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HomeMy WebLinkAbout256537 03/15/16 .4J W C,gMp CITY OF CARMEL, INDIANA VENDOR: 360209 i. ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $*****1,429.59* CARMEL, INDIANA 46032 ATTN:KATREENA SHIREY CHECK NUMBER: 256537 °Mq rON`Cp� 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 03/15/16 INDIANAPOLIS IN 46290 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 13733 1,429.59 SPECIAL DEPT SUPPLIES •escribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due nvoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 13733 $1,429.59 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 St. Vincent Hospital Attn: Carolyn Terry, Acct. Reporting IN SUM OF$ 10330 N. Meridian Street, Ste. 430 N Indianapolis, IN 46290 $1,429.59 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members ©� 13733 \N-6.-390.11 $1,429.59 1 hereby certify that the attached invoice(s), or 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 MAR 6 2016 e , v Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund St. Vincent Hosp &Healthcare Center, Inc. Invoice Attn: Carolyn Terry, Acct Rptg 10330 N. Meridian St., Suite 430 North DATE INVOICE# Indianapolis, IN 46290-1024 2/29/2016 13733 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased February 2016 1,429.59 Transfer Drugs $1,429.59 46029-160085-65050. Please note invoice number Total $19429.59 that you are paying on check/stub. Thank you! Inquiries: Carolyn Terry Payments/Credits $0.00 CMTerry@stvincent.org Balance Due $19429.59 Control Controll Control Contro12 TotalPic TotalPicl 02-8213 Carmel Fire Department ADENOSINE INJ 6 MG ADENOSINE INJ 6 MG 2 ML 26 $58.50 02-8213 Carmel Fire Department Albuterol SULF NEB.SOL(0.083%) ALBUTEROL SULFATE 0.083%NEB SOL(0.083%) 3 ML 48 $7.68 02-8213 Carmel Fire Department AMIODARONE HCL INJ 50 MG/mL AMIODARONE HYDROCHLORIDE INJ 50 MG/mL 3 ML 3 $2.34 02-8213 Carmel Fire Department Aspirin Tab Chew 81 MG ASPIRIN Tab Chew 81 MG 750 EA 72 $1.44 02-8213 Carmel Fire Department Dextrose INJ-SYRNG 50% DEXTROSE INJ-SYRNG 50% 50 mL 2 $17.10 02-8213 Carmel Fire Department DiphenhydrAMINE INJ 50 MG/mL DIPHENHYDRAMINE HYDROCHLORIDE INJ 50 MG/mL 1 ML 11 $6.16 02-8213 Carmel Fire Department EpiNEPHrine HCL INJ 0.1 MG/ML EPINEPHRINE HCL INJ 0.1 MG/ML 10 ML 27 $116.10 02-8213 Carmel Fire Department Epinephrine INJ 1 MG/ML EpiNEPHrine INJ 1 MG/ML 30 ML 6 $15.24 02-8213 Carmel Fire Department FentaNYL INJ 100 MCGI 2 mL FENTANYL CITRATE INJ 100 MCG/2 mL 2 ML 84 $63.00 02-8213 Carmel Fire Department Glucagon INJ 1 MG GLUCAGEN DIAG.KIT INJ 1 MG 1 EA 5 $806.50 02-8213 Carmel Fire Department Glucose(Dextrose)GEL 40% GLUTOSE 15 GEL 40% 15 GM 6 $34.86 02-8213 Carmel Fire Department Ipratropium SOL 0.02% IPRATROPIUM BROMIDE SOL 0.02% 2.5 ML 12 $1.92 02-8213 Carmel Fire Department Lidocaine HCL INJ-SYRNG 100 MG LIDOCAINE HCL INJ-SYRNG 100 MG 5 ML 2 $8.60 02-8213 Carmel Fire Department Lidocaine HCL JELLY 2%30 GM LIDOCAINE JELLY 2%JELLY 2%30 GM 30 1 $5.63 02-8213 Carmel Fire Department MethylPREDNISolone NA Succ INJ 125 MG SOLU-MEDROL INJ 125 MG 2 ML 3 $12.81 02-8213 Carmel Fire Department MIDAZOLAM INJ 10 MG/2 mL MIDAZOLAM HCL INJ 10 MG/2 mL 2 ML 23 $19.32 02-8213 Carmel Fire Department Naloxone INJ 1 MG/ML NALOXONE HYDROCHLORIDE INJ 1 MG/ML 2 ML 7 $196.77 02-8213 Carmel Fire Department Ondansetron INJ 2 mg/mL ONDANSETRON INJ 2 mg/mL 2 ML 15 $5.25 02-8213 Carmel Fire Department Ondansetron Tab ODT 4 MG ONDANSETRON Tab ODT 4 MG 30 EA 18 $2.88 02-8213 Carmel Fire Department Sodium Chloride INJ 0.9%1000 mL SODium CHLORide 0.9%INJ 0.9%1000 mL a 1000 ML 4)� $32.39 a 02-8213 Carmel Fire Department Sodium Chloride INJ 0.9%50 mL SODium CHLORide 0.9%INJ 0.9%50 mL 50 ML 5 $10.90 02-8213 Carmel Fire Department Sodium Chloride INJ 0.9%500 mL SODium CHLORide 0.9%INJ 0.9%500 mL 500 ML 4 $3.04 02-8213 Carmel Fire Department Sodium Chloride SOL 0.9%3 mL SODIUM CHLORIDE SOL 0.9%3 mL 3 ML 4 $1.16 $1,429.59