HomeMy WebLinkAbout333814 12/21/18 0�! a CITY OF CARMEL, INDIANA VENDOR: 368918
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ONE CIVIC SQUARE PENN CARE INC.
CHECK AMOUNT: $*******379.30*
��` CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 333814
.y�*oN�, NILES OH 44446 CHECK DATE: 12/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M23388 379.30 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 368918
PENN CARE INC. IN SUM OF$ 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
$379.30
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
M23388 42-390.11 $379.30 1 hereby certify that the attached invoice(s),or 12/19/18 M23388 Misc.EMS Supplies $379.30
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
Wednesday, December 19,2018
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 #M 23388
■C. i� r Niles OH 44446
(800)392-7233
Many Needs...One Solution sales@penncare.net
Bill To: Ship To: Order#: M23388
Carmel Fire Dept. Carmel Fire Dept. PO: 12172018
Attn: Denise Snyder Attn:Andrew Young Internet Order#: 126410
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 12/17/2018
Invoice Date: 12/17/2018
Ship Via: Delivery
Code Name Price, Qty Unit Ext Price
02-35838 IV Tubing, Amsino Extension Set, 1.00 200 each 200.00
Needleless Only, 8"
01-05962 BVM,Ambu SPUR II w/Bag Reservoir, 16.20 4 each 64.80
In Bag, w/3 Masks, Pediatric
09-0493T Splint, Flex-All, (SAM SPLINT) Orange 4.35 10 each 43.50
04-372550 Glucometer,Arkray Assure Prism, 11.50 6 box/50 69.00
Test Strips, 50/box
01-01 791 1 Oral Airway, Berman 110mm, Orange 0.20 10 each 2.00
Subtotal $379.30
Shipping $0.00
Total $379.30
Payments/Credits
Ballance $379.:S6
Page 1 of Printed: 12/17/2018 at 11:21:04 AM