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Home My WebLink About320513 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 368918 .;;_ � ,• ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****5,260,21* CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 320513 s°M,�TON. NILES OH 44446 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M12569 250.00 SPECIAL DEPT SUPPLIES 102 4239011 M12641 186.26 SPECIAL DEPT SUPPLIES 102 4239011 M12661 250.00 SPECIAL DEPT SUPPLIES 102 4239011 M12874 2,049.35 SPECIAL DEPT SUPPLIES 102 4239011 M12874.01 125.00 SPECIAL DEPT SUPPLIES 102 4239011 M13080 523.35 SPECIAL DEPT SUPPLIES 102 4239011 M1308001 79.75 SPECIAL DEPT SUPPLIES 1.02 4239011 M13186 1,050.00 SPECIAL DEPT SUPPLIES 102 4239011 M13260 746.50 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 368918 PENN CARE INC. IN SUM of$ CITY OF CARMEL 1317 NORTH ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NILES, OH 44446 Payee $3,383.96 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT M12661 42-390.11 $250.00 1 hereby certify that the attached invoice(s),or 12/14/17 M12661 $250.00 1120 102 Prior Year 1120 102 M12569 42-390.11 $250.00 bill(s)is(are)true and correct and that the 12/18/17 M12569 $250.00 1120 102 1 Prior Year materials or services itemized thereon for 1120 102 M12784 42-390.11 $2,049.35 12/19/17 M12784 $2,049.35 1120 102 Prior Year which charge is made were ordered and 1120 102 M12784.01 42-390.11 $125.00 received except 12/19/17 M12784.01 $125.00 1120 102 Prior Year 1120 102 M12641 42-390.11 $11.51 12/26/17 M12641 $11.51 1120 102 Prior Year 1120 102 M12784.02 42-390.11 $174.75 12/29/17 M12784.02 $174.75 1120 102 Prior Year 1120 102 M13080 42-390.11 $523.35 1/3/18 I M13080 I I $523.35 1120 102 Friday,January 05,2018 1120 102 Vm®r _ David Haboush Fire Chief hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 1317 North Road Invoice #M 13080 C ;. Niles, OH 44446 (800)392-7233 PWManyyNee'ds....One Solution sales@penncare.net Bill To: Ship To: Order#: M13080 Carmel Fire Dept. Carmel Fire Dept. PO: Tom Payne 2 Civic Square Attn:Tom Payne Internet Order#: 109995 Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel, IN 46032 Order Date: 1/3/2018 Invoice Date: 1/3/2018 Ship Via: UPS Ground . . - Qty Urift Ext,Price, 01-01871 Aspirator, Meconium 7.25 0 each. 0.00 01-31122 ET Tube, Introducer SunMed 15FR 6.89 3 each 20.67 Coude 01-31121 ET Tube, Introducer SunMed 6.89 12 each 82.68 Pediatric, 10FR Coude 02-02135 IV Catheter, Introcan Safety 20g x 2.10 200 each 420.00 1.25" Tracking # iZ4760184392317077 Subtotal $523.35 Shipping $0.00 Total $523.35 Payments/Credits lance '$523.351- Page 1 of Printed: 1/3/2018 at 8:52:17 AM 1317 North Road Invoice #M12661 �r/��:;� �.� Niles, OH 44446 (800)392-7233 t Many Needs....One Solution sales@penncare.net Bill To: Ship To: Order#: M12661 Carmel Fire Dept. Carmel Fire Dept. PO: tsmall Attn: Tom Small Attn: Tom Small Internet Order#: 109904 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date: 12/14/2017 Invoice Date: 12/14/2017 Ship Via: UPS Ground Qty 12-36252 Patient Mover 80"x 40" 25.00 10 each 250.00 Tracking # iZ4760184392755004 Subtotal $250.00 Shipping $0.00 Total $250.00 Payments/Credits $250.00--'- Page .Page 1 of Printed: 12/14/2017 at 2:37:53 PM �� rff 1317 North Road Invoice #M12784.01 [ Niles, OH 44446 (800)392-7233 PWM1a2nyyNeedse9*OnW . eSolution