HomeMy WebLinkAbout325289 05/15/18 CITY OF CARMEL, INDIANA VENDOR: 368918
d ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $**...**857.30*
CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 325289
9 �roN NILES OH 44446 CHECK DATE: 05/15/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M14446 857.30 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PENN CARE INC. IN SUM OF$ 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
$857.30
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Fire
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
M14446 42-390.11 $857.30 I hereby certify that the attached invoice(s),or 5/15/18 M14446 $857.30
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
Tuesday,May 15,2018
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—
Clerk-Treasurer
20Clerk-Treasurer
1317 North Road
Invoice #M14446
Niles, OH 44446
(800)392-7233
Many Needs...One Solution sales@penncare.net
Bill To: Ship To: Order#: M14446
Carmel Fire Dept. Carmel Fire Dept. PO: TomPayne
Attn: Tom Payne Attn: Tom Payne Internet Order#: 112316
2 Civic Square 2 civic square Terms: Net 30
Carmel, IN 46032 4925 E. 160th St Order Date: 2/19/2018
Carmel, IN 46032 Invoice Date: 2/19/2018
Ship Via: UPS Ground
Code Name Price Qty Unit ExtPrice
Carmel Fire Dept.
10-02315 Biohazard Bag,4 Gallon, Pack of 10 5.50 4 packi,o 22.00
04-03751 Recording Paper, Lifepak 11 & 12& 2.65 54 each 143.10
15 Paper
07-039OR Shears, Paramedic Utility 7 1/4" Red 5.95 0 each 0.00
02-123001 Tourniquet, CAT(Combat Application 29.00 12 tray/25 348.00
Tourniquet)
07-29673 Gauze, Sterile 4"X 4" 12ply 2/pack, 2.50 72 each 180.00
25/box
10-30000 Sharps, Dart (Shuttle) Container 2.95 12 each 35.40
07-34472 Gauze, Israeli 6" 9.20 14 128.80
Tracking # iZ4760180394995988 Subtotal $857.30
Shipping $0.00
Total $857.30
Payments/Credits
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