HomeMy WebLinkAbout303754 09/30/16 CITY OF CARMEL, INDIANA VENDOR: 368918
�b ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******700.00*
CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 303754
9yiTON NILES OH 44446 CHECK DATE: 09/30/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 93367 700.00 EMS EQUIP
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1317 NORTH ROAD. IN SUM OF$ 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.
$700.00 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
93367 44-6770.046 $700.00 1 hereby certify that the attached invoice(s),or 9/26/16 93367 Suretemp Thermometers $700.00
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, September 26,2016
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice # 93367
1317 North Road PO:
T Niles, OH 44446
�-� 800-392-7233 Order Date: 9/16/2016
Many Needs...One Solution sales@penncare.net Invoice Date: 9/16/2016
Terms: Net 30
Ship Method: UPS Ground
Bill To: Ship To:
Carmel Fire Department Carmel Fire Department.
2 Civic Square Tom
Carmel, IN 46032 2 Civic Square
Carmel, IN 46032
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Carmel Fire Department
2 2 0 WA-01679200 Welch Allyn Suretemp Thermometer 350..00 each 700.00
690
$700.00
Subtotal $700.00
Shipping
Tax @
TOTAL $700.00
Payments
Credits
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