sales@penncare.net Bill To: Ship To: Order#: M12784 Carmel Fire Dept. Carmel Fire Dept. PO: TPayne Attn: Tom Payne Attn:Tom Payne Internet Order#: 109933 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 12/19/2017 Invoice Date: 12/29/2017 Ship Via: UPS Ground Code Name. Qty Unit Ext Price' 07-12365 Gauze, 4.5"X 4.1 yard, 6 Ply Sterile 1.25 100 each 125.00 Krinkle Roll Tracking # 1Z4760184394105551 Subtotal $125.00 Shipping $0.00 Total $125.00 Payments/Credits 00 Page 1-of Printed: 12/29/2017 at 9:35:52 AM. i Invoice #M12784-.02* 1317 North Road - Niles, OH 44446 (800)392-7233 i` Many Needs....One Solution. sales@penncare.net Bill To: Ship To: Order#: M12784 Carmel Fire Dept. Carmel Fire Dept. PO: TPayne Attn: Tom Payne Attn:Tom Payne Internet Order#: 109933 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 12/19/201.7 Invoice Date: 12/29/2017 Ship Via: UPS Ground. . . - Name, Price, Qty Unit Ext Price 03-03113 Electrodes, QUIK-COMBO Connectors 34.95 5 pair 174.75 Pedi Edge RTS Tracking # iZ4760184391380581 Subtotal $174.75 Shipping $0.00. Total $174.75 Payments/Credits Ba.lance $174.75,' Page 1 of Printed: 12/29/2017 at 11:49:46 AM 1317 North Road Invoice #M12641 PWf Niles, OH 44446 (800)392-7233 JIMManyyNeeds One Solution sales@penncare:net t. 1 Bill To: Ship To: Order#: M12641 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: 12/13/2017 Invoice Date: 12/26/2017 Ship.Via: UPS Ground . . - Name, Pric4brQty Unit: Ext Pric4Z-' 11-477535 SSCORE VX-2 Replacment Battery 60.00 ? each ? Tracking # 1Z4760184399892648 Subtotal Shipping $11.51 Total $11.51 Payments/Credits Balance $11.51 Page 1 of Printed: 12/26/2017 at 11:37:52 AM " 1317 North Road Invoice #M12784 Niles;OH 44446 (800)392-7233 f Many Needs....One Solution sales@penncare.net Bill To: Ship To: Order#: M12784 Carmel Fire Dept. Carmel Fire Dept. PO: TPayne Attn: Tom Payne Attn: Tom Payne Internet Order#: 109933 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 12/19/2017 Invoice Date: 12/19/2017 Ship Via: UPS Ground QtY Unit, 'Ext Price' 03-03111 Electrodes, QUIK-COMBO Connectors 33.00 20 pair 660.00 Edge System 03-03113 Electrodes, QUIK-COMBO Connectors 34.95 15 pair 524.25 Pedi Edge RTS 03-326850 Electrodes, Adult/Pediatric Foam 12.00 40 bag/50 480.00 38mm 50/bag 04-03751 Recording Paper, Lifepak 11 & 12& 2.65 18 each 47.70 15 Paper 07-12365 Gauze,4.5"X 4.1 yard, 6 Ply Sterile 1.25 100 each 125.00 Krinkle Roll 08-0960L Gloves, MicroFlex MidKnight Nitrile 10.62 20 eox/1oo 212.40 Large 100/box Tracking # 1Z4760184392743777 Subtotal $2,049.35 Shipping $0.00 Total $2,049.35 Payments/Credits e, . Page 1 of Printed: 12/19/2017 at 12:04:39 PM 1317 North Road Invoice #M12569 Niles' OH 44446 (800)392-7233 MMan yNere ds..._One Solution sales@penncare.net Bill To: Ship To: Order#: M12569 Carmel Fire Dept. Carmel Fire Dept. PO: Attn: Tom Small Attn: Tom Small Internet Order#: 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date: 12/11/2017 Invoice Date: 12/18/2017 Ship Via: UPS Ground 01-0423B Regulator Gasket, Stat-o-Seal Metal 1.00 250 each 250.00 Brass 02 Washer Subtotal $250.00 Shipping $0.00 Total $250.00 Payments/Credits Balance 00 Page 1 of Printed: 12/18/2017 at 9:36:29 AM VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 368918 IN SUM OF$ CITY OF CARMEL PENN CARE INC. 1317 NORTH ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NILES, OH 44446 Payee $1,129.75 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT M13080.01 42-390.11 $79.75 1 hereby certify that the attached invoice(s),or 1/9/18 M13080.01 $79.75 1120 102 1120 102 M13186 42-390.11 $1,050.00 bill(s)is(are)true and correct and that the 1/9/18 M13186 $1,050.00 1120 1 1 102 1 materials or services itemized thereon for 1120 1 102 which charge is made were ordered and received except Tuesday,January 09,2018 David Haboush Fire Chief hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer a �P Invoice #M13186 1317 North Road - Niles, OH 44446 �� (800)392-7233 r ManyNeeds...One Solution sales@penncare.net Bill To: Ship To: Order#: M13186 Carmel Fire Dept. Carmel Fire Dept. PO: Tom Small 2 Civic Square Attn: EMS Chief Tom Small Internet Order M 110027 Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 1/5/2018 Invoice Date: 1/5/2018 Ship Via: UPS Ground Unit Ext Price'-, Code Qty 03-123120 Trunk Cable, Lifepak 12/15 with AHA 350.00 3 each 1,050.00 Limb Leads 8' Tracking # iZ4760184393700196 Subtotal $1,050.00 Shipping $0.00 Total $1,050.00 Payments/Credits You saved$78.00 today shopping at Penn Care. Balance $11,050.00'. Page 1 of Printed: 1/5/2018 at 11:58:18 AM Invoice #M13080-01.!' 1317 North Road �r Niles, OH 44446 (800)392-7233 /j Many.Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M13080 Carmel Fire Dept. Carmel Fire Dept. PO: Tom Payne 2 Civic Square Attn:Tom Payne Internet Order M 109995 Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel, IN 46032 Order Date: 1/3/2018 Invoice Date: 1/5/2018 Ship Via: UPS Ground Co • Price; 01-01871 Aspirator, Meconium 7.25 11 each 79.75 Tracking # Subtotal $79.75 Shipping $0.00 Total $79.75 Payments/Credits Page 1 of Printed: 1/5/2018 at 2:44:00 PM VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ CITY OF CARMEL 1317 NORTH ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NILES, OH 44446 Payee $746.50 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Carmel Fire Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT M13260 42-390.11 $746.50 1 hereby certify that the attached invoice(s),or 1/9/18 M13260 $746.50 1120 102 1120 102 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,January 09,2018 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20- Clerk-Treasurer 20Clerk-Treasurer 1317 North Road Invoice #M 13260 r W,Wrc - Niles, OH 44446 (800)392-7233 Many.Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M13260 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne 2 Civic Square Attn: Tom Small Internet Order#: 110053 Carmel, IN 46032 Carmel Fire Dept. Terms: Net 30 Training/Maintenance Facility Order Date: 1/9/2018 4925 E. 160th St Invoice Date: 1/9/2018 Carmel, IN 46033 Ship Via: UPS Ground �Qty Unit Ext Pri:ce 01-134470 ET Tube, Cuffed Murphy Eye with 2.10 5 each 10.50 Stylet 7.Omm 01-134490 ET Tube, Cuffed Murphy Eye with 2.10 10 each 21.00 Stylet 9.Omm 09-0493T Splint, Flex-All, (SAM SPLINT)Orange 5.00 25 each 125.00 12-36252 Patient Mover 80"x 40" 25.00 20 each 500.00 01-31122 ET Tube, Introducer SunMed 15FR 6.89 0 each 0.00 Coude 01-018128 Nasopharyngeal Airway Adult, 28FR 2.10 10 each 21.00 01-018134 Nasopharyngeal Airway Adult,34FR 2.10 10 each 21.00 13-039228 Ring Cutter Deluxe 16.00 3 each 48.00 Tracking # iZ4760184391409265 Subtotal $746.50 Shipping $0.00 Total $746.50 Payments/Credits • . .50 Page 1 of Printed: 1/9/2018 at 9:19:16 AM