The URL can be used to link to this page

Home My WebLink About222021 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 357526 Page 1 of 1 ONE CIVIC SQUARE HENRY SCHEIN INC 0 CHECK AMOUNT: $898.52 CARMEL, INDIANA 46032 DEPT CH 10241 o�`o PALATINE IL 60055-0241 CHECK NUMBER: 222021 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467006 2139149-01 136 . 76 EMS EQUIP 102 4239011 2733446-01 90 . 00 SPECIAL DEPT SUPPLIES 102 4467006 3922676-01 276 . 92 EMS EQUIP 102 4239011 4907848-01 394 . 84 SPECIAL DEPT SUPPLIES Please detach here and mail the above with your payment HSI ORDER# ORDER DATE IDUE DATE 10813742 07/02/13 08/01/193 D&B#:01-243-0880 WHSEDEA# RHO162494 Fed ID: 11-3136595 his order as been processed by our MIDWEST D.C. 5315 WES" 74TH 3TREET INDIANAPOLIS,IN 46268 1 499-0650 EA BREATHSAVER ULTRA ROYBLUE 1 1 C 276.92 276.92 1 CASE GOOD IPEM, MAY BE SHIPPED SEPARATELY. ------------------- IF YOU ARE ?ARTICIPATING IN A DISCOUNT PROGRAII (E.G. , POINqS, GIFTS OR OTHER SPECIAL AWARDS ("DISCOUNT")) , WITH THIS PURL SE YOU HAVE EARNED A CREDI" TOWARD GOODS OR SERVICES, RECEIVABLE OR REDEEMABLE IN ACCOZDANCE WITH DISCOUNT PROGRAM RULES. UPOR DISCOUNT RECEIPT OR REDEMPTION, 'rOU ARE RECEI ING OR WILL RECEIVE OTICE OF TIE DISCOUNT VALUE. FROM TIME TO TI E, MEDECARE, MEDICAID, TRICARE OR DTHER PAYER MAY REQUEST INFORMATION REGARDING SUCH V LUE, ;ND UPON ANY STCH REQUEST, SU-H VALUE MUST BE DISCLOSED AS A DI COUNT AGAINS q THE PURCHASE!; THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RE-AIN THESE RECORDS. MERCHANDI E TOTAL 276.92 Invoice Date + 30 days 276.92 lease remi- payments only to the following aldress: Henry Scheil, Inc. Dept CH 10211 Palatine, 1, 60055-0241 BILL TO SHIP TO INVOI # INVOICE AMOUNT ITEM STATUS KEY '�REMEY ;K K_, Kit i if B-Backordered.Item will follow 1308571 1308572 3922676-01 276 .92 1)-Discontinued;Item no longer available i")"at" HSI-ORDER# ORDER DATE INVOICE ]D ATE F-Special Schein Free Goods # OF 13OXES M-Manufacturer will ship Item directly to you 10813742 07/02/13 7/02/13 1 11 prescription Drug;Return Authorization Required R Refrigerated Item:May be shipped separately CUSTOMER PO# PAGE4f $ Special Schein Pricing T Taxable Item Temporarily unavailable:please reorder MARK 1 OF 1 Itcm has MSDS LP300 Wemalke every effor-to maintain �mdmo�n�a Payment by CHECK or by the HENRY SCHEIN CREDIT CARD, uu��g.hnvee�ae�xeme�e price adjustments in VISA,MASTERCARD,DISCOVER and AMERICAN EXPRESS response tomanufacturers'pruechanges Guaranteed Satisfaction: or U you have tried opmdu�| and itiydaferhvoor does not nn nahx�utnri|y,wo will pomdea credit,refund,orexnhangejfayour Available to licensed practitioners in the US,All invoices are choice. Simply call our customer department within 30 days payable within 30 days. ufreoeip1of the me1rchondise1n arrange for the return. Fora warranty rePair orK you were sent something you did not order, ~'''''/ ~~'': Rx Products & Controlled Substances: Mat[xMedical 1~800-845-3550 Regulations require us!o limit the sale ofHx and controlled substances only N registered,licensed healthcare professionals. |f you are a new customer or have recently moved,please furnish uo with u copy of your updated state registration, For controlled substances,furnish a copy nf your DEA certificate,verifying your shipping address. Class||drugs can be ordered only bymail, International Orders: Please Note: VVe�mud|yuemeheu|!hoa�pnd�siona|manUgovemme�o 0 nd d i b returned for 1hmughoutthe wodd. Tu place o�emur rinquirieacnexpn� u*m,.uu/vw/u�/opuxvum /�pmu�u:/u�^umu'.