HomeMy WebLinkAbout326165 06/12/18 �! \� CITY OF CARMEL, INDIANA VENDOR: 368918
\.
ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******630.80*
r. ;a CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 326165
NILES OH 44446 CHECK DATE: 06/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M17504 630.80 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PENN CARE INC. IN SUM OF$ 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
$630.80
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
M17504 42-390.11 $630.80 1 hereby certify that the attached invoice(s),or 6/5/18 M17504 $630.80
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,June 05,2018
A_
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 #M17504
Imiff
- la Niles, OH 44446
(800)392-7233
Many Needs...One Solution sales@penncare.net
Bill To: Ship To: Order#: M17504
Carmel Fire Dept. Carmel Fire Dept. PO: 06012018
Attn: Denise Snyder Attn:Andrew Young Internet Order#: 114948
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 6/1/2018
Invoice Date: 6/1/2018
Ship Via: Fed Ex
Code Name Price Qty -
09-0493T Splint, Flex-All, (SAM SPLINT)Orange 4.90 10 each 49.00
02-05232 Fluid, Sterile Water Bottle 250mL 1.95 24 each 46.80
08-0960L Gloves, MicroFlex MidKnight Nitrile 10.50 50 eoxnoo 525.00
Large 100/box
10-02203 Biohazard Bag, Disposable 7-10 0.10 100 each 10.00
Gallon
Tracking # 781231634848 Subtotal $630.80
Shipping $0.00
Total $630.80
Payments/Credits
Balance .0
Page 1 of Printed: 6/1/2018 at 4:25:59 PM