179770 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 212800 Page 1 of 1
ONE CIVIC SQUARE MOORE MEDICAL CORP
�l CARMEL, INDIANA 46032 PO Box 4066 CHECK AMOUNT: $313.89
yi.o� Eo 1690 NEW BRITAIN AVE CHECK NUMBER: 179770
FARMINGTON CT 06032 -4066
CHECK DATE: 11/24/2009
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4238000 95961187 RI 313.89 SMALL TOOLS MINOR E
Prase�Setacir �Flere r[ridl2ehirn R �t6 Your Kenu ttance 1 age 7
F tem UM Description Qty Qty Itm List Unit Extension Disc. Ship
Ord Ship Sts Price Price Amt From
5386 E Diatek Suretemp Probe Covers 1 1 13.8900 13.8900 13.89 Y1210
BX 250 Per EA
T 4358 EA SureTemp Plus Therm 01690 -400 1 1 300.0000 300.0000 300.00 Y1210
EA 1 Per EA
8724 E Stuffer Welcome *Free 1 1 .0000 .0000 .00 1210
EA 1 Per EA
4634 El Catalog General Buyers Guide 1 1 .0000 .0000 .00 1210
EA 1 Per EA
Bill To Invoice N Invoice Total Subtotal 313 89
21353962 95961 187 RI 336.88 Handling Charge 00
ShipOnlce /Hazmat .00
Ship To Invoice Date Customer PON Order N Freight 0
21353962 11/04/09 215 n 14859531 Tax 2 4
Restock Fee .00
Item Status Key: 1210 =New Britain, CT 120= Visalia, CA 1270 Jacksonville, PL Fuel surcharge .95
B B ackordere tern will follow
I- Promotion
M- Manufacturer will ship item directly
P Special price Total
Late Payments are subject to a 1.5% finance charge. Moore DEAN PP0040167
For your convenience, Moore Medical accepts Mastercard, VISA American Express.
TERMS AND CONDITIONS Returns A,
We make every effort to accurately pack and ship your order. If you encounter a problem, please follow the Return Pe111c,
Shipping Instructions on the Packing Srpgnvoce
Freight is prepaid on all orders of stocked items shipped within the 46 runOgt curs United States via ground service. Comm under
5700lower W for rese ler customers) wit: ire chanced an $11 .00 handling fee. In -stock orders placed by 4pm (customers local Returns within 30 days: if you are not 100% satisfied with your purchase, Moore Medical! will replace the item o- provide
time), hM nday through Friday, will sip the same day. Orders destined "or Alaska Hawaii o- Peeno Rest ate shipped via UPS Sodom' a credit 'Or the full merchandise amour;. less ary shipping charges.
Day Air (except hazardats`ORM matenals Orders destined for Guarn ar the US Mrgin islands are shipped via USPS Express Mail Returns beyond 30 days: require prior approval and may incur restocking fee. Gail Customer Relanons <a,
'except hazardous -ORM materials). Freight charges will be added to lovpi•ss outside the contiguous 48 stag. Please call for further 1- 800-234-' ^64 for further information.
ntorm Lion. Shipping charges arc subject to change n pout or or notification Customer pays all shipping charges an special older
m shi mentc amdura and large equipment is sh Special and e stop: orders a not returnable but y defect ice p alit be replaced. Re
.n ranngi h :lpped
p g. shipped to your dock Add; anal charges will be applied or Lfl gate Service
nslde delivery cr se'; up. C.O.D. Pleas, be sure to include at :east one of Die following v -h the product. invoice iolober, order rumber
and/or account number.
Premium Shipping Options
F orders totaling up to S3DO and shipped within the coral.; o, s 48 states of the USA, UPS Nex, Day shipping is avallab;e for Credit will be v n for incorrectly shipped damaged, or detective prgcucts within 45 days of invoice. order is eceme
530, and UPS Second Day shipping is available for S20 For orders totaling over 5300, standard published book rates will apply full credit. returned products must be unopened and in salable condition.
a UPS Next Dav and Second Gary shipping. Refrigeratedi <h p on -ice (SOij orders are sent fgllowina standard terms and The fgNovi ng products have return restrictions or cannot be returned. Please call Customer Relations at t -800- 234 -1464
conditions as stated below. Hazardous materials are excluded free air shipments and are sent following standard terms for fu1ner information.
and conditions as stated below Drop ship item> are sent directly nom rianufacturers and standard published book rates Ali re.urns must, be requested by customers and approved by Customer Re chore :within 7 days of invoice and the
for UPS Nh A Day and Second Day shipping apply. product returned to us :within 15 days accompanied by a signed Prescription:. Drug Return Form.
