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210497 07/05/2012 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: $1,626.50 CHICAGO IL 60693 CHECK NUMBER: 210497 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 113015078 564.00 SPECIAL DEPT SUPPLIES 102 4239011 413005428 1,062.50 SPECIAL DEPT SUPPLIES 06/20/12 Mark CELLPI EALL71 qxi 003120155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS WSGRD P S32 1154 3 -0 0 Net 30 Days p r<:::SVVV• .::.:..:.:.:.v. y:: ?....:Jii...... T�v::. FF:.:i.iii n v: ^::i r ::v ::i:i: ^:i• ?i:. FFF :Fi %S ^:v .::ii ?i:.-.: f� .......#l�w4�i1#?'t'1. 1 11996 000093>ELECT ASSY PED,QC RTS, 12 EA 12 ::0 45::.:M 540 00 T.; WORLDWIDE L /C: 213254 Expires: 11/28/13 12 Contact: MARK HULETT Phone: 317 -571 -2663 Sub Total 540.00 Freight and Handling 24.00 564.00 Site: 20 O R I G I N A L v 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 document, delivery shall be FOB Physio point of shipment and title and risk of loss shall pass to the Purchaser at that point. Partial deliveries may be made and partial invoices shall be permitted and shall become due in accordance with the payment terns. In the absence of shipping instructions from the Purchaser, Physio 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 Physio. 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 damage of any kind due to delays in delivery or non- delivery resulting frorn any cause beyond its reasonable control, including but not limited to, acts of God, 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 shall not be considered a breach of Physio and the Purchaser's agreement and the delivery dates shall be extended for the length of such delay. 6. Inspection and Acceptance Claims by the Purchaser for damage to or shortages of goods delivered shall be made within thirty (30) days after shipment by providing Physio with written notice of any deficiency. In the absence of such notice. Physio will deem products and services accepted by Purchaser. Payment is not contingent upon immediate correction of any deficiencies and Physio prior approval is required before the return of any goods to Physio. 7. Warranty Physio warrants its products in accordance with the terns of the standard Physio product warranty applicable to the product to be supplied, and the remedies provided under Such warranty shall be the Purchasers sole and exclusive remedies. The warranties set forth therein are conditioned upon the proper use and maintenance and conformance with any applicable recommendations of Physio 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 OR OTHER DAMAGES_ 8. Non- Warranty Service Non Warranty service is available by contacting a district office or the headquarters of Physio. All risk of loss, damage, freight and other costs for shipment to and from the point of repair shall be the responsibility of the Purchaser. 9. Patent Indemnity Up(;n receipt of prompt notice from the Purchaser and with the Purchaser's authority and assistance. Physio agrees to defend, indemnify and hold the Purchaser harmless against any claim that the Physio products covered by this document directly infringe any duly issued United States of America patent. 10. Third 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 to the extent that such liability arises solely from Physic's negligence. Physio shall not be liable for and Purchaser shall hold Physio harmless from any liability for consequential damages sustained by Purchaser including those arising from or measured by lost profits under its 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 United States of America. b) Through the purchase of Physio products, the Purchaser does not acquire any interest in any tooling, drawings, design information, computer programming, patents or copyrighted or confidential information related to said products and the Purchaser expressly agrees not to reverse engineer or decompile such products or related software and information. c) Physio shall have the right to cancel or suspend this Agreement at any time upon Purchaser making an assignment for the benefit of creditors or becoming bankrupt or insolvent or upon a petition being filed in a court of competent jurisdiction proposing the appointment of a receiver or that Purchaser is adjudicated bankrupt or insolvent or reorganized under the provisions of any applicable bankruptcy or insolvency law. d1 In addition to the rights and remedies reserved herein, Physio shall have all the rights and remedies conferred by law and shall not be required to proceed with performance of the contract arising herefrom if Purchaser is in default to Physio under this or any contract. e) The rights and obligations of Physio and the Purchaser related to the purchase and sale of products and services described in this document shall be governed by the laws of the