HomeMy WebLinkAbout256993 03/31/16 0 CITY OF CARMEL, INDIANA VENDOR: 368918
ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******421.80*
CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 256993
NILES OH 44446 CHECK DATE: 03131/16
DEPARTMENT ACCOUNT PID NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 89495 131.80 SPECIAL DEPT SUPPLIES
102 4239011 89538 290.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO.
ALLOWED 20
Penn Care Inc.
IN SUM OF$
1317 North Road
Niles, OH 44446
$421.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
89538 °&'.-390.11 $290.00 1 hereby certify that the attached invoice(s), or
89495 y'�-390.11 $131.80 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
MAR `j 1 2016
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Invoice #89538
-��~c�•�` 1317 North Road
Niles, OH 44446FA
PO:
�F211111111111W 800-392-7233 Order Date: 3/21/2016
Public SafetyTechncloo sales@penncare.net Invoice Date: 3/22/2016
Terms: Net 30
Ship Method: Shipped
w/another order
Bill To: Ship To:
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
• BO'd Code
Carmel Fire Department
10 10 0 NAR-300001 C-A-T--Combat Application 29.00 each 290.00 N/
Tourniquet
$290.00
Subtotal $290.00
Shipping
Tax @
TOTAL $290.00
Payments
Credits
Balance Due $290,.001
Page 1 of 1
Invoice #89495
' 6f 1317 North Road PO:
�' r� Niles, OH 44446
■��i� 800-392-7233 Order Date: 3/21/2016
Public Safety Technology sales@penncare.net Invoice Date: 3/21/2016
i Terms: Net 30
Ship Method: UPS Ground
Bill To: Ship To:
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
• . d Ship'd ROd Code
Carmel Fire Department
50 50 0 DK-645 Sterile Gauze, 4.5" X 4.1' 6ply 1.25 each 62.50 -/
Krinkle Roll
10 10 0 PC-0090 ET Tube, Cuffed 9.Omm 1.35 each 13.50 -/
10 10 0 MD-SC12 Suction catheter, 12FR 0.58 each 5.80 -/
10 10 0 RG-6041B Bag, 10 gallon biohazard, pkg/10 5.00 pack/10 50.00 -/
10 0 10 NAR-300001 C-A-T--Combat Application 29.00 each 0.00 d
Tourniquet
3 0 3 MT-M5101 OMNI Pro (ICB) Infection Control 305.00 bag 0.00 -/
Bag Dark Gray Vinyl
$131.80
Subtotal $131.80
Shipping
Tax @
TOTAL $131.80
Payments
Credits
Balance Due $131.80
Page 1 of 1