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HomeMy WebLinkAbout301150 07/25/16 J4%r.�4q\R. CITY OF CARMEL, INDIANA VENDOR: 360209 '.I 6 ',•: ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $*****6,521.34* s =� CARMEL, INDIANA 46032 ATTN:KATREENA SHIREY CHECK NUMBER: 301 150 v TON 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 07/25/16 INDIANAPOLIS IN 46290 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 13797 6,521.34 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ST VINCENT HOSPITAL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ATTN:KATREENA SHIREY IN SUM OF$ CITY OF CARMEL 10330 N MERIDIAN ST SUITE 430 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46290 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $6,521.34 Payee 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 13797 42-390.11 $6,521.34 1 hereby certify that the attached invoice(s),or 7/19/16 13797 $6,521.34 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 Tuesday,July 19,2016 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 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 6/30/2016 13797 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased June 2016 6,521.34 Transfer Drugs - June $1,326.22 Medical Suuplies -April 781.18 Medical Supplies - May 2,361.30 Medical Supplies -June 2,052.64 Total due: $6,521.34 46029-160085-65050. Please note invoice number Total $69521.34 that you are paying on check/stub. Thank you! Inquiries: Carolyn Terry Payments/Credits $0.00 CMTerry@stvincent.org Balance Due $69521.34 Transactions from: 5/26/2016 To: 6/2812016 Pkq.Size Quantity Total Account Charge Account Name: 02-8213 Carmel Fire Department ACET325 Acetaminophen Tab 325 MG TYLENOL Tab 325 MG 3000 EA 6.00 $0.06 ADEN61 ADENOSINE INJ 6 MG ADENOSINE INJ 6 MG 2 ML 8.00 $18.00 ALBUUD Albuterol SULF NEB SOL(0.083%) ALBUTEROL SULFATE 0.083%NEB SOL(0.0 3 ML 39.00 - $6.24 AM10150 AMIODARONE HCL INJ 50 MG/mL AMIODARONE HYDROCHLORIDE INJ 50 MG, 3 ML 4.00 $3.12 ASA80 Aspirin Tab Chew 81 MG ASPIRIN Tab Chew 81 MG 750 EA 36.00 $0.72 ATROBRIS Atropine Sulfate INJ-SYRNG 1 MG/10 mL ATROPINE SULFATE INJ-SYR 1 MG/10 mL 10 ML 3.00 $23.07 CACL1BRIS CALcium CHLORide INJ-SYRNG 100 MG/mL CALcium CHLORide INJ-SYRNG 100 MG/mL 10 ML 2.00 $14.58 D50BRIS Dextrose INJ-SYRNG 50% DEXTROSE INJ-SYRNG 50% 50 mL 24.00 $205.20 DIPHI DiphenhydrAMINE INJ 50 MG/mL DIPHENHYDRAMINE HYDROCHLORIDE INJ: 1 ML 9.00 $5.04 EPIN1BRIS EpiNEPHrine HCL INJ 0.1 MG/ML EPINEPHRINE HCL INJ 0.1 MG/ML 10 ML 14.00 $56.98 FENT2 FentaNYL INJ 100 MCG/2 mL FENTANYL CITRATE INJ 100 MCG/2 mL 2 ML 48.00 $36.00 GLUC1 Glucagon INJ 1 MG GLUCAGEN DIAG.KIT INJ 1 MG 1 EA 5.00 $523.16 DEXT40 Glucose(Dextrose)GEL 40% GLUTOSE 15 GEL 40% 15 GM 5.00 $29.05 IPRAUD Ipratropium SOL 0.02% IPRATROPIUM BROMIDE SOL 0.02% 2.5 ML 3.00 $0.48 LIDOBRIS Lidocaine HCL INJ-SYRNG 100 MG LIDOCAINE HCL INJ-SYRNG 100 MG 5 ML 1.00 $4.30 MPRED125 MethylPREDNISolone NA Succ INJ 125 MG SOLU-MEDROL INJ 125 MG 2 ML 1.00 $7.44 MIDAI MIDAZOLAM INJ 10 MG/2 mL MIDAZOLAM HCL INJ 10 MG/2 mL 2 ML 1.00 $0.84 NAL01 Naloxone INJ 1 MG/ML NALOXONE HYDROCHLORIDE INJ 1 MG/ML 2 ML 8.00 $224.88 NTG4 Nitroglycerin Tab 0.4 MG NITROSTAT TAB 0.4 MG 100 ea 5.00 $110.60 ONDA41 Ondansetron INJ 2 mg/mL ONDANSETRON INJ 2 mg/mL 2 ML 21.00 $7.35 ONDA40DT Ondansetron Tab ODT 4 MG ONDANSETRON Tab ODT 4 MG 30 EA 19.00 $3.04 1N9 Sodium Chloride INJ 0.9%1000 mL SODium CHLORide 0.9%INJ 0.9%1000 mL 1000 ML 41.00 $32.39 5N9 Sodium Chloride INJ 0.9%500 mL SODium CHLORide 0.9%INJ 0.9%500 mL 