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Home My WebLink About322796 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $****10,722.00* ?� CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 322796 vM_ NILES OH 44446 CHECK DATE: 03/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNTI DESCRIPTION 102 4239011 M14217 8,400. 0 SPECIAL DEPT SUPPLIES 102 4239011 M14230 73000 SPECIAL DEPT SUPPLIES 102 4239011 M14737 1,592.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ 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 $10,722.00 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 M14737 42-390.11 $1,592.00 1 hereby certify that the attached invoice(s),or 3/4/18 M14737 $1,592.00 1120 �1 02-7 1120 102 M14230 42-390.11 $730.00 bill(s)is(are)true and correct and that the 3/4/18 M14230 $730.00 1120 02-1 materials or services itemized thereon for 1120 1 102 M14217 42-390.11 $8,400.00 3/4/18 M14217 $8,400.00 which charge is made were ordered and 1120 I I c102-� I 1120 102 received except Sunday, March 04,2018 D4MDr '-ZS- 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer .. 1317 North Road Invoice #M14217 � C Niles, OH 44446 ' - (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M14217 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square Attn: Tom Small Internet Order#: Carmel, IN 46032 Carmel Fire Dept. Terms: Net 30 Training/Maintenance Facility Order Date: 2/12/2018 4925 E. 160th St Invoice Date: 2/23/2018 Carmel, IN 46033 Ship Via: UPS Ground Code Name Piri-ce Qty Unit Ext Price 09-360410 Collar, Laerdal Stifneck Select Adult 6.00 600 each 3,600.00 03-326850 Electrodes, Adult/Pediatric Foam 12.00 400 bag/50 4,800.00 38mm 50/bag Subtotal $8,400.00 Shipping $0.00 Total $8,400.00 Payments/Credits 40i ee Page 1 of Printed: 2/23/2018 at 12:13:56 PM 1317 North Road Invoice #M14230 Niles, OH 44446 Many Needs...OneSolufion (800)392-7233sales@penncare.net Bill To: Ship To: Order#: M14230 Carmel Fire Dept. Carmel Fire Dept. PO: Tom 2 Civic Square Attn: EMS Chief Tom S all Internet Order#: Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 2/12/2018 Invoice Date: 2/19/2018 Ship Via: UPS Ground Code Naine, Price Qty Unit E.xt Price. 09-1004Y Backboard, Fleming Ultra Short Board 73.00 10 each 730.00 without Pins, Yellow Subtotal $730.00 Shipping $0.00 Total $730.00 Payments/Credits 0 0 Page 1 of Printed: 2/19/2018 at 2:15:38 PM 1317 North Road Invoice #M14737 VWC� Niles, OH 44446 (800)392-7233 ManyNeeds...OneSolution sales@penncare.net Bill To: Ship To: Order#: M14737 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne 2 Civic Square Attn: Tom Payne Internet Order#: 112373 Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 3/1/2018 Invoice Date: 3/1/2018 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 10-02203 Biohazard Bag, Disposable 7-10 0.10 100 each 10.00 Gallon 01-361903 i-Gel Supraglottic Airway Size 3.0 for 22.00 3 case 66.00 Small Adults (65-130lbs.) 01-361904 i-Gel Supraglottic Airway Size 4.0 for 22.00 3 each 66.00 Medium Adults (110-200lbs.) 01-361905 i-Gel Supraglottic Airway Size 5.0 for 22.00 5 each 110.00 Large Adults (200+lbs.) 01-01143 Nebulizer, Hand Held 0.80 100 each 80.00 02-02136 IV Catheter, Introcan Safety 22g x 1" 1.90 50 each 95.00 04-372606 Glucometer, Arkray Assure Prism 15.00 6 bottle 90.00 Control Solution 05-0825BK Triage Tape, Disaster Black 2.50 5 roll 12.50 05-0825OR Triage Tape, Disaster Orange 2.50 5 roll 12.50 12-36252 Patient Mover 80"x 40" 25.00 30 each 750.00 04-372550 Glucometer, Arkray Assure Prism Test 15.00 20 bottle 300.00 Strips 50/bottle 04-385302 Glucometer, Arkray Prism Glucometer 0.00 20 each . 0.00 case 04-363401 Glucometer, Arkray Assure Prism 0.00 20 each 0.00 Meter Tracking # 771665344790 Subtotal $1,592.00 Shipping $0.00 Total $1,592.00 Payments/Credits Balance ii Page 1 of Printed: 3/1/2018 at 12:18:21 PM