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313857 7/18/2017 1�W C±p�F �; � CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****1,326.90* ; .=Q CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 313857 NILES OH 44446 CHECK DATE: 07/18/17 grow c� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M8212-01 437.70 SPECIAL DEPT SUPPLIES 102 4239011 M8447 184.20 SPECIAL DEPT SUPPLIES 102 4239011 M8481 705.00 SPECIAL DEPT SUPPLIES 0 q O / k m M, O G G 0 2 2 m w 2 CL c 0 0 # U) 2 0 ° 0 0 O 0 > % \ / m % m CLz E 2 0 z k O % § § \ 2 Q m � > ~ s mO a) - Co. D 2 -0k § § 2 o 3 > 3 § § § 7 q 7 m 2 _ � ® 2 z 2 E > -n O a / $ § O mj % § | R� o o H & J $ 3 LT - z z k $ g k ƒ ) 3 CL » ƒ & J 0 o m 2 m , m 0 f ƒ_ - E CL \ i E i \ L— CD - E « o ƒ % 3§ & a a - % @ d o k R ° E _ , £ o % I & / E w CL % » 0 » w k § c o [ . - _ - # 7 // \ \ m \ } CD ; _ E \ / _ 0 cr CD 0 / nJ E c < @M 0 CD � o [} k k2 ƒ \ \ 22 6 © ■ m f » CD } § o %k § k \ 0_ a CA e® ^ � � � 90 � D ) o r > §� D \ § / M - 0 f n \ j E \ E O + U) CD j \ 7 % C % CD \_ E ) / ƒ p \ - 2. ED CL CD M \ 8 7 CL a) ] ƒ ® EF CD w p OL \ \ _ _ _ � & B \ ® o m j j k ° \ 1317 North Road Invoice #M8481 IvE^R Niles, OH 44446 (800) 392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M8481 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn: Tom Payne Internet Order#: 108934 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date: 7/7/2017 Invoice Date: 7/14/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 09-360410 Collar, Laerdal Stifneck Select Adult 8.50 50 each 425.00 09-360420 Collar, Laerdal Stifneck Select Pediatric 8.50 20 each 170.00 01-361904 i-Gel Supraglottic Airway Size 4.0 for Medium Adults 22.00 5 each 110.00 (110-2001 bs.) Tracking # 1Z4760184397874475 Subtotal $705.00 1 emailed Tom about the qty of each needle ordered. Shipping $0.00 Total $705.00 Payments/Credits Balance $705.00 Page 1 of Printed: 7/14/2017 at 1:10:00 PM k,R 1317 North Road Invoice #M8212.01 Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M8212 Carmel Fire Dept. Carmel Fire Dept. PO: Tom Small Attn: Tom Small Attn: Tom Small Internet Order#: 108860 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date: 6/28/2017 Invoice Date: 7/11/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 03-03113 Electrodes, QUIK-COMBO Connectors Pedi Edge 34.95 10 pair 349.50 RTS 07-05422 Gauze, 3M Coban Self Adherent Wrap 2"x 5 Yards, 2.45 36 each 88.20 Tan Tracking # 1Z4760184392752472 Subtotal $437.70 Shipping Total $437.70 Payments/Credits Balance $437.70 Page 1 of Printed: 7/11/2017 at 2:45:43 PM o q � Q f k m � O 2OL z 2 Z -3 0 > 0 O 0 % \ 0 � k % m _ O _ CL < k k O ƒ 00 0 ® � > - Oo U) § U k ® O 0 ) -0 2 T ® [ -nm o \ . § \ CL \ CD j >2 \ 0 ® ° z z f 2 . . k 0 | = o H . Sr } a a 3LT — 2 A Cl) §[ iEg ƒ k k CD 0) v - 0 A a CL 2 E 3 ± E §CL § _ I : » 0 / cr 0 -4 0 CD k k = / / k \ E ® § / 0 \ x E f — ƒ § c |o cr , f 7 » § CD C # \ . ƒf \ j\ 2. crCD CL 2j � k \ nK j / 0 ( G9 OD zQ w O k A § 4 2 $ ƒ k k C ( Gn m ƒ 3 § k {\ \ c § | k/ \ 0 D \\ CD \ \ 90 & ; « CD ƒ § f § Q / w j 7 /ƒ \ \ m _ E E / � % (D $_ § $ / CD n E M \ k 8 \ \ C ;0 ] CDID ® CL _ > }_ \ \ k 1317 North Road Invoice #M8447 '�L�\� YEnRs Niles,OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M8447 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne 2 Civic Square Internet Order#: 108917 2 Civic Square Carmel, IN 46032 Terms: Net 30 Carmel, IN 46032 Order Date: 7/7/2017 Invoice Date: 7/7/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 01-017980 Oral Airway, Berman 80mm Green 0.20 12 each 2.40 01-017990 Oral Airway, Berman 90mm Yellow 0.20 12 each 2.40 01-017910 Oral Airway, Berman 100mm Purple 0.20 12 each 2.40 01-04350 Oral Airway Kit, Berman, Set of 6 4.50 6 kit 27.00 01-4437 NRB Mask, Adult 1.50 100 each 150.00 Tracking # 1Z4760184399845994 Subtotal $184.20 Shipping Total $184.20 Payments/Credits Balance $184.20 Page 1 of Printed: 7/7/2017 at 12:36:15 PM