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HomeMy WebLinkAbout256483 03/15/16 � ,t�gMf 4 j'.._.. CITY OF CARMEL, INDIANA VENDOR: 368918 'I ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $"`"`3,204.71` ,{. ,�_� CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 256483 9.y,��oN LA'` NILES OH 44446 CHECK DATE: 03/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 87592 336.20 SPECIAL DEPT SUPPLIES 102 4239011 87802 410.60 SPECIAL DEPT SUPPLIES 102 4239011 88506 336.15 SPECIAL DEPT SUPPLIES 102 4239011 88941 2,038.50 SPECIAL DEPT SUPPLIES 102 4239011 89001 83.26 SPECIAL DEPT SUPPLIES Invoice # 8894.1 . 1317 North Road ®: Nites,,OH 44446 800-392-7233 order Dat®: 2/23/2016 -�� - Public Safety Technology sales@penncare.net Invoice Date: 2/23/2016 . Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel,Fire Dept. -Carmel Firm Dept. .2Civic`Square 54&W 1368t Carmel, IN 46032 Carmel,.IN 46032 '", t "w Y' '�«' � .�F,'bk� .Auki.. 'fYu'aty' 6:;F ` .8. Cannel.Fire Dept. 2 2 0 MM 6125 Bag,-Biohazard 4 Gallon .10/pkg -5.50 pack/10 11.00 iL. -2- 2 0" RG-6041B. -Bag, 10.gallon biohazard bag .5.00 pack/10 10..00 V . pkg/10 25 25 0 . AM-264040 ET Tube Holder 3.60 each.. 90.06 -V 25 25 0 PC-1057209. Flow-Safe II CPAP with Large Adult 59.00 each 1,475..00: .V .: 10: . 10 0 GF-53376- MegaMover Plus-40":x 80" 33.00 each '. 330:00 d 10 10. .0 RU-121803 Oral Berman airway 80mm 0.20 each 2.00. 10 10 0 RU-12.1804 Oral.Berman airway 90mm 0.20 each 2.00. d. 20 20 0 MD-MSETS400 Stylette, individually pack, 14FR 3.05 each .61.00. .V 10 10. 0 MD-PM103W CPR Pocket Mask W/62 port/valve 5.75 -each 57.50 V. . $2;038.50 Subtotal $2,038.50 Shipping Tax @ TOTAL $2,038:50 Paylments Credos 2 E Page_1 of. 1 Invoice #89001 1317 North Road PO: Niles, off 44446 Order Date: 2/26/2016 �1 .800-392-7233 Public Safety Technology sales@penhcare.net. Invoice Date: 2/26/201.6. Terms: Net 30 Ship,Method: UPS Ground -Ship To: Bill To. Carmel Fire Dept. Carmel Fire Dept. 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 •`:.�.._..s:.,,,,:.�.,c-._�._..._�F..;_ 6:_ ✓_: .�_�.V.�fi�`.i,.- ' .._.:�-'���..smx::.:; .v •@xC...:. '«1 .s. - -Carmel—Fire Dept. - -- ---_-Y- -__ - ---:-- -_- ----�-- . -- ---- —- - _ —_._�- --4 4 0 . RF-4331 4" Israeli Bandage 9.20 each. 36.80 -V 4 4 0 RF-4332 6" Israeli Bandage 9.20 each 36.80 -V $73.60 Subtotal $73.60- Shipping $9.66 Tax @ TOTAL $83.26- Payments , 83.26Payments , Credits e Page i of 1 mscnueduvState Board mAccounts Form No.uu1VRev 1995 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL m invoice or bill to be properly itemized must show:kind of service,where performed, dates service rendered,by /hom. rates per day,number ofhours,rate per hour, number nfunits,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)) 88941 $2,038.50 89001 $83.26 | hereby certify that the attached invoice(s),orbiU(s). is(are)true and correct and | have audited same in accordance with|C5'11-1O'1.G 3O Clerk-Treasurer Invoice x#87592 1317 North Road Niles, OH 44446 PO: Tom [[ 800-392-7233 Order Date: 12/11/2015 l Public Safety Technology 800-392-7233 Invoice Date: 12/11/2015 Terms: Net 30 Ship Method: UPS Ground Blil To: Ship To: Carmel Fire Dept. Carmel Fire Dept. PAST 540 W 136 st 540 W 136 st Carmel, IN 46032 Carmel, IN 46032 Ordd Ship1d. BO"d_ Code Carmel Fire Dept. 20 20 0 LA-980020 Collar, Stifneck Select Pedi 8.50 each 170.00 36 36 0 KEN-LP11 Lifepak 11 & 12 & 15 paper 2.65 each 95.40 -V 24 24 0 MD-MS64250 Sharps Dart (Shuttle) 2.95 each 70.80 $336.20 Subtotal $336.20 Shipping Tax @ TOTAL $336.20 Payments Credits Balance, Page 1of1 Invoice #87802 1317 North Road �mjw �� _ Niles, OH 44446 PO: ►�i800-392-7233 Order Date: 12/22/2015 ` Public Safety Technology sales@penncare.net Invoice Date:12/22/2015 Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: PA Carmel Fire Dept. Carmel Fire Dept. 540 W 136 st 540 W 136 st DUE Carmel, IN 46032 Carmel, IN 46032 • . • . . Name Price Unit Ext Price Tax -- Carmel Fire Dept. 3 3 0 PC-1057209 Flow-Safe II CPAP with Large Adult 59.00 each 177.00 V 8 8 0 BT-3137030 02 RESQ bitrac ED full face mask 33.00 each 264.00 V w/head strap, adult large 1 $441.00 Carmel Fire Dept. : 12/23/2015 -30.40 -$30.40 Subtotal $441.00 Shipping Tax @ TOTAL $441.00 Payments -$30.40 Credits Balance Due, $410.60'' Page 1of1 Invoice 1317 North Road Niles, OH 44446 ®• 800-392-7233 Order Date: 2/2/2016 Public Safety Technology sales@penncare.net Invoice Date: 2/2/2016 Terms: Net 30 Ship Method: UPS Ground Sill To: Ship To: Carmel Fire Dept. Carmel Fire Dept. 2 Civic Square 540 W 136 st Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Dept. 90 54 36 KEN-LP11 Lifepak 11 &;12 & 15 paper 2.65 each 143.10 10 10 0 MD-MS23930 Adult Nasopharyngeal Airways 30Fi 2.10 each 21.00 10 10 0 MD-SC14 Suction catheter, 14FR 0.58 each 5.80 25 25 0 3M-1582 Coban Wrap 2" x 5 yards 2.45 each 61.25 20 7 13 SB-71236 SAM Splint - Original Orange/ Blue 15.00 each 105.00 36" FLAT $336.15 Subtotal $336.15 Shipping Tax @ TOTAL $336.15 Payments Credits Page 1 of 1