HomeMy WebLinkAbout322796 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