HomeMy WebLinkAbout330194 09/19/18 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
$1,547.20
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
M20403 42-390.11 $1,547.20 1 hereby certify that the attached invoice(s),or 9/14/18 M20403 Misc.EMS Supplies $1,547.20
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, September 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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
1317 North Road Invoice #M20403
e.OW1 .` Niles OH 44446
(800)392-7233
Many Needs....One Solution sales@penncare.net
Bill To: Ship To: Order#: M20403
Carmel Fire Dept. Carmel Fire Dept. PO: Laryngoscope
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: 8/31/2018
Invoice Date: 9/6/2018
Ship Via: Delivery
lPe.Code P
Q -
01-417690 Laryngoscope Handle, GREENLINE 62.40 17 each 1,060.80
SunBrite LED, Size AA
01-362601 Laryngoscope Blade, Fiber Optic, 3.80 32 each 121.60
Disposable, Macintosh#1
01-362614 Laryngoscope Blade, Fiber Optic, 3.80 32 each 121.60
Disposable, Macintosh#4
01-362611 Laryngoscope Blade, Fiber Optic, 3.80 32 each 121.60
Disposable, Miller#1
01-362624 Laryngoscope Blade, Fiber Optic, 3.80 32 each 121.60
Disposable, Miller#4
Subtotal $1,547.20
Shipping $0.00
Total $1,547.20
Payments/Credits
ance
$1,547.20r
Page 1 of Printed: 9/6/2018 at 2:42:46 PM