�m�m. terms and conditions,please contact our International Department: manufacturer warranties,Before opening hand Pi�maor 1-800-845-3550 equipmen<.waauggentth�youohecktheohip shipping container and packing list|overify that you have received exactly what Prescription Drug Returns Instructions: you ordored{ponedCom ba Software im not returnable. Other restrictions may also apply. A Return Authorization ia Required for all Prescription Drugs.Simply call Our Customer Service Department @1-8DO-845-3550, . ' � VOUCHER NO. WARRANT NO. ALLOWED 20 Henry Schein IN SUM OF $ Dept Ch 10241 Palatine, IL 60055 $276.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 3922676-01 1 102-670.06 I $276.92 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 JUL 11 2013 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)) 3922676-01 $276.92 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 Please detach here and mail the above with your payment HSI ORDER# ORDER DATE IDUE DATE 10634831 06/25/13 07/25/131 D&B#:O 1-243-0880 WHSEDEA# RH0162494 Fed ID: 11-3136595 44j, "VIR R9 Ax ;tk T z his order has been processed by our MIDWEST P.C. 5315 WES" 74TH TREET INDIANAP LIS,IN 46268 317-428-878 MARK -----------------=�====------------- ------------------ 1 890-6868 3/PK LIFEPAK 12 PAPER EKG 24 24 10.66 255.84 1 2 360-1359 EA SAM SPLINT ORANGE/BLUE 36X4.25 20 20 6.95 139.00 1 ---------------- -------- IF YOU ARE DARTICIPATING IN A DISCOUNT PROGRAM (E.G. . POINIS, GIFTS OR OTHER SPECIAL AWAZDS ("DISCOUNT")) , WITH THIS PURCHASE YOU HAVE EARNED A CREDI" TOWARD GOODS OR SERVICES, RECEIVABLE OR REDEEMABLE -N ACCOZDANCE WITH DISCOUNT PROGRAM RULES. UPOI DISCOUNT RECEIPT OR REDEMPTION, rOU ARE RECEI ING OR WILL RICEIVE JOTICE OF T DISCOUNT VALUE. FROM TIME TO TI E, MEDECARE, MEDICAID, TRI ARE OR THER PAYER MAY REQUEST INFORMATION REGARDING SUCH VkLUE, PND UPON ANY STCH EQUEST, SU-H VALUE MUST BE DISCLOSED AS A DI COUNT AGAINS q THE PURCHASES THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RE-AIN THESE RECORDS. ----------====7======�==------------ MERCHANDI E TOTAL 394.84 Invoice Date + 30 days 394.84 lease remi: payments only to the following aldress: lenry Scheii, Inc. ept CH 102 1 Palatine, IL 60055-0241 BILL TO SHIP TO INVOICE# INVOICE AMOUNT ITEM STATUS KEY REM KEY I-:Backordered:Item will follow SK-School Kit 1308571 1308572 4907848-01 394 .84 I)- hscoi�tjnucd.Item no longer available NC-No Charge F-Special Schein 1--we Goods H ORDER# ORDER DATE INVOICE DATE # OF BOXES M-Manufacturer will ship Item directly to you P Prescription Drug:Return Authorization Required 10634831 06/2S/13 6/2S/13 1 R Refrigerated Lem:flay be shipped separately $ Special Schein Pricing CUSTOMER PO# PA # T-Taxable Item �-Temporanly Ana�,ailahlc:please reorder 130NARK 1 OF -Ile has NISDS We make every effort to maintain prices for the duration or a Payment by CHECK or by the HENRY SCHEIN CREDIT CARD, catalog,however.we reserve the right to make price adjustments in response to manufacti irers�pr:ce changes VISA,MASTERCARD,DISCOVER and AMERICAN EXPRESS Guarant,��ed Satisfaction: It you have tried a product and it is detective or does not perform or Bill p I n� op,�o �,Aluli