HomeMy WebLinkAbout329690 09/05/18 +pr.C�q�
�`/ YF. CITY OF CARMEL, INDIANA VENDOR: 368918
• ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******502.40*
x a' CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 329690
9M�*oN c�. NILES OH 44446 CHECK DATE: 09/05/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M20115 62.40 SPECIAL DEPT SUPPLIES
102 4239011 M20264 440.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PENN CARE INC. IN SUM OF$ 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
$502.40
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
M20115 42-390.11 $62.40 1 hereby certify that the attached invoice(s),or 8/30/18 M20115 Misc.EMS Supplies $62.40
1120 102 1120 102
M20264 42-390.11 $440.00 bill(s)is(are)true and correct and that the 8/30/18 M20264 Misc.EMS Supplies $440.00
1120 1 1 102 1 materials or services itemized thereon for 1120 1 102
which charge is made were ordered and
received except
Thursday,August 30,2018
David Haboush
Fire Chief
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
1317 North Road Invoice #M20264
- r Niles OH 44446
(800)392-7233
Many Needs.*.One Solution sales@penncare.net
Bill To: Ship To: Order#: M20264
Carmel Fire Dept. Carmel Fire Dept. PO: 08282018
Attn: Denise Snyder Attn:Andrew Young Internet Order#: 122566
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 8/28/2018
Invoice Date: 8/28/2018
Ship Via: FedEx
ode -
02-35838 IV Tubing,Amsino Extension Set, 1.10 400 each 440.00
Needleless Only, 8"
Tracking # 782511592211 Subtotal $440.00
Shipping $0.00
Total $440.00
Payments/Credits
43 price 441 11
Page 1 of Printed: 8/28/2018 at 12:50:39 PM
1317 North RoadNiles, OH
Invoice #M 20115
(800)92-7233 6
,'PManyNeeds...One Solution sales@penncare.net Wrr
Bill To: Ship To: Order#: M20115
Carmel Fire Dept. Carmel Fire Dept. PO:
Attn: Denise Snyder Attn:Andrew Young Internet Order#:
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 8/23/2018
Invoice Date: 8/23/2018
Ship Via: FedEx
Code, s -
01-417690 ' Laryngoscope Blade, GREENLINE 62.40 1 each 62.40
SunBrite LED, Size AA
Tracking # 782440226102 Subtotal $62.40
Shipping $0.00
Total $62.40
Payments/Credits
04 � o
Page 1 of Printed: 8/23/2018 at 11:37:17 AM