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Home My WebLink About317664 10/19/17 G� "'",'� CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****2,114.75* =q CARMEL, INDIANA 46032 1317 OHNORTH ROAD CHECK NUMBER: 317664 .o CHECK DATE: 10/19/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M10689 1,517.75 SPECIAL DEPT SUPPLIES 102 4239011 M10689.01 36.00 SPECIAL DEPT SUPPLIES 102 4239011 M10883 436.00 SPECIAL DEPT SUPPLIES 102 4239011 M7898.01 125.00 SPECIAL DEPT SUPPLIES 0 Q z -0 $ « Ll 0 C) 2 / 7 i © 0 / q ? . m 0$m \ § ® M % / /§ § / I \ o G S § 0 ( % q$ E 7 / } $ t t t -n Lyl t -n > O / / § § Co § § § § § [ \ CD m 3 ® ■ k � z 3 2 / _ > k 0 i r (11 ) 2 R | f - 8 G S 8 % < \ / \ j \ R CL 0U) o m / , o ? G - c - k = m 2 \ 3 § \ CL o g _ / ƒ % 0 3 \ \ o 7 \ 2 , o k R ° & / ( - k = I ƒ OL / 2 \ ƒ /C § £ aq N k / # 7 CD@ q > «CL \ O J ° j ° \ ° \ ar CD °\ m \ \ 4t CL) =r -® ) / g � ƒ_ § 9 -n z �_ D 0 E ] \ g 2 a / § 0 w 0 g ƒ( o = o = o m o � o_ o T § k o # ~ / Pi G ~ & ~ § # \ / CD 3 ( /k § k & | _ . � a< \ 0 2 e° f � {_$ ( _ o > §R Go co �E [ 3 r � q 0 0 2 / 0 E \ CD \ r- 0 /_ � Z (D ) 0 C / 00 � 0 ¥ ; c m m / } :r g 2. a (D M \ . } } f $ \§ \ R \ _ \ # 6 \ Cal \ 7 §:-4 § % § CD 0 ) 8 8 ¥ k 1317 North Road Invoice #M10689-01 a Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M10689 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn: Tom Payne Internet Order#: 109477 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date: 10/3/2017 Invoice Date: 10/4/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 02-427285 Drug Lock, Pull-Tight, bag/100, Red 18.00 2 bag/,00 36.00 Tracking # 1Z4760184392279038 Subtotal $36.00 Shipping $0.00 Total $36.00 Payments/Credits Balance 00 Page 1 of Printed: 10/4/2017 at 11:37:07 AM 1317 North Road Invoice #M10689 'u A l Niles, OH 44446 1 P (800)392-7233 29yft. ds...OneSolution sales@penncare.net Bill To: Ship To: Order#: M10689 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn: Tom Payne Internet Order#: 109477 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date: 10/3/2017 Invoice Date: 10/3/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 02-427285 Drug Lock, Pull-Tight, bag/100, Red 18.00 3 ba9n00 54.00 02-02135 IV Catheter, Introcan Safety 20g x 2.10 200 each 420.00 1.25" 01-361903 i-Gel Supraglottic Airway Size 3.0 for 22.00 4 case 88.00 Small Adults(65-130lbs.) 02-05383 MAD Nasal 300, without Syringe 6.00 25 each 150.00 07-0210 Penlights, Disposable 6/pack 4.75 5 pack/6 23.75 07-02445 Gauze, Vaseline 3"x 9" Box of 50 37.00 1 box/50 37.00 09-0449A Collar, Ambu Perfit ACE Adjustable 5.75 60 each 345.00 Adult 01-3720L CPAP, Flow-Safe II EZ Deluxe Large 72.00 5 each 360.00 Deluxe Mask& EZflow MAX Nebulizer 01-37433 Nebulizer, Hand Held 0.80 50 each 40.00 Tracking # 1Z4760184394054839 Subtotal $1,517.75 Shipping $0.00 Total $1,517.75 Payments/Credits Balance $1,517.75 Page 1 of Printed: 10/3/2017 at 1:04:48 PM - 1317 North Road Invoice *M10883 � o Niles,OH 44446 pellfri (800) 392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M10883 Carmel Fire Dept. Carmel Fire Dept. PO: T small 2 Civic Square 2 Civic Square Internet Order#: 109519 Carmel, IN 46032 Carmel, IN 46032 Terms: Net 30 Order Date: 10/10/2017 Invoice Date: 10/10/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 02-13383 IV Start Kit, with Site-Loc, 8" 4.00 100 each 400.00 Extension, Pre-Filled 10cc Syringe 09-0493T Splint, Flex-All, (SAM SPLINT) Orange 6.00 6 each 36.00 Tracking # 1Z4760184391226882 Subtotal $436.00 Shipping $0.00 Total $436.00 Payments/Credits . 00 Page 1 of Printed: 10/10/2017 at 1:25:56 PM 1317 North Road Invoice #M7898.01 v, nRs Niles, OH 44446 PenFrK1rWfrQ�L- (800)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: 6/22/2017 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price Carmel Fire Dept. 12-36252 Patient Mover 80"x 40" 25.00 5 each 125.00 Tracking # 1Z47601 843901 261 1 6 Subtotal $125.00 Shipping Total $125.00 Payments/Credits .Balance $125.00 Page 1 of 1 Printed: 10/10/2017 at 7:34:50 PM