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Home My WebLink About332569 11/21/18 CITY OF CARMEL, INDIANA VENDOR: 368918 ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******349.50* fq� ?� CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 332569 NILES OH 44446 CHECK DATE: 11/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M22381 220.00 SPECIAL DEPT SUPPLIES 102 4239011 M22582 129.50 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 368918 PENN CARE INC. IN SUM OF$ 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 $349.50 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 M22582 42-390.11 $129.50 1 hereby certify that the attached invoice(s),or 11/18/18 M22582 EMS Supplies $129.50 1120 102 1120 102 M22381 42-390.11 $220.00 bill(s)is(are)true and correct and that the 11/18/18 M22381 EMS Supplies $220.00 1120 1 1 102 1 materials or services itemized thereon for 1120 102 which charge is made were ordered and received except Sunday, November 18,2018 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 #M22381 ]MINI�� C Niles OH 44446 N (800)392-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order M M22381 Carmel Fire Dept. Carmel Fire Dept. PO: 11092018 Attn: Denise Snyder Attn:Andrew Young Internet Order#: 125126 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 11/9/2018 Invoice Date: 11/9/2018 Ship Via: FedEx Code Name, Pfice Qty Unit Ext Price 02-35838 IV Tubing,Amsino Extension Set, 1.10 200 each 220.00 Needleless Only, 8" Tracking # 783691783973 Subtotal $220.00 Shipping $0.00 Total $220.00 Payments/Credits Balance i0 Page 1 of Printed: 11/9/2018 at 2:26:51 PM 1317 North Road Invoice #M 22582 - Niles 44446 PM IN (800)39292-7233 Many Needs...One Solution sales@penncare.net Bill To: Ship To: Order#: M22582 Carmel Fire Dept. Carmel Fire Dept. PO: 11162018 Attn: Denise Snyder Attn:Andrew Young Internet Order M 125175 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 11/16/2018 Invoice Date: 11/16/2018 Ship Via: Ground Coder Name Price Qty Unit EXt Price 01-017990 Oral Airway, Berman 90mm, Yellow 0.20 15 each 3.00 01-1339390 ET Tube, SunMed, 9.Omm, Cuffed 0.95 20 each 19.00 01-1339380 ET Tube, SunMed, 8.Omm, Cuffed 0.95 30 each 28.50 01-1339370 ET Tube, SunMed, 7.Omm, Cuffed 0.95 30 each 28.50 01-1339360 ET Tube, SunMed, 6.Omm, Cuffed 0.95 40 each 38.00 01-1339350 ET Tube, SunMed, 5.Omm, Cuffed 0.95 10 each 9.50 01-017910 Oral Airway, Berman 100mm, Purple 0.20 15 each 3.00 Tracking # 1Z4760180393528305 Subtotal $129.50 Shipping $0.00 Total $129.50 Payments/Credits Kol-ance a Page 1 of Printed: 11/16/2018 at 12:18:46 PM