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Home My WebLink About303506 09/26/16 CITY OF CARMEL, INDIANA VENDOR: 368918 ® 4; ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****2,691.50* r. CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 303506 v�'IroN�°a, NILES OH 44446 CHECK DATE: 09/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 93042 1,944.60 SPECIAL DEPT SUPPLIES 102 4239011 93075 315.00 SPECIAL DEPT SUPPLIES 102 4239011 93128 259.90 SPECIAL DEPT SUPPLIES 102 4239011 93310 172.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $2,519.50 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 93042 42-390.11 $1,944.60 1 hereby certify that the attached invoice(s),or 9/15/16 93075 $315.00 1120 10 1120 102 93075 42-390.11 $315.00 bill(s)is(are)true and correct and that the 9/15/16 93128 $259.90 1120 _0_2 materials or services itemized thereon for 1120 102 93128 I 42-390.11 I $259.90 9/15/16 I 93042 I I $1,944.60 1120 (102_-) which charge is made were ordered and 1120 102 received except Thursday, September 15,2016 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 #93075 1317 North Road PO: Niles, OH 44446 { ®� 800-392-7233 Order Date: 8/18/2016 Public Safety Technology sales@penncare.net Invoice Date: 9/2/2016 Terms: Net 30 Ship Method: UPS Ground Sill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square. Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 5 5 0 PC-1057221 Flow-Safe II CPAP with Large Adult 63.00 each 315.00 Mask with Nebulizer, Tee $315.00 Subtotal $315.00 Shipping Tax-@ TOTAL $315.00 Payments Credits Page 1 of 1 Invoice x#93042 1317 North Road Niles, OH 44446 PO' - � OEM; ti 800-392-7233 Order Date: 9/1/2016 Public Safety Technology sales@penncare.net Invoice Date: 9/1/2016 Terms: Net 30 Ship Method: UPS Ground Sill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 540 W 136 Street Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 100 100 0 MF-296L Gloves, MidKnight Nitrile, L, 100/box 10.62 each 1,062.00 -/ 36 36 0 3M-1582 Coban Self Adherent Wrap, 2" x 5yds, 2.45 each 88.20 -/ Tan 12 12 0 MD-MSPLINT Splint, Flex-All, Orange (SAM SPLINT) 6.00 each 72.00 30 30 0 LA-980010 Collar, Stifneck Select, Adult 8.50 each 255.00 -/ 30 30 0 LA-980020 Collar, Stifneck Select, Pediatric 8.50 each 255.00 -/ 20 20 0 MF-296S Gloves, MidKnight Nitrile, S, 100/box 10.62 each 212.40 -V $1,944.60 Subtotal $1,944.60 Shipping Tax @ TOTAL $1,944.60 Payments Credits Page 1 of 1 Invoice #93128 1317 North Road Niles, OH 44446 Order Date: 9/6/2016 800-392-7233 Public Safety Technology sales@penncare.net Invoice Date: 9/6/2016 Terms: Net 30 Ship Method: UPS Ground Sill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 10 10 0 GF-51926 MegaMover Portable Transport Unit, 25.99 each 259.90 White/Black, 40"x 80" $259.90 Subtotal $259.90 Shipping Tax TOTAL $259.90 Payments Credits 77 77 Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $172.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 93310 42-390.11 $172.00 1 hereby certify that the attached invoice(s),or 9/21/16 93310 $172.00 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 Wednesday, September 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 #93310 1317 North Road Niles, OH 44446 PO: in >z �� 800-392-7233 Order Date: 9/14/2016 Many Needs...One Solution sales@penncare.net Invoice Date: 9/14/2016 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 - Carmel Fire Department 20 20 0 MD-SH EMS Rescue Trauma Shears, Black 2.50 each 50.00 20 20 0 MD-MSTR140 Triangular Bandage 0.30 each 6.00 20 20 0 SM-9021282. ET Tube Introducer, Bougie-To-Go, 5.80 each 116.00 15FR X 60cm $172.00 Subtotal $172.00 Shipping Tax @ TOTAL $172.00 Payments Credits Page 1 of 1