverse
Ooginuero'decompi|o such pmduots or related softmo,o and iofomoatioo.
C) Pxyoio shall have the rigm»o cancel o,suspend *his Agieerne;nt at any tinie upon Purchaser making an assignment for tile benefit of crecitors or
becoming bankrupt m inno|von,, or upon a petition being filed in a court of compei:entju'indi:hon pmpooinD the appointment of a receiver of thut
Pumhasp,ioad}udicauedhank'up/orinsn|vemornmrgnoizedunUerthepmvisinoaofeoyappnosb|*bankmptcynrinsNvenoy$w,
di) maduhinnm the rights arid remedies reserved herein, Physio have all 1hahghtsc:: remedies nonfc,,cdbx law and x»aU riot bemqu|rcdm
proceed wknmaMonnancem the contrac ansing*omfromxPuomaoeris indofa:8mPhyio under mism any cononoL
e) The ngh�anu obxg�ioneofPhysio axd the Pumxaoa/ �k�m1mthe pu�xeseanu aa|oo�pn*uua an� ncm|�ao uonormeu -lo,
e
ueOovemcdbythe lams cxthc State or%,'Vaohin0mn,UndeJ States of America. All costs and axPenaexinuxredbyPxyuioe|auadmedooementof
i/x rights under this document, inr|m1in3 reasonable anomey'xf*ne, shall be reimbursed by the Po'cxaeer
i...,� .��n �..���i� i irrnr��ly i ri Ivc Flt �Ari :Si: %'t:C.:Y:CJ.FCIRIY:t; `ii5i::`
l2/30/08 Mark CSPPPI E qxi 003120155
CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS j
WSGRD 0340101107 CNT 1 S27112 -0 0 INet 30 Days
A11LVlF::: >::.#?Ea<�#10k >E::: >t171 (3#�1z< }4Vk:: >7 Y�uHF
E! ::::.1rE t. tG xl.. x31a G.......1t
1 11996 000091<EDGE SYSTEM ELECTRODES 25 PK 25 0 37.00 >736.21 E
WITH QUIK -COMBO CONNECTOR Discount 7.55
L /C: 828406 Expires: 04/2 /11 25
Contact: MARK HULETT
Phone: 317 -2663
Sub Totall 736.21
Frei t and Handling 24.00
THIS PRODUCT IS SUBJECT TO A CONSENT DECREE OF PE ENT I JUNCTION; FILED
SIN UNITED STATES IV. MEDTRONIC, INC. AND ;PHY IO CO TR I, IN ET AL
'CIV NO C08 -0649 (W-D. WASH. 2008). UNDER HE TE S OF TH CONSENT DECREE,
THE SALE OR DISTRIBUTION OF THIS PRODUCT IS AUTHO IZED IN IMIT
CIRCUMSTANCES ..TO THE ;SPECIFIC AND IMME IATE EEDS OF ARTICULAR
1INDIUIDUALS AND ORGANIZATIONS. THE;RESTRIC IONS E SAFE OR< DISTRIBUTION
HA
OF. THIS PRODUCT WALL BE REMOVED WHEN PHY'$IO L
GONTR INC. S SA FDA
THAT ITS FACILITIiES, METHODS, PROCESSES,,,:. AI� CONT OLD R ELAirD TO THE'
N�FACTUREAND QUALITY OF THE PRODUCT ARE �N CONOR[11I WITH THE QUALITY
MA 3
SYSTEM REGULA'1ION, 2l C.F.R. PART 820 AND THE TERMS OF THE CONSENT DECREE
I I
I I
760.21
Site: 20
O R I G I N A L
V EM c
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 anti shall becorn,e dire it accordance with the payment terms. In the
;absence of s instructions from the Purchaser, Physic will obtain transportation on the Purchaser's behalf and for the Purchaser's account.
Excess charges for expedited delivery are the responsibility of the Purchaser unless specifically :waived by Physics. ARRANGEMENT FOR INSURANCE
OF MERCHANDISE IS THE RESPONSIBILITY OF THE PURCHASER.
5. Delays
Delivery dates are approximate. Physio will not be liable for any loss or darnage of any kind due to delays in delivery or nondelivery resulting frown any
cause beyond its reasonable control, Including but not limited to, acts of God, labor disputes, the requirements of any govein€nental authority, war, civil
unrest, delays in manufacture, obtaining any required license or permit and Physic inability to obtain goods from its usual sources. Any Such delay shall
not be considered a breach of Physic and the Purchaser's agreement and the delivery rates shall be extended for the length of such delay.
