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Home My WebLink About260282 06/28/16 (9, CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECKAMOUNT: $*****3,721.30* CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 260282 NILES OH 44446 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 91126 2,717.85 SPECIAL DEPT SUPPLIES 102 4239011 91229 709.10 SPECIAL DEPT SUPPLIES 102 4239011 91254 114.30 SPECIAL DEPT SUPPLIES 102 4239011 91255 71.25 SPECIAL DEPT SUPPLIES 102 4239011 91324 72.00 SPECIAL DEPT SUPPLIES 102 4239011 91423 36.80 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $3,426.95 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 91229 42-390.11 $709.10 1 hereby certify that the attached invoice(s),or 6/14/16 91126 $2,717.85 102 102 102 102 91126 42-390.11 $2,717.85 bill(s)is(are)true and correct and that the 6/14/16 91229 $709.10 102 1 1 102 1 materials or services itemized thereon for 102 102 which charge is made were ordered and received except Tuesday,June 14,2016 U.®r 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 #91126 ..1317 North Road p0: Tom Small ,'OH Nil -392-7233 es44446 �0 N - 800 Order Date: 6/8/2016 Public Safety Technology sales@penncare.net Invoice Date: 6/8/2016 Terms: Net 30 Ship Method: UPS Ground with Freight Sill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square Tom Small Carmel, IN 46032. 540 W 136 Street Carmel, IN 46032 Carmel Fire Department 80 80 0 AM-SPOOS50 Electrode, adult/pediatric foam 12.00 bag/50 960.00 38mm, 50/pkg . 20 12 8 MPC-11240000016 Monitor paper 100mm 2/bx 18.50 box/2 222.00 -V 30 30 0 MF-296M Gloves, MidKnight Nitrile Medium 10.62 each 318.60 -/ bx/100 30 30 0 MF-296L Gloves, MidKnight Nitrile Large 10.62 each 318.60 -/ bx/100 30 30 0 MF-296XL Gloves, MidKnight Nitrile XLarge 10.62 each 318.60 -/ bx/1.00 20 20 0 DMS-30051 . Disposable Vinyl Sticky Straps, 5.40 set 108.00 set/3 10 5 5 GM-1210 Instant Cold Pack, 5" X 9", Case of 14.25 box/24 71.25 24 10 10 0 MPC-11996000091 Edge System QUick-Combo pads 33.00 pair 330.00 24 24 0 MD-MS64250 Sharps Dart (Shuttle) 2.95 each 70.80 $2,717.85 THANK YOU FOR YOUR ORDER! Subtotal $2,717.85 Shipping Tax @► TOTAL $2,717.85 Payments Credits Page 1.of 1 Invoice #91229 1317 North Road Niles, OH 44446 PO: Tom Small 800-392-7233 Order Date: 6/13/2016 /jPM Publlc Safety Technology sales@penncare.net Invoice Date: 6/13/2016 Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department Tom Small Tim Small 2 Civic Square 540 W 136 Street Carmel, IN 46032 Carmel, IN 46032 Ord'd . Code 'Na me Price Unit Ext Price-Tax Carmel Fire Department 24 24 0 AM-420211000 Adult BVM in bag, SPUR II 11.00 each 264.00 -/ 10 10 0 BX-65651 Suction canister GUARDIAN 1200 5.65 each 56.50 -/ 40 20 20 AM-264040 ET Tube Holder 3.60 each 72.00 -/ 10 10 0 SM-1507528 Latex free naso airway 28FR 4.19 each 41.90 -%/ 5 5 0 GF-53376 MegaMover Plus-40" x 80" 33.00 each 165.00 -/ 36 36 0 3M-1582 3M Coban Self Adherent Wrap, 2" 2.45 each 88.20 V 5yds. Tan 3 3 0 MM-6125 Bag, Biohazard 4 Gallon 10/pkg 5.50 pack/10 16.50 -/ 1 1 0 RG-6041B Bag, 10 gallon biohazard, pkg/10 5.00 pack/10 5.00 -/ $709.10 Subtotal $709.10 Shipping Tax @ TOTAL $709.10 Payments Credits Ba,la.nce Due $709.10 Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $72.00 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 91324 42-390.11 $72.00 1 hereby certify that the attached invoice(s),or 6/20/16 91324 $72.00 1120 102 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 Monday,June 20,2016 ve'-�D 'zA_ 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 #91324 1317 North Road Niles, OH 44446 PO: Tom Small "AR _ 800-392-7233 Order Date: 6/13/2016 Public Safety Technology sales@penncare.net Invoice Date: 6/16/2016 ?r Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department Tom Small Tim Small 2 Civic Square 540 W 136 Street Carmel, IN 46032 Carmel, IN 46032 • o Shi'p'. • . . Carmel Fire Department 20 20 0 AM-264040 ET Tube Holder 3.60 each 72.00 V $72.00 Subtotal $72.00 Shipping Tax @ TOTAL $72.00 Payments Credits Balance Due- 00 Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $36.80 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 91423 42-390.11 $36.80 1 hereby certify that the attached invoice(s),or 6/21/16 91423 $36.80 1120 102 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,June 21,2016 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 #91423 1317 North RoadPW Niles, OH 44446 pQ; Tom Small ■C�l�y� 800-392-7233 Order Date: 5/16/2016 Public Safety Technology sales@penncare.net Invoice Date: 6/20/2016 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 ,Ord'd Ship'd BO'd 'Code Name Price Unit Ext Price Tax Carmel Fire Department 4 4 0 RF-4332 6" Israeli Bandage 9.20 each 36.80 -/ $36.80 Subtotal $36.80 Shipping Tax @ TOTAL $36.80 Payments Credits Balance Due Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 PENN CARE INC. ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $185.55 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 91255 42-390.11 $71.25 1 hereby certify that the attached invoice(s),or 6/14/16 91254 $114.30 102 102 102 102 91254 42-390.11 $114.30 bill(s)is(are)true and correct and that the 6/14/16 91255 $71.25 102 1 1 102 1 materials or services itemized thereon for 102 1 102 which charge is made were ordered and received except Tuesday,June 14,2016 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 #91255 1317 North Road PO: Tom Small Niles, OH 44446� 800-392-7233 Order Date: 6/8/2016 Public Safety Technology sales@penncare.net Invoice Date: 6/14/2016 Terms: Net 30 - Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square Tom Small Carmel, IN 46032 540 W 136 Street Carmel, IN 46032 • . i e • Code Name, Price Unit Ext Price Tax, Carmel Fire Department 5 5 0 GM-1210 Instant Cold Pack, 5" X 9", Case of 14.25 box/24 71.25 -/ 24 $71.25 THANK YOU FOR YOUR ORDER! Subtotal $71.25 Shipping Tax @ TOTAL $71.25 Payments Credits Balance Due $71.25 ; Page 1 of 5 Invoice #91254 / 1317 North Road PO: Tom Small �r��_� Niles, OH 44446 [ - 800-392-7233 Order Date: 5/16/2016 Public Safety Technology sales@penncare.net Invoice Date: 6/14/2016 Terms: Net 30 Ship Method: Shipped w/another order 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 ;Ord'd-Ship'd B-O'd Code Name Price Unit Ext Price Tax Carmel Fire Department 10 10 0 RU-185200280 Adj. flange naso airway 28f 7.25 each 72.50 -/ 4 4 0 RF-4331 4" Israeli Bandage 9.20 each 36.80 -/ 2 2 0 PC-3000GR Triage disaster Tape, Green 2.50 roll 5.00 -/ $114.30 Subtotal $114.30 Shipping Tax @ TOTAL $114.30 Payments Credits Balance Due $114.30 Page 1 of 5