HomeMy WebLinkAbout259659 06/14/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 368918
ONE CIVIC SQUARE PENN CARE INC. CHECKAMOUNT: $*******500.00*CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 259659
NILES OH 44446 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102. 4239011 89513 500.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1317 NORTH ROAD IN SUM OF$ 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.
$500.00 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
89513 42-390.11 $500.00 1 hereby certify that the attached invoice(s),or 6/7/16 89513 $500.00
102 102 102 102
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,June 07,2016
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice #89513
1317 North Road
■��L lye 8005392-7233 OH 6 Order Date: 3/21/2016
Public SatetyTechnology 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
Balance Due $500.00
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