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307694 01/27/17 ♦�u .4M4* �< <. CITY OF CARMEL, INDIANA VENDOR: 368918 CHECK AMOUNT: $"*"**9,163.00* ONE CIVIC SQUARE PENN CARE INC. CHECK NUMBER: 307694 CARMEL, INDIANILE NORTH ROAD NA 46032 NILES OH 44446 CHECK DATE: 01/27/17 M1 iON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239011 95557 360.00 SPECIAL DEPT SUPPLIES SPECIAL DEPT SUPPLIES 1120 4239011 95620 2,645.40 SPECIAL DEPT SUPPLIES 1120 4239011 95639 809.37 1120 4239011 95796 960.00 SPECIAL DEPT SUPPLIES 1120 4239011 95797 394.23 SPECIAL DEPT SUPPLIES 1120 4239011 95878 3,994.00 SPECIAL DEPT SUPPLIES 2 -0 « « / q O E z § O k § § � it z (n 2 Z ° 0 \ 0 ? > ^ \ 0 -ch, M 0 C: kk O $ @ $ \ o ? 0 « / \ \ k o 0 # O • # -n w / ) \ -n0 2 / O / / k \ § \ \ ƒ ] ® ■ CL ® z 2 ( V) > -n O Y \ 06 \ \ C m | f k k z cc k >/ 2 f e f $ K o % E @ E & ƒ E J Q i H , » 2 ; n o % * m e % E � ) 2 / a K _ CL t M f k \ ƒ :3 :E 3 § / \ 0 0 Q \ / N CL° § C m I[ _ § k - t 8 w g R E x CL / ƒ C) c |o / %C / / 9c k G - R /$ & 0 & ) \ $ k } > 7 53 _ ) \ 0 t 0 / -nz � 2 0 co ) i m & k 2 E , m k ] q ) \ ƒ \ C ( ; � 0 / 2 k£ § k \ §7a 0< \[ ; \ 3' - f_y E ) K §o } _ g > o g § \ r � � CD 0 n / 2 \ E - \ \ r- 0 z E § $ C 0 _ § ] + - } i GCD 2 ° \ $ 2 \ § } \ \ \ \ CD \ \ 7 _ 9 � } \ / C f c . ° E 0 ® \ Invoice #95878 1317 North Road PO: IFk Niles, OH 44446 pe i 800-392-7233 Order Date: 1/11/2017 Ma�n' eds...One Solution sales@penncare.net Invoice Date: 1/11/2017 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 • s r o•, Ext Price Tax! Carmel Fire Department 1 1 0 SI-080FB Manikin, Adult ALS full body w/carry 3,400.00 each 3,400.00 -/ bag & simulator box $3,400.00 Subtotal $3,400.00 Shipping Tax TOTAL $3,400.00 Payments Credits Balance Due $3,400.00 Page 1 of 1 Invoice #96035 1317 North Road p0: Tom Small .. Niles OH 44446 800-392-7233 Order Date: 1/17/2017 Many Needs•••One Solution sales@penncare.net Invoice Date: 1/17/2017 Terms: Net 30 Ship Method: UPS Ground Bili To: Ship To: Carmel Fire Department Carmel Fire Department Tom Small Tom Small 2 Civic Square 540 W 136 Street Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 20 18 2 GF-53376 MegaMover Plus, 40"x 80" 33.00 each 594.00 $594.00 Subtotal $594.00 Shipping Tax @ TOTAL $594.00 Payments Credits Page 1 of 1 0 = z \ m $ « § 0 O m w 2 E § § § § § # 7 2 ° n CT 0 \ ® m ( 0 / q % \ z E % . \ z k ? OD Ok k k \\ [ w §q --j E \ n 0 # c e @ - 2 D k ) ¢ t # t t t -n > / G d G § Co d / d » d [ § q � 7 ~ 9~ 9 © ® N) # T. z 2 9 2 E / > - , O CD $ a / r $ 0 O E $ & $ f $ E ; | CD 4 C) 8 w E $ J a $ g - 2 % $ , a I e r k i n $ / $ 0 2 , ( 0 2 a \ -n § C A CL CD g ƒ_ a e 0 W k ® 2 \ t k § M CD @ - « C) / % \ § k E o $\ ( § 9 E & , I CL ƒ CL CL / } CL / - kK N C 3 r � t , Q _± ƒ $ƒ / \ / \ / \ / \ / $ q § ® � ° < ° < % < * ) \ C . 