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Home My WebLink About324647 04/25/18 CITY OF CARMEL, INDIANA VENDOR: 368918 CHECK AMOUNT: $**""*1,533.84" lli; ONE CIVIC SQUARE PENN CARE INC. CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 324647 NILES OH 44446 CHECK DATE: 04/25/18 .ETON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 A15350 54.54 SPECIAL DEPT SUPPLIES 102 4467006 M1530403 130.00 EMS EQUIP 102 4239011 M1552301 42.50 SPECIAL DEPT SUPPLIES 102 4239011 M15739 883.65 SPECIAL DEPT SUPPLIES 102 4239011 M1573901 312.30 SPECIAL DEPT SUPPLIES 102 4239011 M1573902 13.65 SPECIAL DEPT SUPPLIES 102 4239011 M15906 97.20 SPECIAL DEPT SUPPLIES ,.r VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM of$ PENN CARE INC. 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 $650.19 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 M15304.03 44-670.06 $130.00 1 hereby certify that the attached invoice(s),or 4/18/18 M15304.03 $130.00 1120 102 1120 102 M15739.02 42-390.11 $13.65 bill(s)is(are)true and correct and that the 4/18/18 M15739.02 Scalpel Disposable $13.65 1120 102 materials or services itemized thereon for 1120 102 M15739.01 42-390.11 $312.30 4/18/18 M15739.01 SmartCapnoline $312.30 1120 102 which charge is made were ordered and 1120 102 M15906 42-390.11 $97.20 received except 4/18/18 M15906 various supplies $97.20 1120 102 1120 102 A15350 42-390.11 $54.54 4/18/18 A15350 EZ Glide Rod $54.54 1120 102 1120 102 M15523.01 42-390.11 $42.50 4/18/18 M15523.01 Backboard straps $42.50 1120 102 1120 102 Friday,April 20,2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer p Invoice #M15523.01 1317 North Road Niles, OH 44446 (800)392-7233 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 M Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 3/29/2018 Invoice Date:4/3/2018 Ship Via: Ground Pe • Vic Pri 09-3597Y Backboard Strap, Disposable Vinyl 4.25 10 set 42.50 Impervious Yellow 5' Tracking # 780357066096 Subtotal $42.50 Shipping $0.00 Total $42.50 Payments/Credits • Page 1 of Printed: 4/3/2018 at 10:44:59 AM 1317 North Road Invoice #M15906 �� CGS=_ Niles, OH 44446 (800)392-7233 ,,J1 Many Needs...One Solution sales@penncare.net f Bill To: Ship To: Order#: M15906 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square Attn: EMS Chief Tom Small Internet Order#: Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 4/12/2018 Invoice Date:4/12/2018 Ship Via: Ground 01-05962 BVM, Ambu SPUR II BVM Pediatric 16.20 6 each 97.20 Disp w/3 masks 04-363401 Glucometer, Arkray Assure Prism 0.00 0 each 0.00 Meter 04-385302 Glucometer,Arkray Prism Glucometer 0.00 0 each 0.00 case Subtotal $97.20 Shipping $0.00. Total $97.20 Payments/Credits Page 1 of Printed: 4/12/2018 at 10:12:08 AM s ` ��-• 1317 North Road Invoice #M15739.01 ' , r Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M15739 Carmel Fire Dept. Carmel Fire Dept. PO: Attn: John Alverson Attn: John Alverson Internet Order M 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date: 4/5/2018 Invoice Date:4/12/2018 Ship Via: Ground • Price! 03-350428P Smart CapnoLine with 02 Tubing 14.70 21 each 308.70 Sampling Line, pediatric 01-34183U Oxygen Mask, Medium Concentration 0.90 4 each 3.60 Infant with Universal Connection Tracking # 780490699008 Subtotal $312.30 Shipping $0.00 Total $312.30 Payments/Credits i Page 1 of Printed:4/12/2018 at 10:17:59 AM J9� 1317 North Road Invoice #A153.50- �� Niles, OH 44446 pie (800)392-7233 Many Needs...One Solution sales@penncare.net ti Bill To: Ship To: Order#: A15350 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square Attn: EMS Chief Tom Small Internet Order#: Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Invoice Date: 3/30/2018 Ship Via: UPS Ground Carmel Fire Dept. BR-EZROD EZ Glide Repl. Rod For New 96761 46.50 1 46.50 Handle Subtotal $46.50 