HomeMy WebLinkAbout217384 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 365681 Page 1 of 1
ONE CIVIC SQUARE VIDACARE
CARMEL, INDIANA 46032 DEPT 2474 CHECK AMOUNT: $594.91
PO BOX 122474 CHECK NUMBER: 217384
DALLAS TX 75312-2474
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 70761 594 . 91 SPECIAL DEPT SUPPLIES
i - - ---------------------------------
INVOICE
Deli .
Defining the Field of Intrao INVOICE NO.
sseous Medicines"' INV.nA•rF cusT.N ,
NO. cLN.No. Pc
2/7/2013 14753
Please remit payments to: 70761 O
Dept 2474 P 1
P O Box 122474
Dallas, TX 75312-2474 i
� I
Bn.l.To �
sHIP To
Carmel Fire Department
Carmel Fire Department.
partment.
Attn:Accts Payable
2 Civic Square Attn: Receiving
Carmel IN 46032 2 Civic Square
Carmel IN 46032
SHIPPED DATE PURCHASE ORDER NO.
2/07/2013 SHIP VIA INCO TERMS
02072013ENI UPS Ground TERMS PAYMENT DUE BY
SALESPERSON EMAIL FOB Net 30 3/09/2013
Courtney DeWitt PHONE courtney.dewrttwldacare.com EIN N
317-51
REMARKS 7-6457 74-2899035
Based On Sales Orders 641 13.Based On Deliveries 69261.
TRACKING_..
IZAOIR830375653763
ITEI-I NO.
DESCRIP'T'ION
908 QT l'SIIIPPFD BACK ORDER
EZ-10 G3 Power Driver Sealed Li-Maroon UNIT PRICE TOTAL
9065 G3 Vascular Access Pack 3 0
$195.00
3 0 $585.00
$0.00 $0.00
SUBTOTAL $585.00
DISCOUNT $0.00
FREIGHT' $9.91
'rAx $0.00
TO-rAL INVOICE
ANIOUNT PAID ON INVOICE
$0.00
PLEASE REMIT THIS A,N'IOUN"r
$594.91
Claims as to price, shortage or otherwise, must be reposed within 7 days of a shipping
restocking fee. Delivery and acceptance of the items listed herein represents an agreeme date. Products may not be retuned without prior a
office of the company shown above within 30 days from the date of the invoice.Custom products are Purchaser tretun ablest the obligation P approval and are sub act bl a the
g presented on the related invoice is due and payable at the
Contact us at:Tel 866-479-8500 Email:VASales @vidacare.com Website:www.Vidacare.com
rescribed by State Board of Accounts City Form No.201(Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
m invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
ihom, 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))
70761 EMS Supplies $594.91
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
Vidacare
Dept. 2474 IN SUM OF $
PO Box 122474
Dallas, TX 75312-2474
$594.91
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 70761 1 102-390.11 I $594.91 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund