HomeMy WebLinkAbout173596 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362454 Page 1 of 1
ONE CIVIC SQUARE VERATHON
CARMEL, INDIANA 46032 20001 NORTH CREEK PARKWAY CHECK AMOUNT: $2,001.42
BOTHELL WA 98011 CHECK NUMBER: 173596
CHECK DATE: 6/1012009
DEP ARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCR
102 4467006 193142 2,001.42 EMS EQUIP
Invoice Purchase Order
iVERATHON5 12664
Verathon, Inc. Invoice 193142
16542 Collections Center Drive Date: 5/28/09 Sales Order SLS188581
Chicago, IL 60693 Order Date: 5/22/09 Customer 1046326
United States
Ship Date: 5128/09 Terms: Net 30 Days GFT
800- 331 23131425- 867 -1348 Ship Via Ground
i 425- 883 -2896 Fax Packlist 199193 Formerly Diagnostic Ultrasound
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 Numbers) Sh Q ty Unit P Amo
0270 -0625 GlideScopeO DVR 1 1,995.00 1,995.00 USD
DMO91530
0001 -0001 FREIGHT 1 6.42 6.42 USD
Sub Total $2,001.42
Tax 0.00
Freight 0.00
Payments 0.00
Grand Total
USD
c
1
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))
193142 $2,001.42
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
VOUC NO. WAR NO.
ALLOWED 20
Verathon
IN SUM OF
20001 North Creek Parkway
Bothell, WA 98011
$2,001.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
12664 193142 102 670.06 $2 ,001.42 1 hereby certify that the attached invoice(s) or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
JUN 8 2909
l
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund