HomeMy WebLinkAbout321769 02/13/18 Cqq
��! '•- CITY OF CARMEL, INDIANA VENDOR: 368918
ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: S*******638.85*
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a CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 321769
NILES OH 44446 CHECK DATE: 02/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _
102 4239011 M13869 638.85 SPECIAL DEPT SUPPLIES
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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
$638.85
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
M13869 42-390.11 $638.85 1 hereby certify that the attached invoice(s),or 2/2/18 M13869 $638.85
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
Friday, February 02,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice #M13869
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Mony Needs...One Solution
Bill To: Ship To: Order#: M13869
-Carmel Fire Dept. Carmel Fire Dept. PO: Tom Payne
2 Civic Square Attn: EMS Chief Tom Small Internet Order#:
Carmel, IN 46032 2 Civic Square Terms: Net 30
Carmel , IN 46032 Order Date: 2/1/2018
Invoice Date: 2/1/2018
Ship Via: UPS Ground
Code Name Price Qty Unit Ext Price
09-37615 Pediatric Restraint, Ferno Pedi-Mate 295.00 0 each 0.00
Plus
02-02135 IV Catheter, Introcan Safety 20g x 2.10 250 each 525.00
1.25"
07-05423 Gauze, 3M Coban Self Adherent Wrap 3.45 33 each 113.85
3"x 5 Yards, Tan
Tracking # lZ4760180391354854 Subtotal $638.85
Shipping $0.00
Total $638.85
Payments/Credits
Balance $638i85
Page 1 of Printed: 2/1/2018 at 1:42:43 PM