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Home My WebLink About302234 08/22/16 CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****1,570.95* CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 302234 NILES OH 44446 CHECK DATE: 08/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 92297 500.00 SPECIAL DEPT SUPPLIES 102 4239011 92374 85.95 SPECIAL DEPT SUPPLIES 102 4239011 92377 600.00 SPECIAL DEPT SUPPLIES 102 4239011 92378 283.25 SPECIAL DEPT SUPPLIES 102 4239011 92388 101.75 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $1,570.95 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 92388 42-390.9} $101.75 1 hereby certify that the attached invoice(s).,or 8/11/16 92297 $500.00 1120 02i 1120 102 92297 42-390.11 $500.00 bill(s)is(are)true and correct and that the 8/11/16 92388 $101.75 1120 102 materials or services itemized thereon for 1120 102 92374 42-390.11 $85.95. 8/11/16 92378 $283.25 1120 �02 which charge is made were ordered and 1120 102 92377 42-390.11 $600.00 received except 8/11/16 92377 $600.00 1120 CRO2 ) 1120 102 92378 42-390.11 $283.25 8/11/16 92374 $85.95 1120 rTO_ 1120 102 Friday,August 12, 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 #92374 s ;r 1317 North Road PO: Niles, OH 44446 ■ 800-392-7233 Order Date: 7/22/2016 Public SafeiyTechnology sales@penncare.net Invoice Date: 8/4/2016 r ✓ Terms: Net 30 Ship Method: Drop Ship Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Ord'dShip"d BO'd Code Name Price Unit Ext Price Tax Carmel Fire Department 1 1 0 MT-M51016 Drug Module, Narkit Pro Black ICB 85.95 each 85.95 $85.95 Subtotal $85.95 Shipping Tax @ TOTAL $85.95 Payments Credits Balance Due $s5.95 Page 1 of 1 Invoice #92377 1317 North Road Wig Niles, OH 44446 PO: Tom -1`�� - 800-392-7233 Order Date: 8/4/2016 Public Safety Technology sales@penncare.net Invoice Date: 8/4/2016 rTerms: Net 30 Ship Method: Shipped w/another order Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 �Ord'd Ship'd BO'd Code Name Price Unit Ext Price Tax Carmel Fire Department 10 8 2 MPC-11996000340 Sensor, Physio-Control LIFEPAK 15 75.00 each 600.00 Masimo SET RC R20 Rainbow, DisDosable $600.00 Subtotal $600.00 Shipping Tax @ TOTAL $600.00 Payments Credits Balance Due .00 o0 Page 1 of 1 Invoice #92378 a� 1317 North Road , � Niles, OH 44446 PO: �L lyE800-392-7233 Order Date: 7/28/2016 rwr Public Safety Technology sales@penncare.net Invoice Date: 8/4/2016 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 • . . • 'd Code Name Price Unit Ext Price Tax Carmel Fire Department 2 2 0 WA-02893000 Oral probe with Well Kit 100.00 each 200.00 100 45 55 KEN-6715 Gauze, 4.5"x 4.iyds, Sterile 6 Ply 1.85 each 83.25 Kerlix Roll $283.25 Subtotal $283.25 Shipping Tax @ TOTAL $283.25 Payments Credits Balance Due $283.25, Page 1 of 1 Invoice #92388 f' 1317 North Road Niles, OH 44446 Pte' ■Cl� -=_ 800-392-7233 Order Date: 7/28/2016 Public Safety Technology sales@penncare.net Invoice Date: 8/4/2016 Terms: Net 30 Ship Method: Shipped w/another order Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 • . . • . Code Na-me - Price Unit'EX't Price 11 Tax Carmel Fire Department 55 55 0 KEN-6715 Gauze, 4.5"x 4.iyds, Sterile 6 Ply 1.85 each 101.75 Kerlix Roll $101.75 Subtotal $101.75 Shipping Tax @ TOTAL $101.75 Payments Credits Balance Due e Page 1 of 1 Invoice #92297 1317 North Road Niles, OH 44446 PO: tom small Pw 1 1 .1r= 800-392-7233 Order Date: 7/11/2016 Public Safety Technology sales@penncare.net Invoice Date: 8/1/2016 ., Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 540 W 136 Street Carmel, IN 46032 Carmel, IN 46032 • • -Code Carmel Fire Department 100 100 0 RG-6041B Bag, 10 gallon Biohazard, 10/pack 5.00 pack/10 500.00 - $500.00 Subtotal $500.00 Shipping Tax @ TOTAL $500.00 Payments Credits Balance Due e Page 1 of 1