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Home My WebLink About331561 10/25/18 4% �,A,,f� CITY OF CARMEL, INDIANA VENDOR: 368918 `'® ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******636.00* �� CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 331561 ,�,`_`�� NILES OH 44446 CHECK DATE: 10/25/18 ��ON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467006 M21211 276.00 EMS EQUIP 102 4239011 M21393 360.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ 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 $636.00 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 M21211 44-670.06 $276.00 1 hereby certify that the attached invoice(s),or 10/22/18 M21211 EMS Box $276.00 1120 102 1120 102 M21393 42-390.11 $360.00 bill(s)is(are)true and correct and that the 10/22/18 M21393 Misc.Supplies $360.00 1120 1 1 102 1 materials or services itemized thereon for 1120 102 which charge is made were ordered and received except Monday, October 22,2018 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 #M21393 Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M21393 Carmel Fire Dept. Carmel Fire Dept. PO: Stat Pack 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: 10/4/2018 Invoice Date: 10/15/2018 Ship Via: UPS Ground Code Name, Price Qty Unit Ext Prii'IM' 14-498001 Stat Packs Vial Strand 4-Pack 18.00 20 pack/4 360.00 Subtotal $360.00 Shipping $0.00 Total $360.00 Payments/Credits $360.00,.% Page 1 of Printed: 10/15/2018 at 11:09:10 AM 1317 North Road Invoice #M21211 WINNOW Niles, OH 44446 (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M21211 Carmel Fire Dept. Carmel Fire Dept. PO: Pelican 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: 9/28/2018 Invoice Date: 10/15/2018 Ship Via: UPS Ground ' Qty Ubit Ext,Price, Code Name - 14-4974BL Pelican 1555 with TrekPak Black 276.00 1 each 276.00 Su btota I $276.00 Shipping $0.00 Total $276.00 Payments/Credits AOance 0,( Page 1 of Printed: 10/15/2018 at 11:11:05 AM