satisfactorily.we will provide a credit,refund,or exchange;it's your 11 ' Availah.le to licensed practitioners in the U.S.All invoices are choice. Simply call our customer service.,department within 30 clays payable within 30 days. of receipt of the merchandise to arrange for the return. Fora warranty repair or if you were sent something you did not order; simply call: Rx Products & Controlled Substances: Matra Medical 1-800-845-3550 Regulations require us to limit the sale of Rx and controlled - substances only to registered,licensed healthcare professionals. It you are a new customer or have recently moved,please furnish us with a copy of your updated state registration. For controlled substances, ;j:rnish a copy of your DEA certificate,verifying your shipping address. Class 11 drugs can be ordered only by mail. International Orders: Please Note: Be proudly serve healthcare professionals and governments Opened handpieces and equipment may not be returned for throughout the world. To place orders or for inquiries on export credit; will be repaired or replacedip accordance with manu I fa,turcr. -,warranties,Before opening handoieces or terms and conditions,please contact our International Department: equipment,we suggest that you check the shipping container 1-800-845-3550 and packing list to verify that you have received exactly what Prescription Drug Returns Instructions: ,o U you ordere,1.0pened Computer Software is not returnable. Other restrictions may also apply, A Return Authorization is Required for all Prescription Drugs.Sinnply call our CLIStOMOr SeMCO Departincnt 04 1-800.845-3,50. Af �7 � 1•i<-,rcr. � Please detach here and mail the above with your payment HSI ORDER# ORDER DATE DUE DATE 10185772 06/06/13 07/24/13 D&B#:01-243-0880 WHSE DEA# RHOI 62494 Fed ID: 11-3136595 q y '7' 3 P f A " � ft:'i,4?`�;..E 1r•.�.:�.r�`: 5'. � g � '1 ' Mw¢� Y • tyw } 0 I 1 499-7782 EA CAT TOURNIQUET TRAINER BLUE 1 1 31.00 31.00 PRODUCT IS 3EING SHIPPED TO YOU DIRECTLY FROM THE MP,4UFACTLRER. 2 499-9799 EA CAT HOLDER-MULTICAM 4 4 14.75 59.00 PRODUCT IS 3EING SHIPPED TO YOU DIRECTLY FROM THE MAXTUFACTIRER. OUR ORDER L0185772 HAS BEEN SPLIT INTO MULTI LE SHI MENTS. CERTAIN ITEM WILL E SHIPPED 3EPARATELY. YOU WILL BE BILLED FOR THESE TEMS IAHEN THEY ARE HIPPED. F YOU ARE iARTICIPATING IN A DISCOUNT PROGRAM (E.G. POINTS, GIFTS OR OTHER PECIAL AWA ZDS ("DISCOUNT")) , WITH THIS PURCHASE YOU HAVE EARNED A CREDI TOWARD GOODS OR SERVICES RECEIVABLE OR REDEEMABLE N ACCORDANCE WITH DISCOUNT PROGRAM RULES. UP04 DISCOUNT RECEIPT OR REDEMPTION, 'IOU ARE RECEIIIING OR WILL RECEIVE OTICE OF T E DISCOUNT VALUE. FROM TIME TO TIME, MED CARE, MEDICAID, TRI ARE OR THER PAYER MAY REQUEST INFORMATION REGARDING SUCH VALUE, IND UPON ANY S CH REQUEST, SU H VALUE MUST BE DISCLOSED AS A DI COUNT AGAINSI THE PURCHASE THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD RE AIN THESE RECORDS. MERCHANDI E TOTAL 90.00 Invoice Date + 30 days 90.00 Please remi payments only to the following a dress: Henry Scher , Inc. Dept CH 102 1 Palatine, I 60055-0241 BILL TO SHIP TO INVOICE# INVOICE AMOUNT ITEM STATUS KEY REM KEY 13-13ackordcred:Item will follow SK-School Kit 1308571 1308572 2733446-01 9 0 .0 0 D-Discontinued:Item no longer available NC-No Charge P_Special Schein Free Goods H I ORDER# ORDER DATE INVOICE DATE # OF BOXES M-Manufacturer will ship Item directly to you 1'-Prescription Drug:Return Authorization Required 10185772 06/06/13 6/2 4/13 R -Refrigerated Item:May he shipped separately $ -Special Schein Pricing CUSTOMER P PAGE# T-Taxable Item U-Temporanly unavailable:please reorder ,,MARK 1 OF 1 * -Item has MSDS .............................I................................. ...........