HomeMy WebLinkAbout323964 04/06/18 CITY OF CARMEL, INDIANA VENDOR: 368918
ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****1,951.00*
9, CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 323964
cMi'rori�o� NILES OH 44446 CHECK DATE: 04/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M1530402 302.50 SPECIAL DEPT SUPPLIES
102 4239011 M15523 1,648.50 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 368918
PENN CARE INC. IN SUM OF$ 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
$1,951.00
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
M15304.02 42-390.11 $302.50 1 hereby certify that the attached invoice(s),or 4/2/18 M15304.02 $302.50
1120 102 1120 102
M15523 42-390.11 $1,648.50 bill(s)is(are)true and correct and that the 4/2/18 M15523 $1,648.50
1120 1 1 102 1 materials or services itemized thereon for 1120 102
which charge is made were ordered and
received except
Monday,April 02,2018
D4MDr 'S
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
1317 North Road Invoice #M15523
Niles 44446
(800)39292-7233
Many Needs...One Solution sales@penncare.net
Bill To: Ship To: Order#: M15523
Carmel Fire Dept. Carmel Fire Dept. PO:
2 Civic Square Attn: John Alverson Internet Order#:
Carmel, IN 46032 2 Civic Square Terms: Net 30
Carmel , IN 46032 Order Date: 3/29/2018
Invoice Date: 3/29/2018
Ship Via: Ground
Code Name Price Qty Unlit Ext Price
08-0960M Gloves, MicroFlex MidKnight Nitrile 9.92 30 box/loo 297.60
Medium 100/box
08-0960L Gloves, MicroFlex MidKnight Nitrile 9.92 20 box/loo 198.40
Large 100/box
02-02134 IV Catheter, Introcan Safety 18g x 1.95 50 each 97.50
1.25"
04-358523 Lancets, Acti-Lance Plus 23g, 1.8mm 19.25 4 boxi2oo 77.00
09-0493T Splint, Flex-All, (SAM SPLINT) Orange 4.95 15 each 74.25
09-360420 Collar, Laerdal Stifneck Select 7.50 25 each 187.50
Pediatric
10-34830 Disinfectant,Towelettes CaviWipes 9.00 20 tub 180.00
160/tub
02-05232 Fluid, Sterile Water Bottle 250mL 1.95 20 each 39.00
09-3597Y Backboard Strap, Disposable Vinyl 4.25 40 set 170.00
Impervious Yellow 5'
07-09862 Gauze, 2"x 2"4 Ply Sterile Box/25 1.10 10 box/25 11.00
02-437726 Syringe, with Needle, Luer Slip, 1 cc 0.30 25 each 7.50
with 25g x 5/8"Needle
02-35838 IV Tubing, Amsino Extension Set, 8" 1.10 200 each 220.00
Needleless Only
01-0167A ET Tube Holder,Thomas Adult 3.55 25 each 88.75
Tracking # 780307609470 Subtotal $1,648.50
Shipping $0.00
Total $1,648.50
Payments/Credits
Balance $1,648.50
Page 1 of Printed: 3/29/2018 at 4:45:59 PM
1317 North Road Invoice #M15304.02
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: 3/29/2018
Ship Via: Ground
Code Name Price Qty Unit Ext Price
03-33362 LlfePak 12, Cable 12 Lead ECG w/6 130.00 2 each 260.00
Wire Precordial Leads
05-0825BK Triage Tape, Disaster Black 2.50 . 1 roll 2.50
04-33640 Sensor, Masimo SET Disposable 20.00 2 each 40.00
LNCS PDTX-3 Pediatric (aft. Cable)
Subtotal $302.50
Shipping $0.00
Total $302.50
Payments/Credits
Ralance i •
Page 1 of Printed: 3/29/2018 at 4:25:41 PM