Loading...
HomeMy WebLinkAbout333188 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 368918 LI ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*******438.70* s� ;ice CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 333188 NILES OH 44446 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 M22582.01 161.50 SPECIAL DEPT SUPPLIES 102 4239011 M22635 277.20 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PENN CARE INC. IN SUM OF$ 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 $438.70 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 M22582.01 42-390.11 $161.50 1 hereby certify that the attached invoice(s),or 11/30/18 M22582.01 Misc.EMS Supplies $161.50 1120 102 1120 102 M22635 42-390.11 $277.20 bill(s)is(are)true and correct and that the 11/30/18 M22635 Misc.EMS Supplies $277.20 1120 1 102 1 materials or services itemized thereon for 1120 102 which charge is made were ordered and received except Monday, December 3,2018 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer s- ' 1317 North Road Invoice #M22635 E Ciz Niles, OH 44446 (800)392-7233 ManyNeeds see One Solution sales@penncare.net Bill To: Ship To: Order#: M22635 Carmel Fire Dept. Carmel Fire Dept. PO: 11192018 Attn: Denise Snyder Attn:Andrew Young Internet Order#: 125194 2 Civic Square 2 Civic Square Terms: Net 30 Carmel, IN 46032 Carmel , IN 46032 Order Date: 11/19/2018 Invoice Date: 11/19/2018 Ship Via: FedEx . . - N a m Priig,6,4 e 04-03751 Recording Paper, Lifepak 11 & 12& 3.85 72 each 277.20 15 Paper Tracking # 783856295359 Subtotal $277.20 Shipping $0.00 Total $277.20 Payments/Credits Page 1 of Printed: 11/19/2018 at 1:23:16 PM f` 1317 North Road Invoice #M22582.01 �C T Niles, OH 44446 (800)392-7233 ManyNeeds...-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: 11/21/2018 Ship Via: Ground 01-1339390 ET Tube, SunMed, 9.Omm, Cuffed 0.95 40 each 38.00 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 20 each 19.00 01-1339350 ET Tube, SunMed, 5.Omm, Cuffed 0.95 50 each 47.50 Tracking # 1Z4760180399710132 Subtotal $161.50 Shipping $0.00 Total $161.50 Payments/Credits Page 1 of Printed: 11/21/2018 at 12:07:04 PM