323221 03/21/18 y ul_Cgq�
CITY OF CARMEL, INDIANA VENDOR: 365122.;
ONE CIVIC SQUARE PPE CARE AND REPAIR CHECK AMOUNT: $**....*208.50*
CARMEL, INDIANA 46032 601 NORTH BEND ROAD CHECK NUMBER: 323221
BEECH GROVE IN 46107 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION,
1120 4350900 1611 208.50 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 365122
PPE CARE AND REPAIR IN SUM OF$ CITY OF CARMEL
601 NORTH BEND 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.
BEECH GROVE, IN 46107
Payee
$208.50
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
1611 43-509.00 $208.50 1 hereby certify that the attached invoice(s),or 3/17/18 1611 $208.50
1120 101 1120 101
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
Saturday, March 17,2018
D4v. - -= �
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
1317 North Road Invoice #M15047
r�:� Niles, OH 44446
'0 NOi (800)392-7233
Man
yNeeds...One Solution sales@penncare.net
Bill To: Ship To: Order#: M15047
Carmel Fire Dept. Carmel Fire Dept. PO: Tom Payne
Attn: Tom Payne Attn: Tom Payne Internet Order M 112453
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 3/13/2018
Invoice Date: 3/13/2018
Ship Via: Ground
Code Name Price Qty ,Unit Ext Price
04-06778 Stethoscope, 3M Littmann Cardiology 210.00 0 each 0.00
III Black
07-09850 Bandage, Triangular 0.30 24 each 7.20
01-017970 Oral Airway, Berman 70mm White 0.20 12 each 4. 2.40
01-017911 Oral Airway, Berman 110mm Orange 0.20 12 each 2.40
01-097218 Suction, Catheters 18FR 0.35 25 each 8.75
Tracking # 780029408670 Subtotal $20.75
Shipping $0.00
Total $20.75
Payments/Credits
Page 1 of Printed: 3/13/2018 at 1:45:46 PM