--....................................--..........----------......... ............................. We Pnadke every effort,to maintain prices for the duration of a Payment by CHECK or by the HENRY SCHEIN CREDIT CARD, catalog,however,we reserve the right to make price adjustments in VISA,MASTERCARD,DISCOVER and AMERICAN EXPRESS response to manufacturers`ptic;c changes Guaranteed Satisfaction: If you have tried a product and it is detective or does not perform or Bill Y, 1 o satisfactorily,we will provide a r edit,refund,or exchange;it's your Availa'ble to licensed practitioners in the U.S.All invoices are choice. Simply call our customer servicedeparlImcnt within 30 days ble within 30 days. of receipt of the merchandise to arrange for the return. For a p a a w warranty repair or it you were sent something you did not order, simply call: Rx Products & Controlled Substances: Matrx Medical 1-800-845-3550 Regulations require us to limit the sale of Rx and controlled substances only to registered,licensed healthcare professionals. If you are a new Customer or have recently moved,please fur sh us with a copy of your updated slate registration. For controlled substances,furnish a copy of your DEA ccertificate,verifying your shipping address. Class 11 drugs can be ordered only by mail. International Orders: Please Note: Opened handpieces and equipment may not be idurned for We proudly serve healthcare professionals and governments credit,but will be repaired o r replaced i€ accordance with throughout the world. To place orders or for inquiries on export manufacturer warranties.Befor opening hand D terms and conditions,please contact cur International Department: a ' ieces or 1-800-8455- equ.pment, suggest that you check the shipping container 3550 and packing list to verity that you have receiver,exactly what Prescription Drug Returns Instructions: you ordered.Opened Computer Software is not returnable. Other restrictions may also apply. A Return Authorizations Required for all Prescription Drugs.Simply call our Customer Serv:ce Depart me fit 1-800-845-3550. .......... k -re In M Z4 If Please detach here and mail the above with your payment HSI ORDER# ORDER DATE DUE DATE 09597473 05/14/13 07/21/13 D&B#:01-243-0880 WHSEDEA# RH0162494 Fecl ID: 11-3136595 CONTAINS MULTIPLE INVOICES `7 +,qq %? g;•' ^v,: E.'" :,.`i.,r"=,....... ��ki+:<4ya .g�9 '7 H'r`..: 8 ,l•; .. ,,yyam� (�..gg...................... :.�+ ".�°,.•�'1p1:1'S " �.e '; �� Ap �✓ �5 p?f.;; Fes • �. �. Y'a RK 317-423-8784 1 499-1688 EA PELICAN CASE #1500 W/FOAM BLACK 1 1 136.76 136.76 RODUCT IS 3EING SHIPPED TO YOU DIRECTLY FROM THE MKIUFACTCRER. F YOU ARE ARTICIPATING IN A DISCOUNT PROGRAM (E.G. POIN S, GIFTS OR OTHER PECIAL AWA DS ("DISCOUNT") ) , WITH THIS PURCHASE YOU HAVE EARNED A CREDI TOWARD GOODS OR S RVICES, RECEIVABLE OR REDEEMABLE N ACCO DANCE WITH DISCOUNT PROGRAM RULES. UPOI DISCOUNT RECEIPT OR REDEMPTION, OU ARE RECEI ING OR WILL RECEIVE OTICE OF T E DISCOUNT VALUE. FROM TIME TO TIME, MEDICARE, MEDICAID, TRI ARE OR THER PAYER MAY REQUEST