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Home My WebLink About258002 04/26/16 %''4�4�. CITY OF CARMEL, INDIANA VENDOR: 368918 t ® ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****3,580.91' s. ?� CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 258002 9M��ON�O,` NILES OH 44446 CHECK DATE: 04/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4467006 89894 610.00 EMS EQUIP 252 5023990 89894 305.00 OTHER EXPENSES 252 5023990 89895 300.00 OTHER EXPENSES 1120 4239011 89934 415.84 SPECIAL DEPT SUPPLIES 1120 4239011 89995 1,260.59 SPECIAL DEPT SUPPLIES 1120 4239011 90034 270.00 SPECIAL DEPT SUPPLIES 1120 4239011 90103 250.00 SPECIAL DEPT SUPPLIES 1120 4239011 90168 169.48 SPECIAL DEPT SUPPLIES 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 whom, 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)) 04/13/16 89995 $415.84 1120 102 04/13/16 89934 $1,260.59 1120 102 1 hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 PENN CARE INC. 1317 NORTH ROAD IN SUM OF$ NILES, OH 44446 $1,676.43 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 89995 42-390.11 $415.84 1 hereby certify that the attached invoice(s), or 1120 102 89934 42-390.11 $1,260.59 bill(s) is (are)true and correct and that the 1120 102 materials or services itemized thereon for which charge is made were ordered and received except Thursday, April 14, 2016 David Haboush Fire Chief Cost distribution ledger classification if claim paid motor vehicle highway fund Invoice #89934 1317 North Road�-rA PO: rNO5 Niles, OH 44446 800-392-7233 Order Date: 4/8/2016 Public Safety Technology sales@penncare.net Invoice Date: 4/8/2016 Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 540 W 136 st Carmel, IN 46032 Carmel, IN 46032 •rd'd,Ship'-d BOPA Code Carmel Fire Department 40 40 0 MF-296L Gloves, MidKnight Nitrile Large 10.15 each 406.00 bx/100 40 40 0 MF-296M Gloves, MidKnight Nitrile Medium 10.15 each 406.00 bx/100 40 40 0 MD-MS64250 Sharps Dart (Shuttle) 2.95 each 118.00 20 20 0 RU-121905 Airway, Berman 100mm Indiv. Bag 0.44 each 8.80 100 50 50 DMS-30051 Disposable Vinyl Sticky Straps, 5.40 set 270.00 set/3 $1,208.80 Subtotal $1,208.80 Shipping $51.79 Tax @ TOTAL $1,260.59 Payments Credits Balance Due $1,260.59 Page 1 of 1 Invoice #89995 --, 1317 North Road r PO: Tom Small Niles, OH 44446 800-392-7233 Order Date: 3/31/2016 Public Safety Technology sales@penncare.net Invoice Date: 4/12/2016 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 • i o"d BO'd Code - Carmel Fire Department 16 16 0 GF-51926 MegaMover portable Transport 25.99 each 415.84 Unit, white/black, 40" x 80" $415.84 Subtotal $415.84 Shipping Tax @ TOTAL $415.84 Payments Credits Balance iDue $415.84 Page 1 of 3 )rescribed 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 vhoin, 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)) 04/08/16 I 90034 I I $270.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 PENN CARE INC. 1317 NORTH ROAD IN SUM OF $ NILES, OH 44446 $270.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 90034 42-390.11 $270.00 1 hereby certify that the attached invoice(s), or 1120 I 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 19, 2016 Day. _ David Haboush Fire Chief Cost distribution ledger classification if claim paid motor vehicle highway fund Invoice #90034 E� ��' r 1317 North RoadNilesPO: Ir pw® MYw � 800-3OH 6 92-7233 Order Date: 4/8/2016 Public Safety Technology sales@penncare.net Invoice Date: 4/14/2016 Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 540 W 136 st Carmel, IN 46032 Carmel, IN 46032 • e e ShJpd • e Code Carmel Fire Department 50 50 0 DMS-30051 Disposable Vinyl Sticky Straps, 5.40 set 270.00 set/3 $270.00 Subtotal $270.00 Shipping Tax @ TOTAL $270.00 Payments Credits Balance Due 00 Page 1 of 1 'rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by vhom, 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)) 04/08/16 89894 $305.00 1120 252 04/08/16 89895 $300.00 1120 252 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. 1317 NORTH ROAD IN SUM OF $ NILES, OH 44446 $605.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 89894 50-239.90 $305.00 1 hereby certify that the attached invoice(s), or 1120 252 89895 50-239.90 $300.00 bill(s) is (are)true and correct and that the 1120 252 materials or services itemized thereon for which charge is made were ordered and received except Thursday, April 14, 2016 Denise Snyder Budget&Accreditation Manager Cost distribution ledger classification if claim paid motor vehicle highway fund Invoice #89894 1317 North Road .