HomeMy WebLinkAbout218946 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 367046 Page 1 of 1
ONE CIVIC SQUARE MEDICAL WAREHOUSE
CHECK AMOUNT: $552.73
CARMEL, INDIANA 46032 72 GRAYS BRIDGE ROAD
•.; o��o BROOKFIELD CT 06804 CHECK NUMBER: 218946
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 168697 552 . 73 SAFETY SUPPLIES
Medical Invoice
Warehouse ;� -;�° °' TE� 16g697
PMS - Invoice Date:
72 Grays Bridge Road APR 0 2 2013 Mar 13, 2013
Brookfield, CT 06804 Page:
L`X
Voice: 800-969-6945 Sales Order#:
Fax: 888-969-6945 69757
www.EMSstuff.com
Sold To: Ship to:
CARMEL CLAY PARKS & RECREATION CARMEL CLAY PARKS & RECREATION
1411 EAST 116 STREET 1235 CENTRAL PARK DRIVE EAST
ATTN: A/P-PAULA SCHLEMMER ATTN: ERIC MEHL
CARMEL, IN 46032 CARMEL, IN 46032
317 573-4023
Customer ID Customer PO Payment Terms
CAR116 29495 / DAWN KOEPPER Net 30 Days
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3/13/13 UPS GROUND 4/12/13
Quantity Item Description — -i Qty B/O Unit Price Extension
3.00 FTX8455ORD FTX 02/TRAUMA/AED BACKPACK- RED 177.63 532.89
1.00 SHIPG GROUND SHIPPING CHARGE 19.84 19.84
Purchase
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Purchaser Date_
Approval Date
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Our Federal ID# 13-3839937
Subtotal 552.73
Sales Tax
ALL AUTHORIZED RETURNS WITHIN 30 DAYS OF SALE MAl Total Invoice Amount 552.73
BE SUBJECT TO A RESTOCK FEE OF 2510. SPECIAL
ORDER,CUSTOM ITEMS AND UNAUTHORIZED RETURNS Payment/Credit Applied
ARE,NOT REFUNDABLE.
TOTAL 552.73
Please reference Invoice number on your remittance check. Thank you.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Medical Warehouse Terms
72 Grays Bridge Road
Brookfield, CT 06804
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/13/13 168697 Water rescue equipment 29495 $ 552.73
Total $ 552.73
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Medical Warehouse Allowed 20
72 Grays Bridge Road
Brookfield, CT 06804
in Sum of$
$ 552.73
ON ACCOUNT OF APPROPRIATION FOR f
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 168697 4239012 $ 552.73 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
4-Apr 2013
Signature
$ 552.73 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund