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Home My WebLink About305638 11/28/16 CITY OF CARMEL, INDIANA VENDOR: 368918 CHECK AMOUNT: S*****1,365.19* (9, ONE CIVIC SQUARE PENN CARE INC.CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 305638 NILES OH 44446 CHECK DATE: 11/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 94327 81.19 SPECIAL DEPT SUPPLIES 102 4239011 94505 54.00 SPECIAL DEPT SUPPLIES 102 4239011 94534 500.00 SPECIAL DEPT SUPPLIES 102 4239011 94547 250.00 SPECIAL DEPT SUPPLIES 102 4239011 94635 270.00 SPECIAL DEPT SUPPLIES 102 4239011 94642 210.00 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. $480.00 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 94642 42-390.11 $210.00 1 hereby certify that the attached invoice(s),or 11/18/16 94642 $210.00 1120 102 1120 102 94635 42-390.11 $270.00 bill(s)is(are)true and correct and that the 11/18/16 94635 $270.00 1120 1 1 102 1 materials or services itemized thereon for 1120 1 102 which charge is made were ordered and received except Friday, November 18,2016 U,ar _ 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 #94642 1317 North Road P®: Niles, OH 44446 -� �u " 800-392-7233 Order Date: 11/15/2016 Many Needs...One Solution sales@penncare.net Invoice Date: 11/15/2016 Terms: Net 30 Ship Method: Shipped w/another order Sill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 i277,7 F ^r.5" 5 .,�'•s„ ...yv s.`^Ts@' Y"ro��a "k .mac =�y 5 �"--r ,..._: ..,r-. ..�..• ^.,+�cr.„ « ' .- i � sura ate". ,. ,.-tea s' .a�W. -w^°+«• Carmel Fire Department 6 6 0 ARK-530002 Arkray Prism Glucometer case 0.00 each 0.00 6 6 0 ARK-530001 Glucometer, Arkray Assure Prism 0.00 each 0.00 6 6 0 ARK-530050 Multi Test Strips, Arkray Assure Prism, 20.00 bottle 120.00 50/bottle 6 6 0 ARK-530006 Control Solution, Arkray Assure Prism 15.00 bottle 90.00 $210.00 Subtotal $210.00 Shipping Tax @ TOTAL $210.00 Payments Credits 4 s s i €'' Page 1 of 1 Invoice 3 1317 North Road Niles, OH 44446 PO' 800-392-7233 Order Date: 11/15/2016. Many Needs...One Solution sales@penncare.net Invoice Date: 11/15/2016 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 6 6 0 MT-AREG8725621D Regulator, 0-25 LPM (1 Barb/2 DISS) 45.00 each 270.00 $270.00 Subtotal $270.00 Shipping Tax @. TOTAL $270.00 Payments Credits Y 4, 5N Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) PENN CARE INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1317 NORTH ROAD IN SUM OF$ 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. $885.19 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 94505 42-390.11 $54.00 1 hereby certify that the attached invoice(s),or 11/18/16 94505 $54.00 1120 102 1120 102 94327 42-390.11 $81.19 bill(s)is(are)true and correct and that the 11/18/16 94327 $81.19 1120 102 materials or services itemized thereon for 1120 1 102 94534 42-390.11 $500.00 11/18/16 94534 $500.00 1120 102 which charge is made were ordered and 1120 102 94547 42-390.11 $250.00 received except 11/18/16 94547 $250.00 1120 102 1120 102 Friday, November 18,2016 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 Inv®ice #940547 1317 North Road P®: Niles OH 44446 1 - 800-392-7233 Order Date: 11/10/2016 Many Needs...One Solution sales@penncare.net Invoice Date: 11/11/2016 Terms: Net 30 Ship Method: UPS Ground Bili 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 10 10 0 KEN-1310P Electrode, Heart Sync Quick Combo 25.00 pair 250.00 $250.00 - Subtotal $250.00 Shipping Tax @ TOTAL $250.00 Payments Credits IF Page 1 of 1 Inv®ice #94534 1317 North Road o OFNiles, OH 44446 PO. 1' 800-392-7233 Order Date: 11/10/2016 Many Needs...One Solution sales@penncare.net Invoice Date: 11/10/2016 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 20 10 10 KEN-1310P Electrode, Heart Sync Quick Combo 25.00 pair 250.00 -/ 10 10 0 KEN-22550P Quik-Combo, Heart Sync Pediatric 25.00 each 250.00 -/ $500.00 Subtotal $500.00 Shipping Tax @ TOTAL $500.00 Payments Credits .: as to Page 1 of 1 Invoice #94327 1317 North Road Niles, OH 44446 PO: 1J � =° 800-392-7233 Order Date: 11/1/2016 Many Needs...One Solution sales@penncare.net Invoice Date: 11/1/2016 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 11;E0 Carmel Fire Department 1 1 0 BO-GS006 Glove Box Holder, Triple Stainless Stee 64.00 each 64.00 $64.00 Subtotal $64.00 Shipping $17.19 Tax @ TOTAL $81.19 Payments Credits Page 1 of 1 In-vo �- - 1317 North Road Niles, OH 44446 800-392-7233 O®der Date: 10/25/2016 ;y Many Needs...One Solution sales@penncare.net Invoice Date: 11/9/2016 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 10 10 0 DMS-30051Y Backboard Strap, Disposable Vinyl 5.40 set 54.00 Sticky, Yellow $54.00 Subtotal $54.00 Shipping Tax @ TOTAL $54.00 Payments Credits Page 1 of 1