—..- �Y Niles, OH 44446 PRS: 800-392-7233 Order-Date: 3/21/2016. PubllaSatetpTechnalogy sales@penncare.net Invoice Date: 4/7/2016 Terms: Net 30 Ship Method: Drop Ship Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic_Square . 2 Civic Square Carmel, IN -46032 Carmel, IN 46032 s . . . : ® Carmel Fire Department 3 3 0 MT--M5101 OMNI Pro (ICS) Infection Control 305.00 bag 915.00 ti( Bag Dark Gray Vinyl $915.00 Subtotal $915.00 Shipping _ Tax 6 TOTAL, $915.00 Payments Credits. B41,pp%cejQue � e Page 1 of 6 Invoice #89895 qq '� 1317 North Road Niles, OH 44446 PO' ■d 800-392-7233 Order Date: 3/22/2016 r Public Safety Technology sales@penncare.net Invoice Date: 4/7/2016 _ Terms: Net 30 Ship Method: Drop Ship Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Name Ord"A 9hipd BO"d' Code Price Unit-Ext Price Tax Carmel Fire Department 3 1 2 PLC-1550EMS Pelican case #1550 w/foam div/lid 300.00 each 300.00 '/ organzr BLACK $300.00 Subtotal $300.00 Shipping Tax @ TOTAL $300.00 Payments Credits ®ue $:3()'-0.0 Page 1 of 6 Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by vhom, 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)) 04/22/16 90103 $250.00 1120 102 04/22/16 90168 $169.48 1120 102 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 PENN CARE INC. 1317 NORTH ROAD IN SUM OF$ NILES, OH 44446 $419.48 ON ACCOUNT OF APPROPRIATION FOR Fire Department PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 90103 42-390.11 $250.00 1120 102 1 hereby certify that the attached invoice(s), or 90168 42-390.11 $169.48 bill(s) is (are)true and correct and that the 1120 102 materials or services itemized thereon for which charge is made were ordered and received except Friday, April 22, 2016 VamDr -2S_ David Haboush Fire Chief Cost distribution ledger classification if claim paid motor vehicle highway fund Invoice #90103 1317 North Road PO: tom small ■■��''��.y, ,.�r�r� Niles OH 44446 ■��'1�91[ 800-392-7233 Order Date: 4/19/2016 Public Safety Technology sales@penncare.net Invoice Date: 4/19/2016 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 • . . . .!. o' w -CodoPric -lUnit Ext Price Tax Carmel Fire Department 2 2 0 LA-780400 Replacement battery for 780020 125.00 each 250.00 $250.00 Subtotal $250.00 Shipping Tax @ TOTAL $250.00 Payments Credits wance Due $25, e e e Page 1 of 1 Invoice #90168 1317 North Road �'�' ST �� Niles, OH 44446 PO: i■iL1IYI�- - 800-392-7233 Order Date: 4/14/2016 Public SafetyTechnalogy sales@penncare.net Invoice Date: 4/21/2016 f Terms: Net 30 Ship Method: UPS Ground Sill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 • a e o C 0 s e –UT it txt,PficeTax� Price -ff Carmel Fire Department 3 3 0 NAR-300001 C-A-T--Combat Application 29.00 each 87.00 Tourniquet 2 2 0 RF-4331 4" Israeli Bandage 9.20 each 18.40 2 2 0 RF-4332 6" Israeli Bandage 9.20 each 18.40 3 3 0 MD-GZ3 Sterile Gauze, Conforming Rolls 3" 3.35 box/12 10.05 X 4.1yds. 1 1 0 MD-TS2 Cloth Tape, 2" Box of 6 8.28 box/6 8.28 1 1 0 EMI-1080Y Shears, 7 1/4" Yellow 3.88 each 3.88 1 1 0 3M-2083 3M Coban LF Self Adherent Wrap, 3.47 each 3.47 3" X 5yds. Tan 2 2 0 DY-3342 Sterile Gauze, 4" X 4" 8ply 4.00 tray/25 8.00 1 1 0 MGL-1000 Mini Maglite AA size black 12.00 each 12.00 1 0 1 MT-M5105 G2 PRO Grab 2 Go Quick Aid 104.50 each 0.00 System $169.48 Subtotal $169.48 Shipping Tax @ TOTAL $169.48 Payments Credits a Page 1 of 1 Drescribed 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 03/21/16 I 89894 I I $610.00 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 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 PENN CARE INC. 1317 NORTH ROAD IN SUM OF $ NILES, OH 44446 $610.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 89894 I 44-670.06 I $610.00 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 Thursday, April 14, 2016 David Haboush Fire Chief Cost distribution ledger classification if claim paid motor vehicle highway fund Invoice #89894 BY■'�' - 1317 North Road PO: Niles, OH i�r ■L L � - 800-392-7233 6 Order Date: 3/21/2016 IF Public Safety Technology sales@penncare.net Invoice Date: 4/7/2016 Terms: Net 30 Ship Method: Drop Ship Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 • : • Code Nam'e Price Unit Ext Price Tax', Carmel Fire Department 3 3 0 MT-M5101 OMNI Pro (ICB) Infection Control 305.00 bag 915.00 -/ Bag Dark Gray Vinyl $915.00 Subtotal $915.00 Shipping Tax @ TOTAL $915.00 Payments Credits Balance Due 00 Page 1 of 6