6. Inspection and Acceptance
C1lairns by the Purchaser for damage to or shortages of goods delivered shall be made within thirty t,30' days after shipment by providing Physio with
vvi itten notice of any deficiency. In the absence of such notice, Physic will deem products and services accepted by Purchaser, Payment is not
contingent upon immediate correction of any deficiencies and Physic prior approval is required before the return of any goods to Physic.
7, Warranty
Physio .warrants its product S in accordance with thc; terms of the standard Physic product .warranty applicable to the product to be supplied, and the
remedies provided under such warranty shall be the Purchaser's sole and exclusive reredies. The warranties set forth therein are conditioned upon the
proper use and maintenance and conformance, with any applicable recommendations of Physic and upon Purchaser promptly notifying Physic of any
detects. Physic makes no other warranties, express of implied, including, without limitation. NO WARRANTY OF MERCHANTABILITY OR FITNESS
FOR A PAR1 ICULAR PURPOSE AND IN NO EVENT SHALL PHYSIO BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL OR OTHER
DAMAGES,
Non Warranty Service
NonWa;ranty service is available by contacting a district office or the headquarters of Physic. All risk of loss, damage, freight and othe€ costs for
shipment to anti fro €n the point of repair shall be the responsibility of the Purchaser.
9. Patent Indemnity
.l t, :Jn recein i of rarr,frl r dice front the P: i;c:nasei :rind Jith tile; Purchaser's authority and assistance. Physio agrees to defend, indernnify and hold the
Pu chaser harmless against any claim that the Physio producs covered by this doctrrnent directly infringe any duly issued United States of America
patent.
10. Third Party Liability
Physic, shall not be liable for and Purchaser shall hold Physio harmless frorn any liability sustained in favor of third parties arising from or during
Purchaser's possession, use or sale of Physio equipment except to the extent that such liability arises solely from Physic's negligence. Physio shall riot
be liable for and Purchaser Shall hold Physio harmless from any li£abiiity for consequential damages sustained by Purchaser including those arising fro €ri
or measured by lost profits under ifs contracts with third parties.
11. Miscellaneous
a? The Purchaser agrees that products purchased hereunder will not be reshipped or resold to any persons or places prohibited by the laws of the
U n i led State, of Arne ica.
b) Through the purchase, of Physio prodUctS, tfre Puich; sec" if £:S not acquir any ritE i6 :�t I ?l only tU01f "':g, drab desig(, Ira'form<ait?n. Ci7rraputer
mogn:ammU,g, patents or copyrighted or confidential Information related to said PlOdUc and the Purchaser expressly agrees not to reverse
engineer or decc€npile such products or related software and infoirnation.
c1 Physic shall have the right to cancel or suspend this Agreement at any time tipon Purchaser making an assignment for the benefit of creditors or
becoming bankrupt or insolvent, or upon a petition being filed in a court o€ competent jurisdiction proposing the appointment of a receiver o€ that
Purchaser is adjudicated bankrupt or insolvent or reorganized under the provisions of any applicable bankruptcy or insolvency law.
di In t :td :titii €r to thr' rights and remedies ieserved herein, air: Physic shall have all the i ights and rerriedies conferrer: by !caw and shall not be required to
proceed t ^with perfcnnsance e;f the contract a?isir:.g he! efrom if Purchaser is in defa0t to Physio under this or any contract.
ei The rights and Obi €cations of Physio and the Purchaser related to the purchase and of products acid serv doscribecl in th is ocurnent shall
b governed by the law of the State of \Alashington, United States of America. All cants and exrsen es incurred by Physio related to enforcement of
is rights under this dOCUnlent, including reasonable attorneys fees, shall be reimbursed by the Puichase:
V00 pr }ysicConerel, Inc., a division of Medtroa c. MIN 37.018!9 -00': r CAC 20.00 7Ors
VOUCHER N WARRANT NO.
ALLOWED 20
Physio Control
IN SUM OF
12100 Collections Center Drive
Chicago, IL 60693
$1,092.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NQ. Q j CT #/TITLE AMOUNT Board Members
1120 PH510354 102- 390.11 $760.21 1 hereby certify that the attached invoice(s), or
1120 PHSO9274 102 390.11 $332.64 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
I�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
t
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))
PH510354 Misc. EMS Supplies $760.21
PHSO9274 Misc. EMS Supplies $332.64
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