INFORMATION REGARDING SUCH V LUE, PND UPON ANY S CH REQUEST, SU H VALUE MUST BE DISCLOSED AS A DI COUNT GAINSq THE PURCHASES THAT EARNED SUCH VALUE. ACCORDINGLY, YOU SHOULD'RE AIN TH SE RECORDS. MERCHANDI E TOTAL 136.76 Invoice Date + 30 days 136.76 lease remi payments only to the following a dress: Henry Scheii, Inc. Dept CH 10211 Palatine, I 60055-0241 BILL To SHIP T INVOI E INVOICE AMOUNT ITEM STATUS KEY REM KEY B-Backordered:Item will loll('-School Kit 13 0 8 5 71 13 0 8 5 7 2 213 914 9—01 13 6 . 7 6 D-Discontinued:Item no longer available NC-No Charge 1�-Special Schein Pree Goods H I RDER ORDER DATE INV I E DATE F HOKE 17-Manufacturer will Ship Item directly to you P-Prescription Drug:Return Authorization Required 0 9 5 9 7 4 7 3 0 5/14/13 6/21/13 R -Refrigerated Item:May be shipped separately $ -Special Schein Pricme CUSTOMER P PA E T-Taxable Item RK 1 OF 1 U-Tempor it ly unavailable:please reorder * -Item has MSDS We make every effort to maintain prices for the duration ofa Payment by CHECK or by the HENRY SCHEIN CREDIT CARD, catalog,hnvnvor,we reserve|ho make price adjustments in VISA,MASTERCARD,DISCOVER and AMERICAN EXPRESS response tomanufacturem'pricechanges Guaranteed Satisfaction: U you have tried a product and i|iodofectivoor does not perform or oahufactnh|y,mo will provide a credit,refund,ur exchange;ifs your c Available to licensed practifioners in the U,S.All invo'ces are hoice. Simply call oor customer service de q t within 30 days d�oei��memhandima�ourmmOe�r�en�um� Fora pay warranty mpoirnrd you were sent something you did not order, simply call: Rx Products & Controlled Substances: Matrx Medical 1-800^845~3550 Regulations'require tu limit the sale oiRx and controlled substances un|yN registered,licensed healthcare professionals. |{you are a new customer ur have recently moved,please furnish us with a copy of your updated slate registration. For contrclied substances,furnish a copy of your DEA certificate,vedying your shipping address. Class 11 drugs can be ordered only cy mail, International Orders: Please Ve proudly healthcare pmfeooiono|oandgovemmento 0pooedhandpieoesandequipmentmiayn�be�1umed(or throughout the world. Tn place orders nr for inquiries mnexpo � c/adiLbu\wi||byrepoimdnrrep|aned »accordance with terms and uundihnny |oonaoon\��our|n�m�ion�Dapxdme�� manu�oue/*mnandea.8�teupon�ghandpipceoor 1�00'84�355O '' � equipment.weouggnst that you check the ahip in container and packing list toverif (hat you have received exactly what yomordered� d� 1 rSo�1wmreisno�re�urnab|e. Prescription ��rug ��etur0sInstructions: Other restrictions may also apply. A Return Authorization io Required for all Preochpkon Drugs.Simply call our Cudom»rSorvimaDeVado�mnl e�1-8OO-845-35S0. �, r ' VOUCHER NO. WARRANT NO. ALLOWED 20 Henry Schein IN SUM OF $ Dept Ch 10241 Palatine, IL 60055 $621.60 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 2139149-01 102-670.06 $136.76 1 hereby certify that the attached invoice(s), or 1120 2733446-01 102-390.11 $90.00 bill(s) is (are) true and correct and that the 1120 I 4907848-01 1 102-390.11 ( $394.84 materials or services itemized thereon for which charge is made were ordered and received except JUL 11 20M 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)) 2139149-01 $136.76 2733446-01 $90.00 4907848-01 I I $394.84 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