0) 7 CD i D \ \ C 03 2 0 # ( ) 0 CD � � � Z� �E I oo o Q# a / /o G w w \ Z / ° ® - 3 e N) %k § k C/) \ | 0< \f } / f_a CD �§ �_ � D/ � c 6E o\ § r CD 2 0 \ n / / }0 CD ƒ \ D 0 2 = C 0 cn a) 0 (DE $ / k a � 0 } § \ k B m f \ ] § k \ _ > k \ $ r r $ 9 / \ < 7 & $ $ @ / 4 k § w § k Invoice #95639 1317 North Road PO: 800-3922-7233 .c r Niles, 44446 Order Date: 1/3/2017 !' it Many Needs...OneSolution sales@penncare.net Invoice Date: 1/3/2017 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 r � a Carmel Fire Department 20 12 8 INT-8204 Supraglottic Airway, i-Gel, Size 4.0 for 23.19 each 278.28 Medium Adults (110-200lbs.) 20 11 9 INT-8205 Supraglottic Airway, i-Gel, Size 5.0 for 23.19 each 255.09 Large Adults (200+lbs.) 20 20 0 BD-382534 Catheter, Insyte Autoguard with Blood 0.00 each 0.00 Control, 20g x 1.16" 4 4 0 PC-1057318 Flow-Safe II EZ CPAP Lg Ad Deluxe 69.00 each 276.00 Mask w/ Ports & EZflow MAX Neb $809.37 Subtotal $809.37 Shipping Tax 0 TOTAL $809.37 Payments Credits Page 1 of 1 Invoice #95620 1317 North Road PO: Tom Small Niles OH 44446 800-392-7233 Order Date: 1/3/2017 ,44onyNe ds...OneSolution sales@penncare.net Invoice Date: 1/3/2017 Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department Tom Small Tom Small 2 Civic Square 540 W 136 Street Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 108 108 0 KEN-LP11 Lifepak 11 & 12 & 15 Paper 3.50 each 378.00 V 4-3/16" x 73' (10.6 cm x 22.3 m) 20 20 0 MPC-11996000091 Quick-Combo Pads, Edge System 33.00 pair 660.00 30 30 0 MF-296M Gloves, MidKnight Nitrile, M, 100/box 10.62 each 318.60 50 50 0 MF-296L Gloves, MidKnight Nitrile, L, 100/box 10.62 each 531.00 -/ 50 50 0 MF-296XL Gloves, MidKnight Nitrile, XL, 100/box 10.62 each 531.00 -/ 24 24 0 MD-MS64250 Sharps Dart (Shuttle) 2.95 each 70.80 24 24 0 CMM-402 Head-On System Body Strap 6.50 each 156.00 -/ $2,645.40 Subtotal $2,645.40 Shipping Tax @ TOTAL $2,645.40 Payments Credits Page 1 of 1 Invoice #95557 1317 North Road PO: " - Niles, OH 44446 ■[: 800-392-7233 Order Date: 11/14/2016 Many Needs...One Solution sales@penncare.net Invoice Date: 12/28/2016 Terms: Net 30 Ship Method: Federal Express Bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 V-ff IF Carmel Fire Department 1 1 0 MT-M5101F BLS/ALS Total System, OMNI Pro Red 390.00 each 390.00 (ICB) Infection Control Bag $390.00 Subtotal $390.00 Shipping Tax 0 TOTAL $390.00 Payments Credits Balance Due +0 Page 1 of 1 Invoice #95797 1317 North RoadOlin PO: " Niles OH 44446 800-392-7233 Order Date: 1/3/2017 Many Needs One Solution sales@penncare.net Invoice Date: 1/9/2017 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 8 8 0 INT-8204 Supraglottic Airway, i-Gel, Size 4.0 for 23.19 each 185.52 Medium Adults (110-200lbs.) 9 9 0 INT-8205 Supraglottic Airway, i-Gel, Size 5.0 for 23.19 each 208.71 Large Adults (200+lbs.) $394.23 Subtotal $394.23 Shipping Tax 0 TOTAL $394.23 Payments Credits Page 1 of 1 Invoice #95796 1317 North Road PO: TomSmall Niles, OH 44446 t 800-392-7233 Order Date: 1/9/2017 Many Needs•••one Solution sales@penncare.net Invoice Date: 1/9/2017 Terms: Net 30 Ship Method: UPS Ground Bill To: Ship To: Carmel Fire Department Carmel Fire Department Tom Small Tom Small 2 Civic Square 540 W 136 Street Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 80 80 0 AM-SPOOS50 Electrode, Adult/Pediatric Foam 38mm, 12.00 bag/50 960.00 50/bag $960.00 Subtotal $960.00 Shipping Tax 0 TOTAL $960.00 Payments Credits Page 1 of 1