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Home My WebLink About322379 02/27/18 �r \� CITY OF CARMEL, INDIANA VENDOR: 368918 d ONE CIVIC SQUARE PENN,,CARE INC. CHECK AMOUNT: $*****4,902.30* CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 322379 °M,i TON- NILES OH 44446 CHECK DATE: 02/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M1386901 1,475.00 SPECIAL DEPT SUPPLIES 102 4239011 M1386902 51.75 SPECIAL DEPT SUPPLIES 102 4239011 M14102 2,248.55 SPECIAL DEPT SUPPLIES 102 4239011 M1410201 110.50 SPECIAL DEPT SUPPLIES 102 4239011 M14165 524.50 SPECIAL DEPT SUPPLIES 102 4239011 M14194 492.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ 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 $4,902.30 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 M14194 42-390.11 $492.00 1 hereby certify that the attached invoice(s),or 2/16/18 M14194 $492.00 1120 102 . 1120 102 M13869.02 42-390.11 $51.75 bill(s)is(are)true and correct and that the 2/16/18 M13869.02 $51.75 1120 102 materials or services itemized thereon for 1120 102 M13869.01 42-390.11 $1,475.00 2/16/18 M13869.01 $1,475.00 1120 102 which charge is made were ordered and 1120 102 M14102 42-390.11 $2,248.55 received except 2/16/18 M14102 $2,248.55 1120 102 1120 102 M14102.01 42-390.11 $110.50 2/16/18 M14102.01 $110.50 1120 102 1120 102 M14165 42-390.11 $524.50 2/16/18 M14165 $524.50 1120 102 1120 102 Friday, February 16, 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 1317 North Road Invoice #M14165 Niles, OH 44446 (800)392-7233 ,PfflMany Needs...One Solution sales@penncare.net f Bill To: Ship To: Order#: M14165 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne 2 Civic Square Attn: EMS Chief Tom Small Internet Order#: 112250 Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 2/8/2018 Invoice Date: 2/9/2018 Ship Via: UPS Ground 01-11349 NRB Mask, Hudson Safety Vent Adult 1.10 100 each 110.00 01-10268 NRB Mask, Pediatric 1.25 50 each 62.50 02-123001 Tourniquet, CAT(Combat Application 29.00 5 each 145.00 Tourniquet) 01-320513 Laryngoscope Blade, SunMed 6.00 20 each 120.00 Disposable Fiber Optic Macintosh#3 01-320514 Laryngoscope Blade, SunMed 6.00 5 each 30.00 Disposable Fiber Optic Macintosh#4 09-048615 Board Splints, Economy Padded Splint 4.00 3 each 12.00 15" 09-048636 Board Splints, Economy Padded Splint 7.00 3 each 21.00 36" 09-048654 Board Splints, Economy Padded Splint 8.00 3 each 24.00 54" Tracking # 1Z4760180398865530 Subtotal $524.50 Shipping $0.00 Total $524.50 Payments/Credits golance $5)4 e Page 1 of Printed: 2/9/2018 at 7:28:09 AM y -r3 l 1317 North Road Invoice #M14102.01 Niles, OH 44446 (800)392-7233 ranyfteds...One Solution sales@penncare.net Bill To: Ship To: Order#: M14102 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn: Tom Payne Internet Order#: 112236 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 2/6/2018 Invoice Date: 2/9/2018 Ship Via: UPS Ground • 09-360420 Collar, Laerdal Stifneck Select 8.50 13 each 110.50 Pediatric Tracking # Subtotal $110.50 Shipping $0.00 Total $110.50 Payments/Credits e � Page 1 of . Printed: 2/9/2018 at 1:43:08 PM Invoice #M14102 1 � Mont'Needs...One.Solution Bill To: Ship To: Order#: M14102 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn: Tom Payne Internet Order#: 112236 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 2/6/2018 Invoice Date: 2/6/2018 Ship Via: UPS Ground Qty Unft Ext Pri-4� 09-360410 Collar, Laerdal Stifneck Select Adult 8.50 100 each 850.00 09-360420 Collar, Laerdal Stifneck Select 8.50 27 each 229.50 Pediatric 07-00790 Nail Polish Remover Pads 100/box 5.20 2 box/100 10.40 02-02134 IV Catheter, Introcan Safety 18g x 3.00 150 each 450.00 1.25" 07-02390 Cold Pack, Instant 6"X 9", 24/box 14.25 3 box/24 42.75 10-36688 Biohazard Bag, Emesis Sickness 82.95 2 case/144 165.90 Cleanup, Clean Sack, Case of 144 12-36252 Patient Mover 80"x 40" 25.00 20 each 500.00 Tracking # 1Z4760180396825256 Subtotal $2,248.55 Shipping $0.00 Total $2,248.55 Payments/Credits Page 1 of Printed: 2/6/2018 at 4:25:09'PM yyT" 'j 1317 North Road Invoice #M13869.01 � [ Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net 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: 2/12/2018 Ship Via: UPS Ground Qty 09-37615 Pediatric Restraint, Ferno Pedi-Mate 295.00 5 each 1,475.00 Plus Tracking # Subtotal $1,475.00 Shipping $0.00 Total $1,475.00 Payments/Credits e� Page 1 of Printed: 2/12/2018 at 8:20:11 AM 1317 North Road Invoice #M13869.02 Pwr Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net 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: 2/13/2018 Ship Via: UPS Ground qQ#e. Name Qt (tri" extP 07-05423 Gauze, 3M Coban Self Adherent Wrap 3.45 15 each 51.75 3"x 5 Yards, Tan Tracking # 1Z4760180392105997 Subtotal $51.75 Shipping $0.00 Total $51.75 Payments/Credits Page 1 of Printed: 2113/2018 at 4:29:53 PM 1317 North Road Invoice #M14194 Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M14194 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square Attn: EMS Chief Tom Small Internet Order#: Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 2/9/2018 Invoice Date: 2/15/2018 Ship Via: UPS Ground Ext Pe 01-320504 Laryngoscope Blade, SunMed 6.00 20 each 120.00 Disposable Fiber Optic Miller#4 01-320503 Laryngoscope Blade, SunMed 6.00 20 each 120.00 Disposable Fiber Optic Miller#3 10-4439 Disinfectant, Epi-Clenz Aerosol Foam 5.25 48 252.00 Hand Sanitizers 8 oz Tracking # 1Z4760180392627585 Subtotal $492.00 Shipping $0.00 Total $492.00 Payments/Credits /1 Page 1 of Printed: 2/15/2018 at 12:22:00 PM