HomeMy WebLinkAbout249392 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 368918
ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****1,700.00*
CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 249392
•M,rpN�o, NILES OH 44446 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 85441 850.00 SPECIAL DEPT SUPPLIES
102 4239011 85516 850.00 SPECIAL DEPT SUPPLIES
Invoice #85516
1317 North Road PO: Tom Small
1✓ Po Niles, OH 44446
® 800-392-7233 Order Date: 8/18/2015
Public Safety Technology sales@penncare.net Invoice Date: 8/21/2015
Terms:
Ship Method: UPS Ground
Bill To: Ship To:
Carmel Fire Dept. Carmel Fire Dept.
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
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Carmel Fire Dept.
100 100 0 LA-980010 Collar, Stifneck Select Adult 8.50 each 850.00
$850.00
Subtotal $850.00
Shipping
Tax @
TOTAL $850.00
Payments
Credits
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Page 1 of 1
Invoice #85441
1317 North Road PO: Tom Small
ro
L Niles, OH 44446 800-392-7233 Order Date: 8/18/2015
Public Safety Technology sales@penncare.net Invoice Date: 8/18/2015
Terms:
Ship Method: UPS Ground
Bill To: Ship To:
Carmel Fire Dept, Carmel Fire Dept.
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
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Carmel Fire Dept. - - - - - - - - - -��� - -- ---- - -- - -- - - - -
200 100 100 LA-980010 Collar, Stifneck Select Adult 8.50 each 850.00
$850.00
Subtotal $850.00
Shipping
Tax @
TOTAL $850.00
Payments
Credits
Page 1 of 1
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))
85516 $850.00
85441 $850.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Penn Care Inc.
IN SUM OF $
1317 North Road
Niles, OH 44446
$1,700.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 85516 102-390.11 $850.00 1 hereby certify that the attached invoice(s), or
1120 85441 102-390.11 $850.00 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
SEP - 4 2015
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund