307344 01/20/17 CITY OF CARMEL, INDIANA VENDOR: 368918
(9)
ONE CIVIC SQUARE PENN CARE INC. CHECKAMOUNT: S*****7,323.77*
CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 307344
NILESOH 44446 CHECK DATE: 01/20/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239011 94982 1,447.00 SPECIAL DEPT SUPPLIES
1120 4239011 95245 1,188.00 SPECIAL DEPT SUPPLIES
1120 4239011 95278 2,582.77 SPECIAL DEPT SUPPLIES
1120 4239011 95315 600.00 SPECIAL DEPT SUPPLIES
1120 4239011 95354 250.00 SPECIAL DEPT SUPPLIES
1120 4239011 95459 1,256.00 SPECIAL DEPT SUPPLIES
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Invoice #95459
1317 North Road PO: Tom S
Niles, OH 44446
o"I rsoi 800-392-7233 Order Date: 12/14/2016
Many Needs,..One Solution sales@penncare.net Invoice Date: 12/22/2016
Terms: Net 30
Ship Method: UPS Ground
Bili To: Ship To:
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Carmel Fire Department
36 36 0 NAR-300001 Tourniquet, CAT (Combat Application 29.00 each 1,044.00 V
Tourniquet)
4 4 0 KEN-518441 Airway Kit, Combitube Roll Up, 41FR 53.00 each 212.00 -/
$1,256.00
Subtotal $1,256.00
Shipping
Tax 0
TOTAL $1,256.00
Payments
Credits
Page 1 of 1
Invoice #95354
1317 North Road p0: Tom S
Niles, OH 44446
800-392-7233 Order Date: 12/1/2016
Many Needs...One Solution sales@penncare.net Invoice Date: 12/19/2016
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
Carmel Fire Department
2 2 0 LA-780400 Replacement battery for 780020 125.00 each 250.00
$250.00
Subtotal $250.00
Shipping
Tax
TOTAL $250.00
Payments
Credits
Page 1 of 1
Invoice #95315
1317 North Road PO:
" Niles OH 44446
800-392 -7233 Order Date: 12/16/2016
Many Needs...One Solution sales@penncare.net Invoice Date: 12/16/2016
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
50 50 0 AM-SPOOS50 Electrode, Adult/Pediatric Foam 38mm, 12.00 bag/50 600.00
50/bag
$600.00
Subtotal $600.00
Shipping
Tax 0
TOTAL $600.00
Payments
Credits
Page 1 of 6
Invoice #95278
1317 North Road PO: Tom S
" �' Niles, OH 44446
A 800-392-7233 Order Date: 12/14/2016
Many Needs...One Solution sales@penncare.net Invoice Date: 12/14/2016
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
Carmel Fire Department
60 60 0 MF-296L Gloves, MidKnight Nitrile, L, 100/box 10.62 each 637.20 -/
24 24 0 KEN-LP11 Lifepak 11 & 12 & 15 Paper 3.78 each 90.72 V
4-3/16" x 73' (10.6 cm x 22.3 m)
55 19 36 NAR-300001 Tourniquet, CAT (Combat Application 29.00 each 551.00 -/
Tourniquet)
100 100 0 LA-980010 Collar, Stifneck Select, Adult 8.50 each 850.00
3 3 0 3M-1582 Coban Self Adherent Wrap, 2" x 5yds, 2.45 each 7.35
Tan
5 5 0 RU-4000 Oral Airway Kit, Berman, Set/6 4.50 kit 22.50
12 8 4 KEN-518441 Airway Kit, Combitube Roll Up, 41FR 53.00 each 424.00
$2,582.77
Subtotal $2,582.77
Shipping
Tax 0
TOTAL, $2,582.77
Payments
Credits
Page 1 of 1
Invoice #95245
1317 North Road
or` Niles, OH 44446
800-392-7233 Order Date: 11/30/2016
Many Needs...One Solution sales@penncare.net Invoice Date: 12/14/2016
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
s
Carmel Fire Department
6 6 0 LT-3M3128 Stethoscope, Littmann Cardiology III, 198.00 each 1,188.00
black
$1,188.00
Subtotal $1,188.00
Shipping
Tax 0
TOTAL $1,188.00
Payments
Credits
Page 1 of 1
Invoice #94982
1317 North Road PO: Tom S
Niles, OH 44446
800-392-7233 Order Date: 12/1/2016
Mony Needs...One Solution sales@penncare.net Invoice Date: 12/1/2016
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
Carmel Fire Department
20 20 GF-51926 MegaMover Portable Transport Unit, 25.99 each 0.00 -/
White/Black, 40"x 80"
6 6 0 LT-3M3128 Stethoscope, Littmann Cardiology III, 198.00 each 1,188.00 V
black
3 3 0 MDS-090735 Alcohol Prep, Medium, 200/box 3.00 box/200 9.00 V
4 2 2 LA-780400 Replacement battery for 780020 125.00 each 250.00 -/
$1,447.00
Subtotal $1,447.00
Shipping
Tax 0
TOTAL $1,447.00
Payments
Credits
Page 1 of 1