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Home My WebLink About308230 02/13/17 0Cly Jf .� CITY OF CARMEL, INDIANA VENDOR: 368918 Pb ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****3,470.25* =Q CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 308230 9.y�TON_�. NILES OH 44446 CHECK DATE: 02/13/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 96199 66.00 SPECIAL DEPT SUPPLIES 102 4239011 96226 140.50 SPECIAL DEPT SUPPLIES 102 4239011 96227 284.00 SPECIAL DEPT SUPPLIES 102 4239011 96423 301.47 SPECIAL DEPT SUPPLIES 102 4239011 96520 278.28 SPECIAL DEPT SUPPLIES 1120 4351000 A5359 2,400.00 AUTO REPAIR & MAINTEN VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ CITY OF CARMEL 1317 NORTH ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NILES, OH 44446 Payee $2,890.50 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 96199 42-390.11 $66.00 1 hereby certify that the attached invoice(s),or 2/3/17 96199 $66.00 1120 102 1120 102 96226 42-390.11 $140.50 bill(s)is(are)true and correct and that the 2/3/17 96226 $140.50 1120 1 102 1 materials or services itemized thereon for 1120 1 102 96227 42-390.11 $284.00 2/3/17 96227 $284.00 1120 102 which charge is made were ordered and 1120 102 A5359 43-510.00 $2,400.00 received except 2/3/17 A5359 Unit 6768 $2,400.00 1120 101 1120 101 Friday, February 03,2017 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 1317 North Road Invoice #�A5359 � cnF•s Niles, OH 44446 `� -K ,6 (800)392-7233 Many Needs...OneSolution sales@penncare.net Bill To: Ship To: Order#:A5359 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square 2 Civic Square Terms: Carmel, IN 46032 Carmel, IN 46032 Invoice Date: 1/24/2017 0 BR-COTINSTALL Cot Installation 2,400.00 1 2,400.00 Subtotal $2,400.00 Carmel Fire Dept. Unit#6768 Shipping Total $2,400.00 Payments/Credits � aa ' e Page 1 of Printed: 1/24/2017 at 5:57:22 PM Invoice ##96227 r: 1317 North Road PO: Niles, OH 44446 Order Date: 1/24/2017 - 800-392-7233 AlonyNeeds...One Solution sales@penncare.net Invoice Date: 1/24/2017 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 10 4 6 MPC-11996000340 Sensor, Physio-Control LIFEPAK 15 71.00 each 284.00 Masimo SET RC R20 Rainbow, Disposable $284.00 Subtotal $284.00 Shipping Tax @ TOTAL $284.00 Payments Credits MUM Page 1 of 1 Invoice #96226 1317 North Road p0: TomPayne Niles, OH 44446 800-392-7233 Order Date: 1/24/2017 ManyNeeds...One Solution sales@penncare.net Invoice Date: 1/24/2017 Terms: Net 30 .Ship Method: UPS Ground Sill To: Ship To: Carmel Fire Department Carmel Fire Department Accounts Payable Tom Payne 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Carmel Fire Department 5 5 0 SM-5533301 Laryngoscope Blade, Disposable Fiber 6.50 each 32.50 Optic, Miller #1 5 5 0 SM-5533302 Laryngoscope Blade, Disposable Fiber 6.50 each 32.50 Optic, Miller #2 5 5 0 SM-5533303 Laryngoscope Blade, Disposable Fiber 6.50 each 32.50 Optic, Miller #3 5 5 0 SM-5533304 Laryngoscope Blade, Disposable Fiber 6.50 each 32.50 Optic, Miller #4 $130.00 Subtotal $130.00 Shipping $10.50 Tax @ TOTAL $140.50 Payments Credits -- --- --- a s € Page 1 of 1 .Invoice ,#'96199 f 1317 North Road PO: Tom Small OR Niles, OH 44446 800-392-7233 Order Date: 1/17/2017 ManyNeeds...One Solution sales@penncare.net Invoice Date: 1/24/2017 Terms: Net 30 Ship Method: UPS Ground Sill 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 2 . 2 0 GF-53376 MegaMover Plus, 40"x 80" 33.00 each 66.00 $66.00 Subtotal $66.00 Shipping Tax @ TOTAL $66.00 Payments Credits Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ CITY OF CARMEL 1317 NORTH ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NILES, OH 44446 Payee $278.28 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 - 96520 42-390.11 $278.28 1 hereby certify that the attached invoice(s),or 2/7/17 96520 $278.28 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 Tuesday, February 07,2017 D4vj) , _ 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 #96520 1317 North Road PO: !�` vEaRs Niles OH 44446 800-392-7233 Order Date: 2/1/2017 12MMany Needs...One Solution sales@penncare.net Invoice Date: 2/6/2017 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 Tax • a a a • a a - - - - Carmel Fire Department 12 12 0 INT-8203 Supraglottic Airway, i-Gel, Size 3.0 for 23.19 case 278.28 Small Adults (65-130lbs.) $278.28 Subtotal $278.28 Shipping Tax @ TOTAL $278.28 Payments Credits Balance Due Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER - PENN CARE INC. IN SUM OF$ CITY OF CARMEL 1317 NORTH ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NILES, OH 44446 Payee $301.47 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms AMBULANCE FUND Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 96423 42-390.11 $301.47 1 hereby certify that the attached invoice(s),or 2/7/17 96423 $301.47 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 Tuesday, February 07,2017 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 #96423 1317North Road Niles, OH 44446 PO: f 800-392-7233 Order Date: 2/1/2017 :? Many Needs...OneSolution sales@penncare.net Invoice Date: 2/1/2017 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 25 13 12 INT-8203 Supraglottic Airway, i-Gel, Size 3.0 for 23.19 case 301.47 -V Small Adults (65-130lbs.) $301.47 Subtotal $301.47 Shipping Tax TOTAL $301.47 Payments Credits § �a a Page 1 of 1