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Home My WebLink About259143 05/31/16 y°' CITY OF CARMEL, INDIANA VENDOR: 368918 '/ � _, ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****1,71 1.50* CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 259143 'i;,�ioN�r NILES OH 44446 CHECK DATE: 05/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 89513 500.00 SPECIAL DEPT SUPPLIES 102 4239011 90458 283.00 SPECIAL DEPT SUPPLIES 102 4239011 90639 928.50 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NILES, OH 44446 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,711.50 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 90458 42-390.11 $283.00 1 hereby certify that the attached invoice(s),or 5/18/16 90458 $283.00 102 102 102 102 89513 42-390.11 $500.00 bill(s)is(are)true and correct and that the 5/18/16 89513 $500.00 102 1 102 1 materials or services itemized thereon for 102 102 90639 I 42-390.11 I $928.50 5/18/16 I 90639 I I $928.50 102 10 2 which charge is made were ordered and 102 102 received except Wednesday, May 18, 2016 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice #90458 1317 North Road W �/ Niles, OH 44446 PO: ®[ I , 800-392-7233 Order Date: 5/6/2016 Public Safety Technology sales@penncare.net Invoice Date: 5/6/2016 � -� Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Ord'd$lhip'd-BO'd—Code Name, Price Unit Ext Price Tax Carmel Fire Department 10 10 0 MM-0965NL Sealed OB Kits 8.00 each 80.00 -/ 20 20 0 MF-296M Gloves, MidKnight Nitrile Medium 10.15 each 203.00 -/ bx/100 $283.00 Subtotal $283.00 Shipping Tax @ TOTAL $283.00 Payments Credits Balance Due $283.00 Page 1 of 1 Invoice #89513 !� 1317 North Road pmrrwr -rmF- Niles, O2 44446 PO: 800-39 -7233 Order Date: 3/21/2016 Public Safety Technology sales@penncare.net Invoice Date: 3/21/2016 �-� Terms: Net 30 Ship Method: Delivery 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 6 6 0 MT-M4014D SRT PROPack Search and Rescue 83.33 each 500.00 -/ Team Pack-demo $500.00 Subtotal $500.00 Shipping Tax @ TOTAL $500.00 Payments Credits Balancer Due $500.00 Page 1 of 1 Invoice #90639 f 1317 North Road - Niles OH 44446 PO: Tom Small 1 800-392- 7233 Order Date: 5/16/2016 Public Safety Technology sales@penncare.net Invoice Date: 5/16/2016 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 Street Carmel, IN 46032 Carmel, IN 46032 • . • 'd Code Name Price Unit Ext,Price Tax Carmel Fire Department 10 10 0 SB-71236 SAM Splint - Original Orange/ Blue 15.00 each 150.00 -/ 36" FLAT 10 0 10 RU-185200280 Adj. flange naso airway 28f 7.25 each 0.00 V 40 40 0 MF-296L Gloves, MidKnight Nitrile Large 10.15 each 406.00 -/ bx/100 50 50 0 MD-SC18 Suction catheter, 18FR 0.58 each 29.00 50 50 0 MD-SC16 Suction catheter, 16FR 0.50 each 25.00 -/ 50 50 0 MD-SC14 Suction catheter, 14FR 0.58 each 29.00 -/ 50 50 0 MD-SC12 Suction catheter, 12FR 0.58 each 29.00 -/ 50 50 0 MD-SC8 Suction catheter, 8FR 0.35 each 17.50 -/ 50 50 0 MD-SC6 Suction catheter, 6FR 0.58 each 29.00 -/ 6 6 0 NAR-300023 C-A-T--Combat Application 29.00 each 174.00 -/ Tourniquet Rescue Orange 4 0 4 RF-4331 4" Israeli Bandage 9.20 each 0.00 -/ 4 0 4 RF-4332 6" Israeli Bandage 9.20 each 0.00 -/ 3 3 0 PC-3000BK Triage disaster Tape, Black 2.50 roll 7.50 -/ 3 3 0 PC-3000BL Triage disaster Tape, Blue 2.50 roll 7.50 -/ 3 1 2 PC-3000GR Triage disaster Tape, Green 2.50 roll 2.50 -/ 3 3 0 PC-3000OR Triage disaster Tape, Orange 2.50 roll 7.50 V 3 3 0 PC-3000RD Triage disaster Tape, Red 2.50 roll 7.50 -/ 3 3 0 PC-3000YL Triage disaster Tape, Yellow 2.50 roll 7.50 -/ $928.50 Page 1 of 1 Invoice #90639 -' 1317 North Road 'jM■C [rg Niles, OH 44446 PO: Tom Small C 800-392-7233 Order Date: 5/16/2016 Public Safety Technology sales@penncare.net Invoice Date: 5/16/2016 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 Street Carmel, IN 46032 Carmel, IN 46032 • . . • . Code Subtotal $928.50 Shipping Tax @ TOTAL $928.50 Payments Credits Balance Due $9,28.50 Page 2 of 1