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Home My WebLink About321210 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 368918 , d ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****6,832.80* CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 321210 NILES OH_44446 CHECK DATE: 01/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M11859 4,272.00 SPECIAL DEPT SUPPLIES 102 4239011 M13080. 02 382.50 SPECIAL DEPT SUPPLIES 102 4467006 M13186.01 350.00 EMS EQUIP 102 4239011 M13260.01 148.30 SPECIAL DEPT SUPPLIES 102 4239011 M13495 960.00 SPECIAL DEPT SUPPLIES 102 4467006 M13498 720.00 EMS EQUIP VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ 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 $6,832.80 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 M11859 42-390.11 $4,272.00 1 hereby certify that the attached invoice(s),or 1/22/18 M11859 $4,272.00 1120 102 1120 102 M13186.01 44-670.06 $350.00 bill(s)is(are)true and correct and that the 1/22/18 M13186.01 $350.00 1120 1 102 1 materials or services itemized thereon for 1120 102 M13498 44-670.06 $720.00 1/22/18 M13498 $720.00 1120 102 which charge is made were ordered and 1120 102 M13495 42-390.11 $960.00 received except 1/22/18 M13495 $960.00 1120 102 1120 102 M13080.02 42-390.11 $382.50 1/22/18 M13080.02 $382.50 1120 102 1120 102 M13260.01 42-390.11 $148.30 1/22/18 M13260.01 $148.30 1120 102 1120 102 Monday,January 22,2018 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 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 1317 North Road Invoice #M 11859 Niles, OH 44446 (800)392-7233 PM I'M Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order M M11859 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square Attn: Tom Small Internet Order M Carmel, IN 46032 Carmel Fire Dept. Terms: Net 30 Training/Maintenance Facility Order Date: 1/4/2018 4925 E. 160th St Invoice Date: 1/22/2018 Carmel, IN 46033 Ship Via: UPS Ground Qty Unit Ext Pr]7<0 08-0960XL Gloves, MicroFlex MidKnight Nitrile - 8.90 240 box/100 2,136.00 XLarge 100/box 08-0960L Gloves, MicroFlex MidKnight Nitrile 8.90 240 box/100 2,136.00 Large 100/box Subtotal $4,272.00 Can we get a call before arrival 317-571-2600 Shipping $0.00 Total $4,272.00 Payments/Credits Ballance 00 Page 1 of Printed: 1/22/2018 at 12:09:35 PM 1317 North Road Invoice #M13260.01 r 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 M 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 Cade Natm Veit • 01-134470 ET Tube, Cuffed Murphy Eye with 2.10 5 each 10.50 Stylet 7.Omm 01-31122 ET Tube, Introducer SunMed 15FR 6.89 20 each 137.80 Coude Tracking # Subtotal $148.30 Shipping $0.00 Total $148.30 Payments/Credits Rplance a Page 1 of Printed: 1/9/2018 at 11:39:49 AM _ 1317 North Road Invoice #M13080.02 Niles, OH 44446 (800)392-7233 { MMan yv ANI ere ds...One Solution sales@penncare.net Bill To: Ship To: Order M 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: 1/16/2018 Ship Via: UPS Ground 01-01871 Aspirator, Meconium 7.25 29 each 210.25 01-31122 ET Tube, Introducer SunMed 15FR 6.89 17 each 117.13 Coude 01-31121 ET Tube, Introducer SunMed 6.89 8 each 55.12 Pediatric, 10FR Coude Tracking # 1Z4760184396274955 Subtotal $382.50 Shipping $0.00 Total $382.50 Payments/Credits Page 1 of Printed: 1/16/2018 at 2:27:59 PM 1317 North Road Invoice #M13495 Niles, OH 44446 (800)392-7233 rr Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M13495 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn: EMS Chief Tom Small Internet Order#: 111104 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 1/16/2018 Invoice Date: 1/16/2018 Ship Via: UPS Ground Code Name, Price Qty Unit Ext Prke 03-326850 Electrodes, Adult/Pediatric Foam 12.00 80 bagi50 960.00 38mm 50/bag Tracking # 1Z4760184393021796 Subtotal $960.00 Shipping $0.00 Total $960.00 Payments/Credits $960.00 Page 1 of Printed: 1/16/2018 at 2:42:03 PM 1317 North Road Invoice #M 13498 r Niles, OH 44446 ` (800)392-7233 PfflManyN.e'edrs...One Solution sales@penncare.net Bill To: Ship To: Order#: M13498 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn: Tom Payne Internet Order#: 111105 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 1/16/2018 Invoice Date: 1/16/2018 Ship Via: UPS Ground o . Price' 01-3720L CPAP, Flow-Safe II EZ Deluxe Large 72.00 10 each 720.00 Deluxe Mask& EZflow MAX Nebulizer Tracking # 1Z4760184390522527 Subtotal $720.00 Shipping $0.00 Total $720.00 Payments/Credits Balance 60 Page 1 of Printed: 1/16/2018 at 4:42:30 PM 1317 North Road Invoice #M13186.01 { � Niles, OH 44446 (800)392-7233 MahyNeeds...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#: 110027 Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 1/5/2018 Invoice Date: 1/19/2018 Ship Via: UPS Ground Co' qty Unit iceExtPf' 03-123120 Trunk Cable, Lifepak 12/15 with AHA 350.00 1 each 350.00 Limb Leads 8' Tracking # 9405510200883693727180 Subtotal $350.00 Shipping $0.00 Total $350.00 Payments/Credits You saved$26:00 today shopping at Penn Care. $350.,Q0 Page 1 of Printed: 1/19/2018 at 9:14:07 AM