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Home My WebLink About325162 05/09/18 CITY OF CARMEL, INDIANA VENDOR: 368918 �b ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****1,531.75* CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 325162 NILES OH 44446 CHECK DATE: 05/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M16288 1,181.50 SPECIAL DEPT SUPPLIES 102 4239011 M16448 38.00 SPECIAL DEPT SUPPLIES 102 4239011 M16585 312.25 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ 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 $1,531.75 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 M16448 42-390.11 $38.00 1 hereby certify that the attached invoice(s),or 5/3/18 M16448 $38.00 1120 102 1120 102 M16288 42-390.11 $1,181.50 bill(s)is(are)true and correct and that the 5/3/18 M16288 $1,181.50 1120 102 materials or services itemized thereon for 1120 102 M16585 42-390.11 $312.25 5/3/18 I M16585 I I $312.25 11.20 10 2 which charge is made were ordered and 1120 102 received except Thursday, May 03, 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 = 1 1317 North Road Invoice #M16585 Niles, OH 44446 No. Needs,.. Solution saes 392-7233 Many @penncare.net Bill To: Ship To: Order#: M16585 Carmel Fire Dept. Carmel Fire Dept. PO: 05/03/18 - Attn:Andrew Young Attn:Andrew Young Internet Order#: Z Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 5/3/2018 Invoice Date: 5/3/2018 Ship Via: Ground 07-09862 Gauze, 2"x 2"4 Ply Sterile Box/25 1.10 60 box/25 66.00 02-02136 IV Catheter, Introcan Safety 22g x 1" 1.90 50 each 95.00 01-357640 i-Gel 02 Resuscitation'Pack Size 4 for 30.25 5 each 151.25 Medium Adults Tracking # 1Z4760180396657385 Subtotal $312.25 Shipping $0.00. Total $312.25 Payments/Credits 15,Alance $312.25-- Page 1 of Printed: 5/3/2018 at 1:07:39 PM - _ / ��.� 1317 North Road Invoice #,M16288 - •ice:. Niles, 44446 MUM (800)39292-7233 Many Needs....One Solution sales@penncare.net Bill To: - Ship To: Order#: M16288 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square Attn: EMS Chief Tom Small Internet Order M Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 4/24/2018 Invoice Date:4/24/2018 Ship Via: Ground • 08-0960L Gloves, MicroFlex MidKnight Nitrile 9.93 50 box/loo 496.50 Large 100/box 08-0960M Gloves, MicroFlex MidKnight Nitrile 9.93 50 bow,00 496.50 Medium 100/box 02-04986 IV Tubing,Amsino Standard IV Set, 60 2.50 10 each 25.00 Drop Needleless 83" 04-372606 Glucometer, Arkray Assure Prism 15.00 3 bottle 45.00 Control Solution 04-03751 Recording Paper, Lifepak 11 & 12& 3.95 30 each 118.50 15 Paper Tracking # 780667266013 Subtotal $1,181.50 Shipping $0.00 Total $1,181.50 Payments/Credits Page 1 of Printed: 4/24/2018 at 2:28:52 PM 1317 North Road Invoice #M16448 1M�C� Niles, 44446 (800)392-7233-7233 PfflManyv Needs...-One Solution sales@penncare.net Bill To: Ship To: Order#: M16448 Carmel Fire Dept. Carmel Fire Dept. PO: 2 Civic Square Attn:Andrew Young Internet Order M Carmel, IN 46032 2 Civic Square Terms: Net 30 Carmel , IN 46032 Order Date: 4/30/2018 Invoice Date:4/30/2018 Ship Via: Ground Code Name Price Qty Unit Ext Price 10-2342R Sharps, SharpStar Container 3.80 10 each 38.00 Counterbalance Lid,Transparent Red Tracking # iZ4760180391561979 Subtotal $38.00 Shipping $0.00 Total $38.00 Payments/Credits $38.00 Page 1 of Printed: 4/30/2018 at 12:20:39 PM.