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HomeMy WebLinkAbout323839 04/06/18 CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****2,479.56* aQ. CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 323839 NILES OH 44446 CHECK DATE: 04/06/18 , DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 A15146 351.61 AUTO REPAIR & MAINTEN 102 4467006 M15047. 01 630.00 EMS EQUIP 102 4239011 M15304 600.95 SPECIAL DEPT SUPPLIES 102 4467006 M1530401 897.00 EMS EQUIP Y; VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ 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 $2,479.56 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 A15146 43-510.00 $351.61 1 hereby certify that the attached invoice(s),or 3/29/18 A15146 $351.61 1120 101 1120 101 M15304.01 44-670.06 $897.00 bill(s)is(are)true and correct and that the 3/29/18 M15304.01 $897.00 1120 1 1 102 1 materials or services itemized thereon for 1120 102 M15047.01 44-670.06 $630.00 3/29/18 M15047.01 $630.00 1120 102 which charge is made were ordered and 1120 102 M15304 . 42-390.11 $600.95 received except 3/29/18 M15304 $600.95 1120 102 1120 102 Thursday, March 29,2018 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 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer r 1317 North Road Invoice #M15047.01 �� [ -T Niles, OH 44446 (800)392-7233 Many Needs....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#: 112453 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 3/13/2018 Invoice Date: 3/28/2018 Ship Via: Ground . . A 04-06778 Stethoscope, 3M Littmann Cardiology 210.00 3 each 630.00 III Black Tracking # 780290423013 Subtotal $630.00 Shipping $0.00 Total $630.00 Payments/Credits Page 1 of Printed: 3/28/2018 at 4:30:27 PM 1317 North Road Invoice #M15304 ' Wf Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M15304 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn:Tom Payne Internet Order M 112505 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 3/22/2018 Invoice Date: 3/22/2018 Ship Via: Ground Code Narn.d, Qty Unit '�Ext Pric.d. 1 4-1 2871 01 Bag, Meret Omni BLS/ALS Total 299.00 0 bag 0.00 System Dark Gray Vinyl 03-33362 LlfePak 12, Cable 12 Lead ECG w/6 130.00 0 each 0.00 Wire Precordial Leads 05-0825BK Triage Tape, Disaster Black 2.50 6 roll 15.00 02-02135 IV Catheter, Introcan Safety 20g x 2.10 200 each 420.00 1.25" 07-34472 Gauze, Emergency High Strength 5.95 1 each 5.95 Pressure Bandages 6" 04-33640 Sensor, Masimo SET Disposable 20.00 8 each 160.00 LNCS PDTX-3 Pediatric(3ft. Cable) Tracking # 780207275397 Subtotal $600.95 Shipping $0.00 Total $600.95 Payments/Credits Isolance .0e Page 1 of Printed: 3/22/2018 at 4:37:54 PM 1317 North Road Invoice #M15304.01 � Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M15304 Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne Attn: Tom Payne Attn: Tom Payne Internet Order#: 112505 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 3/22/2018 Invoice Date: 3/26/2018 Ship Via: UPS Ground Code Name Price Qty Unit Ext Price 14-1287101 Bag, Meret Omni BLS/ALS Total 299.00 3 bag 897.00 System Dark Gray Vinyl Subtotal $897.00 Shipping $0.00 Total $897.00 Payments/Credits 0e Page 1 of Printed: 3/26/2018 at 11:13:26 AM 1317 North Road Invoice #A15146 Y ye rTi 1 _ Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#:Al5146 Carmel Fire Dept. Carmel Fire Dept. PO: .2 Civic Square Attn: Scott Internet Order#: Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Invoice Date: 3/22/2018 Ship Via: UPS Ground a a - Carmel Fire Dept. BR-96761 Latch Exterior Chrome Handle Locking 143.19 2 286.38 People Doors BR-LOCK-ROD Lock Rod 26.04 2 52.08 Subtotal $338.46 Shipping $13.15 Total $351.61 Payments/Credits Page 1 of 1 Printed: 3/22/2018 at 8:48:02 AM