Invoices: Mercy Hospital South (# 3212) Status: Active

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Term: Net 30 days Partner Timezone: Central Standard Time (GMT-6:00) Auto Split Invoices: Enabled Split By: PO Number Split By Value: BLANKET PO

Invoice: R475359 Status: Authorized Status: Exported

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RO#
PO#
Department
Product Name
Model Common Name
Barcode
Serial
Bill Start Date
Bill End Date
Amount
Daily Price
Monthly Price
Duration (In Days)
Notes
385186 3 position Recliner Invacare 6907A 3 position Recliner 218169 03L000092 02/01/2023 02/06/2023 $128.58 $21.43 $600.00 6 Day(s)
385177 3 position Recliner Invacare 6907A 3 position Recliner AU15 02/01/2023 02/06/2023 $128.58 $21.43 $600.00 6 Day(s)
385179 Alpha Tekniko AF-P2 Pump-AF-12 mattress Alpha Tekniko AF-P2 Pump-AF-12 mattress AU190 02/01/2023 02/28/2023 $500.00 $17.86 $500.00 28 Day(s)
385256 Ventilator Adult Package Equipment Accessories ABC104 ABC104 01/30/2023 01/30/2023 $42.86 $42.86 $1,200.00 1 Day(s)
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To Do List
Module ID # Description Date
Call Log 61426 Mercy Hospital South
Not active, waiting call log approval 		07/10/2020
Purchase Order 45216 Mercy Hospital South
Not active, waiting call log approval 		07/10/2020
Invoice Recreation

Mercy Hospital South (# 3212)

Transaction
Date
Invoice#
Amount
Department
Term
 
Original Invoice 1/31/2023 R123456
$100,000.00 Subtotal
Net 30
$10,000.00 Tax
$0 Discount
$110,000.00 Grand Total
 
Credit Invoice 4/30/2023 RCR123456
$(100,000.00) Subtotal
Net 30
$10,000.00 Tax
$0 Discount
$110,000.00 Grand Total
 
Recreated Invoice 4/30/2023 R888123
$20,000.00 Subtotal
Respiratory Net 30
$2,000.00 Tax
$0 Discount
$22,000.00 Grand Total
4/30/2023 R888124
$20,000.00 Subtotal
Central Supply Net 30
$2,000.00 Tax
$0 Discount
$22,000.00 Grand Total
4/30/2023 R888125
$20,000.00 Subtotal
Infusion Net 30
$2,000.00 Tax
$0 Discount
$22,000.00 Grand Total
4/30/2023 R888126
$20,000.00 Subtotal
Monitoring Net 30
$2,000.00 Tax
$0 Discount
$22,000.00 Grand Total
4/30/2023 R888127
$20,000.00 Subtotal
Infant Net 30
$2,000.00 Tax
$0 Discount
$22,000.00 Grand Total
 
Total
$100,000.00 Subtotal
$10,000.00 Tax
$0 Discount
$110,000.00 Grand Total
 
Invoice to Credit Diff
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Single to Split by Diff
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