HomeMy WebLinkAbout175202 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 362454 Page 1 of 1
ONE CIVIC SQUARE VERATHON
l CHECK AMOUNT: $1,995.00
CARIJIEL, INDIANA 46032 20001 NORTH CREEK PARKWAY
BOTHELL WA 98011 CHECK NUMBER: 175202
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 196782 1,995,00 EMS EQUIP
Invoice Purchase Order
VERATHON5 126641exchange
Invoice 196782
Remit to: Date: 6130109 Sales Order SLS188581 -1
Verathon, Inc. Order Date: 6130109 Customer 1046326
16542 Collections Center Drive Ship Date: 6130/09 Terms: Net 30 Days GFT
Chicago, IL 60693
United States Ship Via Ground
Packlist 203125 Formerly Diagnostic Ultrasound
800- 331 2313/425 -867 -1348
425- 883 -2896 Fax
Bill To Ship To
City of Carmel Fire Department City of Carmel Fire Department
Attn: Accounts Payable 2 Civic Sq
2 Civic Sq Carmel, IN 46032 -2584
Carmel, IN 46032 -2584 United States
United States
Part Description /Serial Number(s) Ship Qty Unit Price Amount
0270 -0617 Ranger, GlideScope® DVR 1 1,995.00 1,995.00 USD
DR091584
0001 -0001 Freight 1 0.00 0.00 USD
Sub Total $1,995.00
Tax 0.00
Freight 0.00
Payments 0.
Grand Total $1,995.00
USD
r
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))
196782 $1,995.00
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
VOUCHER NO, WARRANT NO.
ALLOWED 20
Vera_thon
IN SUM OF
20001 North Creek Parkway
Bothell, WA 98011
$1,995.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 196782 102- 670.06 $1,995.00 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
JUL 2 U Z009
r
Vd e
.7 1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund