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Home My WebLink About327811 07/20/18 (9, CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******739.40* CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 327811 NILES OH 44446 CHECK DATE: 07/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M18112.02 22.00 SPECIAL DEPT SUPPLIES 102 4239011 M18399 123.00 SPECIAL DEPT SUPPLIES 102 4239011 M18418 78.40 SPECIAL DEPT SUPPLIES 102 4239011 M18520 516.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 368918 PENN CARE INC. IN SUM OF$ 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 $739.40 4 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 M18418 42-390.11 $78.40 1 hereby certify that the attached invoice(s),or 7/12/18 M18418 $78.40 1120 102 1120 102 M18112.02 42-390.11 $22.00 bill(s)is(are)true and correct and that the 7/12/18 M18112.02 $22.00 1120 102 materials or services itemized thereon for 1120 102 M18520 42-390.11 $516.00 7/12/18 M18520 $516.00 . 1120 102 which charge is made were ordered and 1120 102 M18399 42-390.11 $123.00 received except 7/12/18 M18399 $123.00 1120 1 102 1120 102 Tuesday,July 17,2018 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 s 1317 North Road Invoice #M 18399 Niles, OH 44446 (800)392-7233 ManyNeeds....OneSolution sales@penncare.net Bill To: Ship To: Order#: M18399 Carmel Fire Dept. Carmel Fire Dept. PO: 06302018 Attn: Denise Snyder Attn:Andrew Young Internet Order#: 117156 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 7/2/2018 Invoice Date: 7/2/2018 Ship Via: FedEx Pr • - Carmel Fire Dept. 01-107104 Oral Airway, Berman 90mm 0.30 10 each 3.00 Individually Bag 01-05961 BVM,Ambu SPUR II w/bag reservoir, 10.00 12 each 120.00 Adult in Bag Tracking # 781672064672 Subtotal $123.00 Shipping $0.00 Total $123.00 Payments/Credits $123.00:,. Page 1-of 1 Printed: 7/2/2018 at 11:38:01 AM 1317 North Road Invoice #M18520 Niles, OH 44446 (800)392-7233 Many Needs....OneSolution sales@penncare.net Bill To: Ship To: Order#: M18520 Carmel Fire Dept. Carmel Fire Dept. PO: 07052018 Attn: Denise Snyder Attn:Andrew Young Internet Order#: 117181 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 7/6/2018 Invoice Date: 7/6/2018 Ship Via: FedEx Code - s - 02-02131 IV Catheter, Introcan Safety 14g x 1.80 20 each 36.00 1.25" 04-4495X Sensor, Masimo M-LNCS PDTX ADH 14.00 20 each 280.00 disposable pediatric 02-35838 IV Tubing,Amsino Extension Set, 8" 1.00 200 each 200.00 Needleless Only Tracking # 781733383752 Subtotal $516.00 Shipping $0.00 Total f $516.00 Payments/Credits i �e Page 1 of Printed: 7/6/2018 at 9:14:14 AM 1317 North Road Invoice #M18112.02 Niles, OH 44446 (800)392-7233 Many Needs...One Solution. sales@penncare.net 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: 7/6/2018 Ship Via: FedEx J.'Na, Price Code Qty Unit l5jKt,Price, 10-02203 Biohazard Bag, Disposable 7-10 0.10 220 each 22.00 Gallon Subtotal $22.00 Shipping $0.00 Total $22.00 Payments/Credits aT Page 1 of Printed: 7/6/2018 at 9:19:19 AM . 1317 North Road Invoice #M 18418 Niles, OH44446 (800)39292-7233 FRMa"ny Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M18418 Carmel Fire Dept. Carmel Fire Dept. PO: 070218 Attn: Denise Snyder Attn:Andrew Young Internet Order M 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 7/2/2018 Invoice Date: 7/2/2018 Ship Via: FedEx Code Name Price Qty Unit Ext Price 07-02390 Cold Pack, Instant 6"X 9", 24/box 9.80 8 box/24 78.40 Tracking # 781674685761 Subtotal $78.40 Shipping $0.00 Total $78.40 Payments/Credits Balance ,0 Page 1 of Printed: 7/2/2018 at 12:57:01 PM