HomeMy WebLinkAbout247989 07/28/15 t�q
CITY OF CARMEL, INDIANA VENDOR: 368918
ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******320.60*
?a: CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 247989
NILES OH 44446 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 84173 320.60 SPECIAL DEPT SUPPLIES
Invoice8417
1317 North Road
s t� Niles, OH 44446 PO'
��� 800-392-733 Order Date: 6/2/2015
Public Safety Technology sales@penncare.net Invoice Date: 6/2/2015
Terms:
Ship Method:-UPS. Ground
Sill To: Ship To:
Carmel Fire CITY OF Carmel Fire CITY OF
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Carmel Fire CITY OF
10 10 0 RU-121804 Oral Berman airway 90mm 0.20 each 2.00 -/
30 30 0 MF-296L Gloves, MidlKnight Nitrile Large 10.62 each 318.60 -V
bx/100
$320.60
Stjbt®tal $320.60
Shipping
Tax @
TOTAL, $320:60
Payments
Credits
MMM,
Page 1 of 1
i
VOUCHER NO. WARRANT NO. ;!
ALLOWED 20
Penn Care Inc. I
IN SUM OF$
1317 North Road
Niles, OH 44446
$320.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 84173 102-390.11 $320.60 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 Z 7 2015
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))
84173 $320.60
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