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Home My WebLink About251682 11/18/15 a,�c�gMt CITY OF CARMEL, INDIANA VENDOR: 368918 ® ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****3,082.20* s. ;_� CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 251682 �a;,_r�N.�; NILES OH 44446 CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467006 8557 712.00 EMS EQUIP 102 4467006 85765 90.70 EMS EQUIP 102 4467006 86035 836.00 EMS EQUIP 102 4467006 86778 1,443.50 EMS EQUIP Invoice 1317 North Road PCD: WIFF, Niles, OH 44446 Order Date: 10/28/2015 800-392-7233 Public Safety Technology sales@penncare.net Invoke Date: 10/28/2015 Terms: Net 30 Ship Method: UPS Ground Sill To: Ship To: Carmel Fire Dept. Carmel Fire Dept. 540 W 136 st 540 W 136 st Carmel, IN 46032 Carmel, IN 46032 • > i, F ° .: -, .. .°°,.......>,,._><. :. > ' ...:°>.'.,....:... i ,........w.... o-...,.....�h'a:,1 d.......<... ...._....if`£i'Q..'..:.:.. ... :,,,f.;,:a':M-:S.: ...,............,.,. .. >n r.. .,...... Carmel Fire Dept. 100 100 0 MF-296L Gloves, Mid Knight Nitrile Large 8.90 each 890.00 bx/100 50 50 0 MF-296M Gloves, Mid Knight Nitrile Medium 8.90 each 445.00 bx/100 15 15 0 KEN-LP11 Lifepak 11 & 12 & 15 paper 2.65 each 39.75 1 1 0 ADC-351 Penlights disposable-6/pkg 4.75 pack/6 4.75 4 4 0 EMI-3228 Deluxe Finger Ring Cutter 16.00 each 64.00 $1,443.50 Subtotal $1,443.50 Shipping Tax @ TOTAL $1,443.50 Payments Credits I Page 1 of 1 Inv®ice #66035 1317 North Road Niles, OH 44446 PO: Tom 1 ; � 800-392-7233 Order Date: 9 U Public Safety Technology sales@penncare.net Invoic ate: 9/17/2015 Term e Ship Method: Drop Ship Bill To: Ship To: D Carmel Fire Dept. Carmel Fire Dept. AST 540 W 136 st 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 �re Carmel Fire Dept. 8 8 0 MT-M5105 G2 PRO Grab 2 Go Quick Aid 104.50 each 836.00 System $836.00 Subtotal $836.00 Shipping Tax 0 TOTAL $836.00 Payments Credits Page Iof1 Invoice #85765 1317 North Road Niles, OH 44446 POC Iu a®® 800-392-7233 Order Dat 2015 UUU Public Safety Technology sales@penncare.net Invoi ate: 9/3/2015 p � Term • Net 30 Ship Met od: UPS Ground Bill To: Ship To: Carmel Fire Dept. Carmel Fire Dept. 540 W 136 st 540 W 136 st Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Dept. 30 30 0 KEN-LP11 Lifepak 11 & 12 & 15 paper 2.65 each 79.50 $79.50 Subtotal $79.50 Shipping $11.20 Tax @ TOTAL $90.70 Payments Credits Page 1 of 1 Inv®ice #85577 1317 North Road Niles, OH 44446 PO: Tom Small 800-392-7233 Order Date, U Public Safety Technology sales@penncare.net Invoice e: 8/24/2015 Terms: PA 31 Ship Method: UPS Ground DO Bill To: Ship To: Carmel Fire Dept. Carmel Fire Dept. 540 W 136 st 540 W 136 st Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Dept. 100 30 70 MF-296L Gloves, Mid Knight Nitrile Large 8.90 each 267.00 V bx/100 50 50 0 MF-296XL Gloves, MidKnight Nitrile XLarge 8.90 each 445.00 -/ bx/100 $712.00 Subtotal $712.00 Shipping Tax 0 TOTAL $712.00 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)) 85577 $712.00 85765 $90.70 86035 $836.00 86778 $1,443.50 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Penn Care Inc. IN SUM OF $ 1317 North Road Niles, OH 44446 $3,082.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 85765 102-670.06 $90.70 1 hereby certify that the attached invoice(s), or 1120 86035 102-670.06 $836.00 bill(s) is (are) true and correct and that the 1120 86778 102-670.06 $1,443.50 materials or services itemized thereon for 1120 85577 102-670.06 $712.00 which charge is made were ordered and received except NOV 1 6 2015 r - i� �• "j. g Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund