223563 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 367465 Page 1 of 1
ONE CIVIC SQUARE MAGI BIOMEDICAL SERVICE
CARMEL, INDIANA 46032 208 NORTH MERIDIAN ST CHECK AMOUNT: $150.40
"? LEBANON IN 46052
CHECK NUMBER: 223563
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 M706 150 . 40 OTHER EXPENSES
36 -7 q� 5
MAGI Biomedical Service INVOICE
208 North Meridian St.
Lebanon, In 46052 Invoice Number: M706
USA
Invoice Date: Aug 14, 2013
Page: 1
Voice: 317-508-0937 Duplicate
Fax:
Carmel Waste Water Treatment Plant Carmel Waste Water Treatment Plant
6909 Hazel Dell Parkway 6909 Hazel Dell Parkway !
Indianapolis, IN 46280 i Indianapolis, IN 46280
USA USA
317-571-2634 I S13671 Net 30 Days
Hand Deliver 9/13/13
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2.00 (DM-9131-001 Adult Defib electrodes for Cardiac Science 42.00 84.00
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1.00 j DM-001853 j R2 Defib Electrodes for Welch Allyn 60.20 '; 60.20
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Subtotal 144.20
Remit to: Sales Tax
MAGI Biomedical Service -- - -._ .._. _- -.-L - ----------.__-. -__._--
Freight 6.20
5647 Dividend Drive, Suite A --- - —'- ---- -- - - ---
Indianapolis, Indiana 46241 ! Total Invoice Amount 150.40
j Payment/Credit Applied
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367465
MAGI BIOMEDICAL SERVICE Purchase Order No.
SUITE A Terms
INDIANAPOLIS, IN 46241 Due Date 8/21/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2013 M706 $150.40
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
Date Officer
VOUCHER # 136217 WARRANT # ALLOWED
367465 IN SUM OF $
MAGI BIOMEDICAL SERVICE
SUITE A
INDIANAPOLIS, IN 46241
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
M706 01-7202-05 $150.40
Voucher Total $150.40
Cost distribution ledger classification if
claim paid under vehicle highway fund