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Home My WebLink About258500 05/10/16 CITY OF CARMEL, INDIANA VENDOR: 368918 CHECK AMOUNT: $*****2,400.46* "�,• ONE CIVIC SQUARE PENN CARE INC. CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 258500 ,,ETON NILES OH 44446 CHECK DATE: 05/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 90265 1,316.98 SPECIAL DEPT SUPPLIES 102 4239011 90299 600.00 SPECIAL DEPT SUPPLIES 102 4239011 90308 169.98 SPECIAL DEPT SUPPLIES 102 4239011 90334 104.50 SPECIAL DEPT SUPPLIES 102 4239011 90335 209.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. 1317 NORTH ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by NILES,OH 44446 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,086.96 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Carmel Fire Date Due Invoice Date Invoice# Description Amount PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s)) 90308 42-390.11 $169.98 1 hereby certify that the attached invoice(s),or 04/29/16 90308 $169.98 102 102 102 102 90265 42-390.11 $1,316.98 bill(s)is(are)true and correct and that the 04/29/16 90265 $1,316.98 102 102 materials or services itemized thereon for 102 102 90299 42-390.11 $600.00 04/29/16 90299 $600.00 102 102 which charge IS made were ordered and 102 102 received except Monday,May 02,2016 U®r 'Z-�. �. � David Haboush Fire Chief Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5-11-10-1.6 ,20 Clerk-Treasurer Invoice #90308 1317 North Road Niles, OH 44446 PO: Tom Small � 800-392-7233 Order Date: 4/27/2016 Public Safety Technology sales@penncare.net Invoice Date: 4/29/2016 r Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department Tom Small Tom Small 2 Civic Square 540 W 136 st Carmel, IN 46032 Carmel, IN 46032 • Ship'd • 'd Code Name Price Unit Ext Price Tax Carmel Fire Department 6 6 0 AM-430014000 BVM Pedi disp w/3 masks 28.33 each 169.98 -/ $169.98 Subtotal $169.98 Shipping Tax @ TOTAL $169.98 Payments Credits Balance Due, $169.98 Page 1 of 1 Invoice #90265 1317 North Road f` PO: Tom Small R Niles OH 44446 �- 800-392-7233 Order Date: 4/27/2016 Public Safety Technology sales@penncare.net Invoice Date: 4/27/2016 Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department Tom Small Tom Small 2 Civic Square 540 W 136 st Carmel, IN 46032 Carmel, IN 46032 • e e Ship'd • e Cod.e Carmel Fire Department 12 12 0 AM-420211000 Adult BVM in bag, SPUR II 11.00 each 132.00 -/ 12 6 6 AM-430014000 BVM Pedi disp w/3 masks 28.33 each 169.98 -/ 10 10 0 PC-1057209 Flow-Safe II CPAP with Large Adult 59.00 each 590.00 V 50 50 0 LA-980010 Collar, Stifneck Select Adult 8.50 each 425.00 -/ $1,316.98 Subtotal $1,316.98 Shipping Tax @ TOTAL $1,316.98 Payments Credits Balance Due, $1,316.98 , Page 1 of 1 Invoice #90299 1317 North Road PO: Niles, OH 44446 ■�b11e� 800-392-7233 Order Date: 3/22/2016 PublicSafety Technology sales@penncare.net Invoice Date: 4/28/2016 i 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 Carmel Fire Department 2 2 0 PLC-1550EMS Pelican case #1550 w/foam div/lid 300.00 each 600.00 -/ organzr BLACK $600.00 Subtotal $600.00 Shipping Tax @ TOTAL $600.00 Payments Credits Ballbince Due $600.00 Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. 1317 NORTH ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by NILES,OH 44446 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $313.50 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Carmel Fire Date Due Invoice Date Invoice# Description Amount PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s)) 90334 42-390.11 $104.50 05/03/16 90334 $104.50 ` �� I hereby certify that the attached invoice(s),or 102 102 F102 X102 //. 90335 42-390.11 $209.00 bill(s)is(are)true and correct and that the 05/03/16 90335 $209.00 materials or services itemized thereon for 102 1 102 which charge is made were ordered and received except Tuesday,May 03,2016 David Haboush Fire Chief Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5-11-10-1.6 ,20 Clerk-Treasurer Invoice #90335 ,i 1317 North Road Niles, OH 44446 PO' 800-392-7233 Order Date: 4/27/2016 Public Safety Technology sales@penncare.net Invoice Date: 5/2/2016 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 • . . o • a Code Name Price Unit Ext Price Tax Carmel Fire Department 2 2 0 MT-M5105 G2 PRO Grab 2 Go Quick Aid 104.50 each 209.00 System $209.00 Subtotal $209.00 Shipping Tax @ TOTAL $209.00 Payments Credits Balance Due • i Page 1 of 1 Invoice #90334 1317 North Road Niles, OH 44446 PO: 800-392-7233 Order Date: 4/14/2016 Public Safety Technology sales@penncare.net Invoice Date: 5/2/2016 �i 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 Name Price Unit Ext Price Tax Carmel Fire Department 1 1 0 MT-M5105 G2 PRO Grab 2 Go Quick Aid 104.50 each 104.50 System $104.50 Subtotal $104.50 Shipping Tax @ TOTAL $104.50 Payments Credits Balance Due $104.50 Page 1 of 1