310630 04/24/17 CITY OF CARMEL, INDIANA VENDOR: 368918
CHECK AMOUNT: $*""****695.70*
ONE CIVIC SQUARE PENN CARE INC.
CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 310630
NILES OH 44446 CHECK DATE: 04/24/17
M TON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M6063 695.70 SPECIAL DEPT SUPPLIES
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_ 1317 North Road Invoice #M6063
Niles, OH 44446
Man Needs...One Solution sales 392-7233
Y sales@penncare.net
Bill To: Ship To: Order#: M6063
Carmel Fire Dept. Carmel Fire Dept. PO:
2 Civic Square 540 W 136 Street Terms:
Carmel, IN 46032 Carmel, IN 46032 Order Date: 4/6/2017
Invoice Date: 4/8/2017
Ship Via: UPS Ground
Carmel Fire Dept.
01-361903 i-Gel Supraglottic Airway Size 3.0 for Small Adults 23.19 10 case 231.90
(65-130lbs.)
01-361904 i-Gel Supraglottic Airway Size 4.0 for Medium Adults 23.19 10 each 231.90
(110-200lbs.)
01-361905 i-Gel Supraglottic Airway Size 5.0 for Large Adults 23.19 10 each 231.90
(200+lbs.)
Tracking # 1Z4760184393300841 Subtotal $695.70
Shipping
Total $695.70
Payments/Credits
EX
Pagel of 1 Printed: 4/8/2017 at 2:52:05 PM