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312703 06/16/2017 +W Cqq*f CITY OF CARMEL, INDIANA VENDOR: 368918 CHECK AMOUNT: $*****4,179.15* 0 ONE CIVIC SQUARE PENN CARE INC. CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 312703 MtroH�. NILES OH 44446 CHECK DATE: 06/16/17 ` DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 97169 315.00 SPECIAL DEPT SUPPLIES 102 4239011 M7235 789.00 SPECIAL DEPT SUPPLIES 102 4239011 M7235.01 351.00 SPECIAL DEPT SUPPLIES 102 4239011 M7643 2,152.80 SPECIAL DEPT SUPPLIES 102 4239011 M7898 571.35,-- SPECIAL DEPT SUPPLIES o � / m S O C) CD / 2 q cL0 > 0 O 0 # m cr I m _ 0 t k z 8 j§ \ t 0 0 2 O w ? Eco Lrl § k O Rk 0 ) $ ¢ � m E t t t / � O / 0)7 K) C) N) Co N) 0 CL -4 k � # _ f d z� 2 R - - 40 > -n p # e § ) c | (D0 k m 0 0 0 ¥ # z > \ ( k —=r E § %k / } ƒ + J 0 k t , ? G -nc CD CL { $ 2 2 c @ a & / 3 k E E § Fr CD . E \ 3 § \ a ty E 2 • CD o E_ O ° & _ 0 CD \ \ k k N §§ Co EP - k ƒ I f c o C • � e @ e = * J �/ \ \ \ \ \ _ E \ =r -® ) \ & � Err I -n ° 0 _ 0 }/ § } § \ § \ k ƒ \ \ 20 © k f 3 ( � ii § k \ | 0 \ 2 e0. 3 0 D }ƒ ( \ { -n � §R 0 _ £ > 00 �2:_ g3 § / / » 2 0 CD f 0 / / 0 E \ r O I 3 A ) � E $ C \ (DC } / k p CD k 2 cD cD M / CD 2 m f\ § CD k 7 § \ f E « 2 A § CD \ _ < § - / c CD z 0 k S ® k Invoice #97169 1317 North Road p0: DEMO �;�yFaRs Niles, OH 44446 800-392-7233 Order Date: 2/24/2017 Many Needs...One Solution sales@penncare.net Invoice Date: 3/3/2017 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 Ord'd Ship'd BO'd Code Name Price Unit Ext Price Tax Carmel Fire Department 1 1 0 TT-200 Emergency Medical Pack, Blue 363.00 each 363.00 $363.00 Carmel Fire Department Credit Applied from Credit #97916 4/21/2017 Subtotal $363.00 Shipping Tax @ TOTAL $363.00 Payments Credits -$48.00 Balance Due • • Page 1 of 1 1317 North Road Invoice #M7235.01 i � '' Niles, OH 44446 j (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M7235 Carmel Fire Dept. Carmel Fire Dept. PO: 540 W 136 Street 540 W 136 Street Internet Order M Carmel, IN 46032 Carmel, IN 46032 Terms: Order Date: 5/22/2017 Invoice Date: 5/26/2017 Ship Via: UPS Ground 12-3597Y Backboard Strap, Disposable Vinyl Sticky Yellow 5.40 65 set 351.00 Tracking # iZ4760184392701268 Subtotal $351.00 Shipping $0.00 Total $351.00 Payments/Credits Page 1 of Printed: 5/26/2017 at 2:58:45 PM 1317 North Road Invoice #M7235 v Niles, OH 44446 /j ! (800) 392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M7235 Carmel Fire Dept. Carmel Fire Dept. PO: 540 W 136 Street 540 W 136 Street Terms: Carmel, IN 46032 Carmel, IN 46032 Order Date: 5/22/2017 Invoice Date: 5/23/2017 Ship Via: UPS Ground 12-3597Y Backboard Strap, Disposable Vinyl Sticky Yellow 5.40 35 set 189.00 03-326850 Electrodes, Adult Foam 38mm 50/bag 12.00 50 bag/ 600.00 Tracking # 1Z4760184393609385 Subtotal $789.00 Shipping Total $789.00 Payments/Credits a Page 1 of Printed: 5/23/2017 at 10:02:49 AM 2 -D < < o 7 3 m 2 k § # 2 k n \ ?q > ® m g q 6 $ % M § 0 / > / / 0 7 Q g k e ] D § R J \ \ -n A c 0 7 O > T N) C) OL k 3 _ k --iz 2 \ _ 2 q O | / § E O ;o CD d J / a i2 C/) / z % g ± « E o % g - / A 2 0 k (D , ? G - o -n ( § f - sCL TL # O 0 3 2 2 \ C CD � - C E m - C « I = E « § » k & ° 2 { a E K 2 o E R ° } � k \ E w a § § , 6 k § � k m N 0 0 7 s - e Q - ƒ J / $ q ] � # [ k$ � < ) \ \ [ i / /$ � ƒ -nz s & § _ k ° C �§ CD k 0« k ƒk OD # # 3n \0 \ \ § S k / | �< . 0 al 0. G \ 9 E 0' -n ) §_o & _ > \ § / ;o0 I / 2. 0 E (DrO 0 # k z E § A I % ® / Eca 0 § \ k G § § p \ § / § / m \ PL L \ ° \ _ 2 � / \ Q § o E ) \ � \ 1317NilesNorth Road Invoice #M7898 venRs , OH 44446 Niles 392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M7898 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn: Tom Payne Internet Order#: 108781 2 Civic Square 2 Civic Square Terms: Carmel, IN 46032 Carmel, IN 46032 Order Date: 6/15/2017 Invoice Date: 6/15/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 12-36252 Patient Mover 80"x 40" 25.00 20 each 500.00 11-008410 Scalpel Disposable, w/Handle#10 4.75 1 box/1 4.75 07-0143B EMS Shears Black 2.50 10 each 25.00 04-0639N Stethoscope, Proscope Dual-Head Navy 8.32 5 each 41.60 Tracking # 1Z4760184399823696 Subtotal $571.35 Shipping $0.00 Total $571.35 Payments/Credits Balance $571.35 Page 1 of Printed: 6/15/2017 at 3:34:56 PM n z / $ « a 2 \ § k 2 C 2 0 $ © » 0 / 0 # M \ � � f % _ O � _ c t x z k O & § 0 o \ g « ; f q n 0 # O § ■ @ - 0 ) N \ - 2 E 620 C O / 0). 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PO: 2 Civic Square 540 W 136 Street Internet Order M Carmel, IN 46032 Carmel, IN 46032 Terms: Order Date: 6/7/2017 Invoice Date: 6/12/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price Carmel Fire Dept. 09-0493T Splint, Flex-All, (SAM SPLINT) Orange 6.00 24 each 144.00 08-0960L Gloves, MicroFlex MidKnight Nitrile Large 100/box 10.62 50 box/1 531.00 03-03111 Electrodes, QUIK-COMBO Connectors Edge 33.00 0 pair 0.00 System 13-40315R Shears, EMS Trauma Rescue Red 3.15 12 each 37.80 03-326850 Electrodes, Adult Foam 38mm 50/bag 12.00 120 bag/ 1,440.00 Tracking # 1Z4760184391516087 Subtotal $2,152.80 Shipping $0.00 Total $2,152.80 Payments/Credits Balance $2,152.80 Page 1 of 1 Printed: 6/12/2017 at 4:40:00 PM