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Home My WebLink About332228 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 368918 ® ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******299.00* r• CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 332228 NILES OH 44446 �,oN�• CHECK DATE: 11/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER._ . AMOUNT DESCRIPTION 102 4467006 M21211.01 276.00 EMS EQUIP 102 4239011 M21856.01 23.00 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 368918 PENN CARE INC. IN SUM OF$ 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 $299.00 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 M21211.01 44-670.06 $276.00 1 hereby certify that the attached invoice(s),or 11/6/18 M21211.01 EMS Boxes $276.00 1120 102 1120 102 M21856.01 42-390.11 $23.00 bill(s)is(are)true and correct and that the 11/6/18 M21856.01 Misc.EMS Supplies $23.00 1120 1 1 102 1 materials or services itemized thereon for 1120 102 which charge is made were ordered and received except Tuesday, November 6,2018 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-TreaSurer 1317 North Road Invoice #M21211.01 - r 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: 10/29/2018 Ship Via: UPS Ground • • - Qty Unit Ext Price 14-4974BL Pelican 1555 with TrekPak Black 276.00 1 each 276.00 Subtotal $276.00 Shipping $0.00 Total $276.00 Payments/Credits EsIcillance $276.W' Page 1 of Printed: 10/29/2018 at 2:04:37 PM 1317 North Road Invoice #M21856.01 Niles, OH 44446 (800)392-7233 �. ManyNeeds...One Solution sales@penncare.net ;r 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: 10/29/2018 Ship Via: FedEx Code Name ' Pric(i.- • - 04-372606 Glucometer,Arkray Assure Prism, 11.50 2 23.00 Control Solution Tracking # 783485149959 Subtotal $23.00 Shipping $0.00 Total $23.00 Payments/Credits 0G Page 1 of Printed: 10/29/2018 at 12:40:25 PM