State of Washington, United States of America. All costs and expenses incurred by Physio related to enforcement of its rights under this document, including reasonable attorney's fees, shall be reimbursed by the Purchaser. "2007 Physio Control, Inc., a division of fvtedtronic. MIN 3201819 -001 CAT 26500- 002709 :.:F, rte ret rr. r J DATE SHIPPED PURCHASE ORDER NUMBER SALES /SERVICE REPRESENTATIVE YA7{.kBLg 0 Hulett I EALL72 Finnegan 003120155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD R2291161 -00 Net 30 Days :Y:;SH j >1 994`01- 000618 <iLIFEPAK .500 AED, 2 Button Operation, ADAPTIV Biphasic S/N:31516823 CONTRACT Regular Labor 0.4 0.00 0.00 2;99401- 000390!LIFEPAK 500 AED, 2- Button T Operation, ADAPTIV Biphasic S/N:13736712 CONTRACT (Regular Labor 0.4 0.00 0.00 3 99401 -0: :00618. LL.F...EPAK 500 AED, 2- Button T Operation, ADAPTIV Biphasic S/N:31516802 CONTRACT Regular Labor 0.4 0.00 0.00 4 9940_- 000618!�LIFEPAK 500 AED, 2 Button T Operation, ADAPTIV Biphasic S/N:31516775 3 CONTRACT Regular Labor 0.4 0.00 0.00 3 5 000390 LIFEPAK 500 AED, 2- Button':. Operation, ADAPTIV Biphasic CONTINUED v ACCEPTED NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. Service Deport Billing Page: 2 T INVOICE 1►JIa�I payct en #s 1a US MajI thus address only Drive.__....; 413005428 Ph sio- Control, Inc. y Chicago tL 60693- 11811 Willows Road NE Post Office Box 97006 tease re #ere I nvace 1liumbe:r on yo ur check 06/18/12 Redmond, WA 98073 -9706 USA for Intl i�rles Gatl toll:ft 1 80 -42 8047 Telephone: 425- 867 -4000 _y,.,. Fax: 425-881-2405 F. E.I.N. 91- 0697691 BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201 CARMEL FD CARMEL FD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 UNITED STATES UNITED STATES P /ease return top portion with payment. DATE A S PED HIP PURCHASE ORDER NUMBER SALES /SERVICE REPRESENTATIVE -.TA) tB ...E7( 8'BEF:: ?::2 06/18/12 Mark Hulett EALL72 Finnegan 0031 20155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD R22911 00 Net 30 Days >ii:::: Et?......... t..l?fil..... f....... emu uu :.::.u.... S/N:13736711 CONTRACT Regular Labor 0.4 0.00 0.00 6 99401 0;00618 LIF:EPAK 500 AED, 2- Button T Operation, ADAPTIV Biphasic S/N:31516759 CONTRACT (Regular Labor 0.4 0.00 0.00 7 99401- 000390: IL I FEPAK 500 A=,,:::,:2 Button Operation, ADAPTIV j Biphasic S/N:13736713 CONTRACT Regular Labor 0.4 0.00 0.00 8 994!01 000390:LIFEPAK:500 AED, 2. Button Operation, ADAPTIV (Biphasic S/N:137367 -16 CONTRACT Regular Labor 0.4 0.001 0.00 I I a 9 99401 0;00618, LIFEPAK '500 AED, 2- Button (Operation, ADAPTIV !Biphasic S/N:31516822 CONTRACT Regular Labor 0.4 0.00 0.00 L CONTINUED mems a ACCEPTED NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. Service Report Billing Page: 3 INVOICE IVlai{ payments via U5 fV[a1I i© this address only 1 21O Collections Center Drive �13��542g Physio- Control, Inc. Ghcaga IL 6flfi9.3 11811 Willows Road NE Post office Box 97006 Please r eference invoice Number on yo ur check 06/18/12 Redmond, WA 98073 -9706 USA F Ingti�rieS Gall t 800 42.E 8Q47 Telephone: 425-867-4000 Fax: 425-881-2405 F.E.I.N. 91- 0697691 BILL TO ACCOUNT: 10774201 SHIP TO ACCOUNT: 10774201 Sold To: 10774201 CARMEL FD CARMEL FD 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 UNITED STATES UNITED STATES P /ease return top portion with payment.. DATE HIPPED PURCHASE ORDER NUMBER SALES /SERVICE REPRESENTATIVE J R7{ABIE ...E�,...ET.0 F>': ?:'i'i SHIPPED t 0 Hulett l EALL72 Finnegan L.. 003120155002/mj CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD R2291161 -00 Net 30 Days :1`•t.� i�At�.......: 1` �ti. �i�. t�It�l�I�l± t t�S�31# �t1Q fA>�.:::::..'�.Y.:.:N1�. 1,0 994`01 000390 LIFE:PAK 500 AED, 2- Button Ta Operation, ADAPTIV Biphasic S/N:13736715 CONTRACT Regular Labor 0.4 0.00 0.00 11 ETON 'DEVICE SERVICE T ACTIVITY 3208231 -900 IKIT- LISO2, BATTERY R 1.0 0.00 0.00 CONTRACT Regular Labor 0.5 0.00 0.00 CONTRACT (Regular Labor 0.1 0.00 0.00 CONTRACT Regular Labor 0.1 0.00 0.00 12'::.2 PART SALE: 3206665 -010 ROHS LP12 -LP15 TO PC 5.0 212.50 1062.50 j OVERHEAD Regular Labor 0.1 0.00 0.00 13 50999 000001;: TRAVEL CONTRACT Regular Travel 0.5 0.00 0.00 CONTRACT Regular Travel 1.0 0.00 0.00 Sub Total 1062.50 REF S IR: R2291161 DATE COMP: 06/18/12 3 CONTRACT: PI15H951 1062.50 Site: 20 O R I G I N A L v ACCEPTED NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. VOUCHER NO. WARRA NO. Physio Control ALLOWED 20 IN SUM OF 12100 Collections Center Drive Chicago, IL 60693 $1,626.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 113015078 102 390.11 $564.00 1 hereby certify that the attached invoice(s), or 1120 413005428 102 390.11 $1,062.50 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 JUN 2`9 2017 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)) 113015078 $564.00 413005428 $1,062.50 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