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HomeMy WebLinkAbout301747 08/08/16 CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******631.65* CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 301747 NILES OH 44446 CHECK DATE: 08/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 92091 60.69 SPECIAL DEPT SUPPLIES 102 4239011 92213 570.96 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $60.69 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 92091 42-390.14 $60.69 1 hereby certify that the attached invoice(s),or 7/25/16 1120 /10 1120 102 bill(s)is(are)true and correct and that the 7/25/16 92091 $60.69 materials or services itemized thereon for 1120 1 102 — which charge-is made were ordered and received except Monday,July 25,2016 D4MDr _ David Haboush Fire Chief 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 #92091 r'y 1317 North Road ■�' �- Niles, OH 44446 PO: Tom ■ 1 [ - 800-392-7233 Order Date: 7/21/2016 Public Safety Technology sales@penncare.net Invoice Date: 7/21/2016 Terms: Net 30 Ship Method: UPS Ground I Bill To: Ship To: Carmel Fire Department I Carmel Fire Department 2 Civic Square 540 W 136 Street Carmel, IN 46032 Carmel, IN 46032 i : eCode Name Price U-nit Ext Price Tax' Carmel Fire Department 40 29 11 DK-42110 Sterile Gauze Tray, 8"X 4", 12 ply 1.50 tray 43.50 N/ I $43.50 Subtotal $43.50 Shipping $17.19 Tax @ TOTAL $60.69 Payments Credits B0,11ance Due $60.69 i i Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $570.96 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 92213 42-390.11— $570.96 1 hereby certify that the attached invoice(s),or 7/27/16 92213 $570.96 1120 e102.!~ 1120 102 ��-- bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is ma-dew-ere-ordered-and— - - - - - -- -- received except Wednesday,July 27,2016 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 #92213 1317 North Road Niles, OH 44446 PO: Tom Payne 800-392-7233 Order Date: 7/18/2016 Public safetyTechncio9y sales@penncare.net Invoice Date: 7/27/2016 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 • o : • Vniit Ext Price Taxi - Carmel Fire Department 38 38 0 RF-4332 Bandage, 6"Israeli 9.20 each 349.60 -/ 8 8 0 ADC-675BK Stethoscope, PROSCOPE Dual Head, 8.32 each 66.56 -/ Black Pediatric 6 6 0 ADC-770 BP Cuff, Adult Cotton, Gray 25.80 each 154.80 -/ $570.96 Subtotal $570.96 Shipping Tax @ TOTAL $570.96 Payments Credits Balance Due $570.96 Page 1 of 1