HomeMy WebLinkAbout329337 08/27/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 368918
ONE CIVIC SQUARE PENN CARE INC. CHECKAMOUNT: S*******209.00*
CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 329337
NILES OH 44446 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M19812 209.00 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
$209.00
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
M19812 42-390.11 $209.00 1 hereby certify that the attached invoice(s),or 8/17/18 M19812 $209.00
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
Monday,August 20,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
1317 North Road Invoice #M19812
rW Niles OH 44446
IBM I (800)392 -7233
Many Needs...One Solution sales@penncare.net
Bill To: Ship To: Order#: M19812
Carmel Fire Dept. Carmel Fire Dept. PO: 08132018
Attn: Denise Snyder Attn:Andrew Young Internet Order#: 121463
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 8/13/2018
Invoice Date: 8/13/2018
Ship Via: FedEx
Code Name Price Qty Unit Ext Price
02-34746 IV Tubing, 2 Site Needleless IV, 8311, 1.90 110 each 209.00
10 Drop
Tracking # 782281347428 Subtotal $209.00
Shipping $0.00
Total $209.00
Payments/Credits
$209.0G
Page 1 of Printed: 8/13/2018 at 4:41:19 PM