HomeMy WebLinkAbout331667 10/25/18 1��_CIHy
�/ �. CITY OF CARMEL, INDIANA VENDOR: 368918
® ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******374.00*
%� �� CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 331667
''�1rtii±E°' NILES OH 44446 CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M21856 374.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PENN CARE INC. IN SUM OF$ 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
$374.00
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
M21856 42-390.11 $374.00 1 hereby certify that the attached invoice(s),or 10/23/18 M21856 Misc.EMS Supplies $374.00
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
Tuesday, October 23,2018
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 #M21856
Niles 44446
(800)392-7233-7233
VfflManyy Needs off One Solution sales@penncare.net
Bill To: Ship To: Order#: M21856
Carmel Fire Dept. Carmel Fire Dept. PO: 10222018
Attn: Denise Snyder Attn:Andrew Young Internet Order#: 123991
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 10/22/2018
Invoice Date: 10/23/2018
Ship Via: FedEx
Qty Unit Ext,Price
02-34746 IV Tubing, 2 Site Needleless IV, 83", 1.90 100 box/50 190.00
10 Drop 10 Drop
04-372550 Glucometer, Arkray Assure Prism, 11.50 12 bottle 138.00
Test Strips, 50/box
04-372606 Glucometer,Arkray Assure Prism, 11.50 4 46.00
Control Solution
Tracking # 783386713535 Subtotal $374.00
Shipping $0.00
Total $374.00
Payments/Credits
Balance 00
Page 1 of Printed: 10/23/2018 at 9:36:07 AM