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314992 08/15/2017 (9, ) CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECKAMOUNT: $*****4,045.56* NILES OH 44446 CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 314992 CHECK DATE: 08/15/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M8970 2,188.48 SPECIAL DEPT SUPPLIES 102 4239011 M8970.01 108.24 SPECIAL DEPT SUPPLIES 102 4239011 M8997 800.00 SPECIAL DEPT SUPPLIES 102 4239011 M8998 533.50 SPECIAL DEPT SUPPLIES 102 4239011 M9114 415.34 SPECIAL DEPT SUPPLIES q D 7 m / O $ § § --I $4t z � 2 0 2 / 0 D 0® m / -A6f % � k k O $ $ § § § § o ¥ 2 ? 0 « w « (D (D ( % ) $q #2 a) q 7 O ' > o k _k S § t t § I > � 0 / T. G d G § G § m § § m 3 N) ~ 0 ~ ~ ~ ; R ¥ z \ z 2 � » \ P $ « 0 C § 80 co § § § §| 7 4 00 o o ¥ Sr _ w a i l . 2 # e k g # / / k k i g ƒ m CD e ? k O § 2 mCD 7 e E eCL � 2 £ E \ \ ƒ CE - £ 9 ¢ a $ R. § © R. E CD § 4 i \ / 2 2 I E » E a - 2 , / k § E § & 2 r - � _ - ± 7 E Ia a a m o z s 0. Of ° 4 CD w 0 3 C) w 0 - m \ cr Gcr 0 rr CD 0 \311 k § , E § , § 8 § k / � Q k � } 0 0 � § � / G0 \ ƒ / § k %k § k # ( - & B2 \ e0. z \ D PD � 90 � D £ » > aE C § § / CW 0 f 0j E \ \ 0 £ 3 y z m ] A E % C » ® p § 0 2 0 & n m 2 » Q § �__ g } g / CL / / 2 } \ 7 m CD § CL fo 69 N4A - - C =r8 m OD 4 % CD CD. ■ $ $ § $ R = ° k m §8 � k 1317 North Road Invoice #M8970.01 'ISG vEnRs Nlles, OH 44446 i (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M8970 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square 2 Civic Square Internet Order#: Carmel, IN 46032 Carmel, IN 46032 Terms: Net 30 Order Date: 7/27/2017 Invoice Date: 7/31/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 02-25161 IV Tubing, Interlink Solution Set 10 drops/mL Length 2.46 44 each 108.24 76" Tracking # 1Z4760184392582021 Subtotal $108.24 Shipping $0.00 Total $108.24 Payments/Credits Balance $108.24 Page 1 of Printed: 7/31/2017 at 1:09:07 PM r . 1317 North Road Invoice #M8970 venRs Niles, OH 44446 (800)392-7233 -: Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M8970 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square 2 Civic Square Internet Order M Carmel, IN 46032 Carmel, IN 46032 Terms: Net 30 Order Date: 7/27/2017 Invoice Date: 7/27/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 02-02131 IV Catheter from, Introcan Safety, B. Braun 14g x 1.90 50 each 95.00 1.25" 02-02133 IV Catheter from, Introcan Safety, B. Braun 16g x 1.90 50 each 95.00 1.25" 02-02134 IV Catheter from, Introcan Safety, B. Braun 18g x 1.90 100 each 190.00 1.25" 02-02135 IV Catheter from, Introcan Safety, B. Braun 20g x 1.90 200 each 380.00 1.25" 02-02136 IV Catheter from, Introcan Safety, B. Braun 22g x 1" 1.90 50 each 95.00 02-02137 IV Catheter from, Introcan Safety, B. Braun 24g 3.00 50 each 150.00 x .75" 02-13383 IV Start Kit, with Site-Loc, 8" Extension, Pre-Filled 4.00 200 each 800.00 10cc Syringe 02-25161 IV Tubing, Interlink Solution Set 10 drops/mL Length 2.46 56 each 137.76 76" 02-1050121 Syringe, Prefilled Saline 10mL in 12mL 0.47 100 each 47.00 07-09841 Tape, Cloth Tape 1", 12/box 8.28 12 box/1 99.36 07-09842 Tape, Cloth Tape 2", 6/box 8.28 12 box/6 99.36 Tracking * 1Z4760184392453661 Subtotal $2,188.48 Shipping $0.00 Total $2,188.48 Payments/Credits Balance $2,188.48 Page 1 of Printed: 7/27/2017 at 1:54:44 PM _ 1317 North Road Invoice #M8998 'E^Rs Niles,OH 44446 (800)392-7233 Many Needs...One Solution sales@penneare.net Bill To: Ship To: Order#: M8998 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square 2 Civic Square Internet Order#: Carmel, IN 46032 Carmel, IN 46032 Terms: Net 30 Order Date: 7/28/2017 Invoice Date: 7/28/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 01-03212 Oxygen, FilterLine Set Adult/Pediatric without 02 10.67 50 each 533.50 Tubing Tracking # 1Z4760184394597922 Subtotal $533.50 Shipping $0.00 Total $533.50 Payments/Credits Balance $533.50 Page 1 of Printed: 7/28/2017 at 2:32:25 PM ,; 1317 North Road Invoice #M8997 'E^ Niles, OH 44446 ' (800)392-7233 Many Needs...One Solution sales@penneare.net Bill To: Ship To: Order#: M8997 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square 2 Civic Square Internet Order M Carmel, IN 46032 Carmel, IN 46032 Terms: Net 30 Order Date: 7/28/2017 Invoice Date: 7/28/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 02-13383 IV Start Kit, with Site-Loc, 8" Extension, Pre-Filled 4.00 200 each 800.00 10cc Syringe Subtotal $800.00 Shipping $0.00 Total $800.00 Payments/Credits Balance $800.00 Page 1 of Printed: 7/28/2017 at 2:30:30 PM 1317 North Road Invoice #M9114 ". raRs Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M9114 Carmel Fire Dept. Carmel Fire Dept. PO: TOMPAYNE 2 Civic Square 2 Civic Square Internet Order#: 109081 Carmel, IN 46032 Carmel, IN 46032 Terms: Net 30 Order Date: 8/1/2017 Invoice Date: 8/2/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 10-30000 Sharps, Dart (Shuttle) Container 2.95 13 each 38.35 07-34770 Alcohol Prep, Kendall Large 4.95 20 box/2 99.00 07-02762 Gauze, Conforming Rolls, Sterile 2"x 4.1yds, 4.20 1 box/1 4.20 12/box 07-02764 Gauze, Conforming Rolls, Sterile 4"x 4.1 yds, 4.73 8 box/1 37.84 12/box 07-05423 Gauze, 3M Coban Self Adherent Wrap 3"x 5 Yards, 3.45 24 each 82.80 Tan 07-09109 Gauze,ABD Pads 5"x 9", 25/box 4.95 1 box/2 4.95 07-08800 Gauze, ABD Pads 8"X 10"20/box 5.95 16 box/2 95.20 09-0449A Collar, Ambu Perfit ACE Adjustable Adult 9.00 1 each 9.00 09-0449P Collar, Ambu Perfit ACE Adjustable Pediatric 9.00 1 each 9.00 01-018128 Nasopharyngeal Airway Adult, 28FR 3.50 10 each 35.00 Tracking # 1Z4760184396278433 Subtotal $415.34 Shipping $0.00 Total $415.34 Payments/Credits Balance $415.34 Page 1 of Printed: 8/2/2017 at 10:05:14 AM