HomeMy WebLinkAbout257498 04/12/16 0CITY OF CARMEL, INDIANA VENDOR: 368918
�/ ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******212.50*
?� CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 257498
9.y«oN�, NILES OH 44446 CHECK DATE: 04/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239011 89800 212.50 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO.
ALLOWED 20
PENN CARE INC.
1317 NORTH ROAD IN SUM OF$
NILES, OH 44446
$212.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
89800 I 42-390.11 I $212.50 1 hereby certify that the attached invoice(s), or
1120 102
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
Tuesday, April 05, 2016
David Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201(Rev.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
ohom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/05/16 I 89800 I I $212.50
1120 102
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
Invoice #89800
1317 North Road
PO:
Niles, OH 44446
800-392-7233 Order Date: 4/4/2016
Public Safety Technology sales@penncare.net Invoice Date: 4/4/2016
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
• . • e d6de Name Pf ice Wilt Ext Pflite Tax
Carmel Fire Department
25 25 0 LA-980010 Collar, Stifneck Select Adult 8.50 each 212.50 N/
$212.50
Subtotal $212.50
Shipping
Tax @
TOTAL $212.50
Payments
Credits
Ba IL ance Du e $212.50
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