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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