AI Over Th Count r and Prescription Medications that don't meet date requirements must be reported :within 5 days
_�A iv lien rego7ad v is mc refricera i n may be shipped sent a ly from the re of y our order
Shipped ms are ,hip i at receipt d will risen be verified through y warehouse for stocked merchandise dating.
p Mo day Though Wednesda r -y
i )l on Ice riv in h business da Add $6.95 per o err t ;ever additional hand! ng Controlle Substances
Refrigerated Ite cannot tie returned. Diagnostic Test Kits
Discontinued Products
Hazardous fur Department of T ansperfa :ion has determined that this item requires Drop Shipped or Special Order Products shipped hum the manufacturer
Materials speci al handling. Add $20.00 per order to cover additional handling. Expired Products
Q louse see important information In the Returns section Hazardous'ORM Materials call for details
Items Shipped or ice or Dr Ice
G DEA der to ship cortroded swistances in you. a copy of your current DEA Opened or Defaced Products
Req uired uired t icense rust be on the wAn us.
.....1. 9 Used Instruments
Oxygen Tz ks
Microbiology Products
it :der S25 00 for m p, iris :will m pr a 00 h dhrg `ee. Damaged Shipments
All de ,vrnes a: ould be inspected for sh g damage hefore a, ce„ mg rleliverir if damage rias c_c, red. cl,storrer hru c
Prescription Drugs and Devices /Controlled Drugs note the extent of me damage on me freight bill and cat Customer Relations Immediateh it f 800 -234 -1464
Prescription drugs and devices can only be, sold to regisfe :eo anG fwJy licensed customers. We must have a copy of the Moore Medical s responsibility for loss or damage ceases when the products are accepted by the carrier. When richfled,
valid state license or DEA Registration on file. Moore Medical will file a damage claim for the goods shipped. issue credit for the damaged goods, and ship replacement
Backorder Policy goods. All darnage claims Trust be. completed °within 5 days of receipt of merchandise.
All backordered items will be shipped immediately upon receipt from our supplier. Most items will be cancelled from your Missing Merchandise
aim If they are not received by us wi hin 30 days frcn, the date of the backorder In most cases, you will be nou'ied of Please report a:t missing merchandise to our Customer Relations Representatives by calling 1 800 234 1464 within 5 days
the canceaation by postcard or e mail of the invoice date. Occasionally cartons separate during shipping, but missing items should arrive w0hln 1 2 worlit days.
Payment Terms Any Controlled Suhstancesmissing from your order must be reported within 72 hours of receipt.
For our convenience, Map Medical accepts Visa, MasterCard e d American Express You may al
apply
Y P 'or an open
account and upon credit approval. ;our order will be shipped Open Account Net 30 Days Invoices will be dated as of the Mail Preference Service
ate of shipment, Late charges at the rate of the lower of 1 s„ per month or the highest rate permitted by law may be cha gad Occasionally, we may make a portion of our mailing list Bailable to organizations whose products or activities we think
on past due accounts. All payments shall be made in United States dollars and may be. mace by check, wire t ansfer, Visa, may be of interest to our customers.
MasterCard or American Express. A 52500 tee will be assessed for each retired check. Any freight charges for special
handling dr for shipments outside the contiguous USA will he added to your invoice. F-C B. point of ongin:. 1 you do not wish to receive these ma please ropy your mailing label exactly as it appears rn• ire back of this
publication and mail to: Moore Medical tLC. Aftr,: List Manager. P.O. Box 4066, Farmington, GT 06032.
Repairs
All irstrurems arc equipment needing repair are returned directly to the manufacturer Please call Customer Relations at If you no driger wish to receive any Moore Medical mailings, please send a note to this effect along with.: a copy of your
800-234- �_r ;he a •one number a the manufacturer. As a distributor. Moore Medical LLG does not offer a mailing label to .h address above
,vananlg either expressed or implied, fgr these pro acts' Please help us conserve our natural resources. If you are receiving more than one copy of fie same publication,
Prices please send us all the !,,ailing labels and indicate which one is correci.
Due to unforeseen manut :cturms price increases or decreases, pricing is subject to change without prior notification.
8u ±2r is ceeby advised that h may he obligntec to fully and accurately disclose the amount of any discounts, rebates or other
)rice reductions in rost repolts or claims for remburse;neni by buyer to Medicare, Medicaid or other health care programs
requiring Such disclosure a.irua zs T ols, Nirilt!i a^ 01dit rs are ltibr Gt a change ,v:. cut,,.r..� "niece rill ::,spcns ;:t'er IYPts -r t.r,.u! :io Re, iinY
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))
11/04/09 I 95961187 RI I I $313.89
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
T NO. WARRANT NO.
Moore Medical LLC ALLOWED 20
IN SUM OF
1690 New Britain Ave. P.O. Box 4066
Farmington, CT 06032 -4066
$313.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 95961187 RI 42- 380.00 $313.89 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
Tuesday, November 17, 2009
Dir
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund