HomeMy WebLinkAbout300198 07/12/16 `/ �F. CITY OF CARMEL, INDIANA VENDOR: 368918
® '1. CHECK AMOUNT: $*******148.00*
ONE CIVIC SQUARE PENN CARE INC.
?� CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 300198
+�,�T�N�� NILES OH 44446 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 91578 , 148.00 SPECIAL DEPT SUPPLIES
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1317 NORTH ROAD IN SUM OF$ 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.
$148.00 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
91578 42-390.11 $148.00 1 hereby certify that the attached invoice(s),or 7/1/16 91578 $148.00
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
Friday,July 01,2016
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 #91578
1317 North Road
1 �� H 44446 PO: Tom Small
Niles, O800-392-7233 Order Date: 6/8/2016
Public Safety Technology sales@penncare.net Invoice Date: 6/27/2016
Terms: Net 30
Ship Method: UPS Ground
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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
• . . • . Unit Ext Price Tax
Code Name Price
Carmel Fire Department
8 8 0 MPC-11240000016 Monitor paper 100mm 2/bx 18.50 box/2 148.00 -/
$148.00
THANK YOU FOR YOUR ORDER! Subtotal $148.00
Shipping
Tax @
TOTAL $148.00
Payments
Credits
BaNince Due e •
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