HomeMy WebLinkAbout328186 07/25/18 +u!�Aq�
J^/ CITY OF CARMEL, INDIANA VENDOR: 368918
• ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******281.60*
:y ,�a CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 328186
y��TON�°, NILES OH 44446 CHECK DATE: 07/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M19120 281.60 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT. NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 368918
PENN CARE INC. IN SUM OF$ 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 -
$281.60
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
M19120 42-390.11 $281.60 1 hereby certify that the attached invoice(s),or 7/24/18 M19120 $281.60
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,July 24,2018
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 #M19120
ft��� Niles, 44446
(800)39922-7233
ManyNeeds...One Solution sales@penncare.net
Bill To: Ship To: Order#: M19120
Carmel Fire Dept. Carmel Fire Dept. PO: 07232018
Attn: Denise Snyder Attn:Andrew Young Internet Order#: 118300
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 7/23/2018
Invoice Date: 7/24/2018
Ship Via: FedEx
:Code Name Price, • -
01-097214 Catheter, Suction, 14FR 0.20 10 each 2.00
01-05961 BVM,Ambu SPUR II w/bag reservoir, 13.30 5 each 66.50
Infant w/infant mask
10-10510 Sharps, 2 Gallon Rotor Lid, Red 3.65 10 each 36.50
10-2342R Sharps, SharpStar Container 3.80 10 each 38.00
,Counterbalance Lid,Transparent Red
04-03751 Recording Paper, Lifepak 11 & 12& 3.85 36 each 138.60
15 Paper
Tracking # 781970168941 Subtotal $281.60
Shipping $0.00
Total $281.60
Payments/Credits
0,-Alance $281.W
Page 1 of Printed: 7/24/2018 at 9:09:32 AM