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Home My WebLink About327232 07/10/18 +„r,cgAM CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****1,712.20* �� %r°: CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 327232 .y,�TON�. NILES OH 44446 CHECK DATE: 07/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 17890.01 44.10 SPECIAL DEPT SUPPLIES 102 4239011 18112.01 145.25 SPECIAL DEPT SUPPLIES 102 4239011 M18062 287.60 SPECIAL DEPT SUPPLIES 102 4239011 M18112 945.25 SPECIAL DEPT SUPPLIES 102 4239011 M18176 290.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 Vendor# 368918 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ 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 $1,522.85 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 M18062 42-390.11 $287.60 1 hereby certify that the attached invoice(s),or 6/27/18 M18062 $287.60 1120 102 1120 102 M18112 42-390.11 $945.25 bill(s)is(are)true and correct and that the 6/27/18 M18112 $945.25 1120 102 materials or services itemized thereon for 1120 102 M18176 I 42-390.11 I $290.00 6/28/18 I M18176 I I $290.00 1120 102 which charge is made were ordered and 1120 102 received except Friday,June 29,2018 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 1317 North Road Invoice #M18062 Niles, OH 44446 (800)392-7233 ManyNeeds...One Solution- sales@penncare.net 4 Bill To: Ship To: Order#: M18062 Carmel Fire Dept. Carmel Fire Dept. PO: 06212018 Attn: Denise Snyder Attn:Andrew Young Internet Order#: 117093 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 6/21/2018 Invoice Date: 6/21/2018 Ship Via: FedEx Qty Unit. 'Ext Pricg 01-361903 (No Longer Available After Stock Is 21.00 3 case 63.00 Out) i-Gel Supraglottic Airway Size 3.0 01-361904 (No Longer Available After Stock Is 21.00 3 each 63.00 Out) i-Gel Supraglottic Airway Size 4.0 02-028462 Syringe, Luer-Lok, 30cc 0.89 15 each 13.35 02-34692 IV Tubing, Solution Set Buretrol 60 13.00 4 each 52.00 Drop 115", 3 Y-Sites Male Luer Lock 04-358523 Lancets, Acti-Lance Plus 23g, 1.8mm 19.25 5 boxmo 96.25 Tracking # 1Z4760180395021385 Subtotal $287.60 Shipping $0.00 . Total $287.60 Payments/Credits Balance .d Page 1 of Printed: 6/21/2018 at 2:25:03 PM .. 1317 North Road Invoice #M18112 rr Niles OH 44446 (800)392-7233 ManPWyNeeds ... OneSolution sales@penncare.net r - Bill To: Ship To: Order#: M18112 Carmel Fire Dept. Carmel Fire Dept. PO: 06222018 Attn: Denise Snyder Attn:Andrew Young Internet Order#: 117106 2 Civic Square .2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 6/22/2018 Invoice Date: 6/25/2018 Ship Via: FedEx -9tyUn it 15xt Pr' 10-02203 Biohazard Bag, Disposable 7-10 0.10 780 each 78.00 Gallon 12-36252 Patient Mover 80"x 40" 17.25 20 each 345.00 09-3597Y Backboard Strap, Disposable Vinyl 4.15 15 ser 62.25 Impervious Yellow 5' 01-03212 Oxygen, FilterLine,Set Adult/Pediatric 11.20 .25 each 280.00 without 02 Tubing 04-372550 Glucometer,Arkray Assure Prism Test 15.00 4 box/50 60.00 Strips 50/bottle 01-05961 BVM, Ambu SPUR II w/bag reservoir, 10.00 12 each 120.00 Adult in Bag Tracking # 781 57661 451 9 Subtotal $945.25 Shipping $0.00 Total $945.25 Payments/Credits poilahce, $945.2,5,- Page 1 of Printed: 6/25/2018 at 4:06:50 PM y1317 North Road Invoice #M18176 Niles, OH 44446 (800)392-7233 , Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M18176 Carmel Fire Dept. Carmel Fire Dept. PO: 06252018 Attn: Denise Snyder Attn:Andrew Young Internet Order#: 117114 2 Civic Square 2 Civic Square Terms: Net 30. Carmel, IN 46032 Carmel , IN 46032 Order Date: 6/25/2018 Invoice Date: 6/28/2018 Ship Via: FedEx . - PirijcC • . 09-360420 Collar, Laerdal Stifneck Select 7.25 40 each 290.00 Pediatric Subtotal $290.00 Shipping $0.00 Total $290.00 Payments/Credits lance $290.06: Page 1 of Printed: 6/28/2018 at 1:45:47 PM VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form.No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 368918 PENN CARE INC. IN SUM OF$ 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 '$189.35 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 18112.01 42-390.11 $145.25 1 hereby certify that the attached invoice(s),or 6/29/18 18112.01 $145.25 1120 102 1120 102 17890.01 42-390.11 $44.10 bill(s)is(are)true and correct'and that the 6/29/18 17890.01 $44.10 1120 1 1 102 1 materials or services itemized thereon for 1120 1 102 which charge is made were ordered and received except Friday,June 29,2018 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice ##M17890.01 PMF- 1317 North Road U Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M17890 Carmel Fire Dept. Carmel Fire Dept. PO.: 06182018 Attn:Andrew Young Attn:Andrew Young Internet Order#: 116055 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 6/18/2018 Invoice Date:6/29/2018 Ship Via: FedEx • • - Qty Urift 07-05422 Gauze, 3M Coban Self Adherent Wrap 2.10 21 each 44.10 2"x 5 Yards,Tan Subtotal $44.10 Shipping $0.00 Total $44.10 Payments/Credits /. Page 1 of. Printed: 6/29/2018 at 12:13:27 PM �,. 1317 North Road invoice #M17890.01, �� ^_ Niles OH 44446 (800)392-7233 ManyNeeds....One Solution sales@penncare.net Bill To: Ship To: Order#: M17890 Carmel Fire Dept. Carmel Fire Dept. PO: 06182018 Attn:Andrew Young Attn:Andrew Young Internet Order#: 116055 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 6/18/2018 Invoice Date: 6/29/2018 Ship Via: FedEx . . - Nam- • - 07-05422 Gauze, 3M Coban Self Adherent Wrap 2.10 21 each 44.10 2"x 5 Yards,Tan Subtotal $44.10 Shipping $0.00 Total $44.10 Payments/Credits laince , . Page 1 of Printed: 6/29/2018 at 12:13:27 PM