Shipping $8.04 Total $54.54 Payments/Credits . Page 1 of Printed: 3/30/2018 at 12:31:20 PM /oa-670-04, 1317 North Road Invoice #M15304.03 �� rte.,IB Niles, OH 44446 M 11 (800)392-7233 Many Needs...OneSolution sales@penncare.net Bill To: Ship To: Order M 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:4/17/2018 Ship Via: Ground Code Na- Pr,i • 03-33362 LlfePak 12, Cable 12 Lead ECG w/6 130.00 1 each 130.00 Wire Precordial Leads Subtotal $130.00 Shipping $0.00 Total $130.00 r Payments/Credits You saved$20.00 today shopping at Penn Care. - ' " Page 1 of Printed:4/17/2018 at 11:44:48 AM i ic�a-39a-i� 1317 North Road Invoice #M15739.02 Niles, OH 44446 (800)392-7233 Many Needs...OneSolution sales@penncare.net Bill To: Ship To: Order#: M15739 Carmel Fire Dept. Carmel Fire Dept. PO: Attn: John Alverson Attn: John Alverson Internet Order M 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date:4/5/2018 Invoice Date: 4/17/2018 Ship Via: Ground Code Name'. cei.IQt 11-008410 Scalpel Disposable,w/Handle#10 4.55 3 box/10 13.65 Tracking # 780555965958 Subtotal $13.65 Shipping $0.00 Total $13.65 Payments/Credits Page 1 of Printed:4/17/2018 at 11:37:09 AM VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 368918ALLOWED 20 ACCOUNTS PAYABLE VOUCHER _ PENN CARE INC. IN SUM OF$ 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 $883.65 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 M15739 42-390.11 $883.65 1 hereby certify that the attached invoice(s),or 4/23/18 M15739 $883.65 1120 102 1120 102 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 Monday,April 23,2018 U-ar -2s 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 #M15739Lpal Niles, OH 44446 (800)392-7233 ATMany Needs...OneSo/ution sales@penneare.net Bill To: Ship To: Order#: M15739 Carmel Fire Dept. Carmel Fire Dept. PO: Attn: John Alverson Attn: John Alverson Internet Order#: 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date: 4/5/2018 Invoice Date:4/5/2018 Ship Via: UPS Ground W, Pirice. Qty Un'it; Ext Price�. 01-018120 Nasopharyngeal Airway Pediatric, 2.00 10 each 20.00 20FR 01-018122 Nasopharyngeal Airway Adult, 22FR 2.00 10 each 20.00 01-018126 Nasopharyngeal Airway Adult, 26FR 2.00 10 each 20.00 01-018130 Nasopharyngeal Airway Adult,30FR 2.00 10 each 20.00 01-107104 Oral Airway, Berman 90mm 0.35 10 each. 3.50 Individually Bag 01-107105 Oral Airway, Berman 100m 0.35 10 each 3.50 Individually Bag 01-05964 BVM, Ambu SPUR 11 BVM Infant 14.06 6 each 84.00 01-024101 Oxygen Mask, Medium Concentration, 2.75 6 each 16.50 Hudson Infant 01-0167P ET Tube Holder,Thomas Pediatric 3.45 25 each 86.25 01-1339380 ET Tube, SunMed Cuffed, 8.Omm 1.05 20 each 21.00 01-3167W CPR Mask, Pocket with 02 Port/Valve 4.65 5 each 23.25 11-008410 Scalpel Disposable,w/Handle#10 4.55 7 box/10 31.85 07-34999 Oxygen, LSP Nose Clip Disposable 0.30 50 each 15.00 02-123023 Tourniquet, CAT(Combat Application 25.00 3 each 75.00 Tourniquet), Orange 02-02136 IV Catheter, Introcan Safety 22g x 1" 1.90 50 each 95.00 04-372550 Glucometer, Arkray Assure Prism Test 15.00 10 bottle 150.00 Strips 50/bottle 03-350428P Smart CapnoLine with 02 Tubing 14.70 " 4 each 58.80 Sampling Line, pediatric 04-4495X Sensor, Masimo M-LNCS PDTX ADH 14.00 10 each 140.00 disposable pediatric Page 1 of Printed:4/5/2018 at 1:13:03 PM Invoice #M15739 i' 1317 North Road 3C Niles, OH 44446 (800)392-7233 f Many Needs..._One Solution sales@penncare.net Bill To: Ship To: Order#: M15739 Carmel Fire Dept. Carmel Fire Dept. PO: Attn: John Alverson Attn: John Alverson Internet Order M 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel, IN 46032 Order Date: 4/5/2018 Invoice Date: 4/5/2018 Ship Via: UPS Ground xt- Tracking # 780395705988 Subtotal $883.65 Shipping $0.00 Total $883.65 Payments/Credits Dalarice $883.65 Page 2 of Printed: 4/5/2018 at 1:13:03 PM