500 ML 18.00 $13.68 321.00 $1,326.22 321.00 $1,326.22 Depatmental Transfer of Supplies date Apr-16 Requesting Department: Carmel Fire Dept Supplying Department ER Business Unit and Department 4602431600 QUANTITY UNIT COST TOTAL COST 4 way stop cocks 2 Alcohol preps $1..96 $0.00 Angiocath 14 $1.58 $0.00 Angiocath 16g 1.58 $0.00 Angiocath 18g 35 $1.50 $52.50 Angiocath 20g 54 $1.50 $81.00 Angiocath 22g 21 $1.50 $31.50 Angiocath 24g 20 $1.55 $31.00 Basin kidney shaped $0.08 $0.00 Basin round $0.31 $0.00 Ca no- Line Sampling ETCO2 Smart Ped per bx $287.50 $0.00 Ca no-Circuit Nasal with Tubing Adult per cs $312.50 $0.00 Ca no-St filter lin Adlt/ped 1 case $940.00 $0.00 Coban 1' Roll ea $1.75 $0.00 Cold paks 10 $0.57 $5.70 EKG Electrodes $3.12 $0.00 Emesis Bas(per pack 2 $11.52 $23.04 EZ-10 Adult Needles $495.00/box of 5) $99.00 $0.00 Foam -Quikcare 1 $2.67 $2.67 Guaze, 2 x 2 Cotton bail $1.88 $0.00 Guaze, 2 X 2 Sterile $0.02 $0.00 Gauze 4 X 3 sponge (per box) $1.24 $0.00 Gauze 4 x 4 tub $0.32 $0.00 Gauze Kerlex 2 $0.67 $1.34 Gloves-Med $10.35 $0.00 Gloves- Large $10.35 $0.00 Gloves-Xlarge $10.35 $0.00 IV Adapter, Luerlock 14 $0.15 $2.10 IV Dial a flow $3.15 $0.00 IV Extension 19" $1.91 $0.00 IV Lock with Ext 83 $1.87 $155.21 IV Start Kits ea 75 $2.88 $216.00 IV Start Kits Sobraview 100/bx 29 $2.66 $77.14 IV Tubing 15 tt 9 $1.17 $10.53 KY pkt $0.10 $0.00 Kerlix 4.5"x6ply $0.73 $0.00 Lancets per box $50.00 $0.00 Larg n sco a Blades Stat 3 box $135.74 $0.00 Largyngscope Blades Stat 4 box $135.74 $0.00 Microdot Xtra Test Strips $29.98 $0.00 Microdot Xtra Control Solutions $14.95 $0.00 Normal Saline 1000 cc bags/ca $9.48 $0.00 Razor, dis oseable $0.12 $0.00 Scapel#11 $1.30 $0.00 Sharps Container $4.59 $0.00 Sterile H2O bottle $0.71 $0.00 Suction Canister&top $3.26 $0.00 Suture Kit 1 $1.09 $0.00 Syringe w/Needle 1 ml 3 $0.07 $0.21 Syringe w/Needle 3 ml 36 $0.05 $1.80 Syringe w/Needle 3 ml per case $35.70 $0.00 Syringe w/Needle 5ml 4 $0.10 $0.40 S rin a w/Needle 10 ml 14 $0.12 $1.68 Syringe w/Needle 10 ml per case $41.92 $0.00 Syringe w Saline 3ml $0.28 $0.00 Syringe w/Saline10ml 0.321 $0.00 10 ml saline vials(per box 6 1 $9.631 $57.78 Ta a 2" 6 rolls/box $1.001 $6.00 Tae 1" 6 $0.50 $2.50 Tape 2"cloth adh 5 $1.29 $6.45 Tape Trans ore 1/2" $1.28 $0.00 TB ET Cuffed Rediture $1.80 $0.00 Warm paks $1.46 $0.00 Wound Cleanser $5.04 $0.00 Yankauers $0.34 $0.00 Ambu Ba w/mask-Adult 1 $14.63 $14.63 Ambu Ba w/mask-Adult cs/10 $146.30 $0.00 Ambu Bag w/mask-Peds cs/10 $126.00 $0.00 Ambu Ba w/mask- Infant cs/10 $16.00 $0.00 CPAP mask- 1 case/10 $919.99 $0.00 Lg Bitrac Full Face Mask $29.00 $0.00 ET Tube Stylette $0.00 Wipes Disenfect $11.52 $0.00 Grand Total $781.18 Approved by date Depatmental Transfer of Supplies date May-16 Requesting Department: Carmel Fire Dept Supplying Department ER Business Unit and Department 4602431600 QUANTITY UNIT COST TOTAL COST Alcohol preps $1.96 $0.00 Angiocath 14g 5 $1.58 $7.90 Angiocath 16 $1.58 $0.00 Angiocath 18g 35 $1.50 $52.50 Angiocath 20g 135 $1.50. $202.50 Angiocath 22g 45 $1.50 $67.50 Angiocath 24g 15 $1.55 $23.25 Basin kidney shaped $0.08 $0.00 Basin round 1 $0.31 $0.31 Ca no-Line Sampling ETCO2 Smart Ped per bx $287.50 $0.00 Ca no-Circuit Nasal with Tubing Adult per cs $312.50 $0.00 Ca no-St filter lin Adlt/ ed 1 case 1 $940.00 $940.00 Coban 1' Roll ea 6 $1.75 $10.50 Cold paks $0.57 $0.00 EKG Electrodes $3.12 $0.00 Emesis Bags(perpack) '$11.52 $0.00 EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00 Foam -Quikcare 2 $2.67 $5.34 Guaze, 2 x 2 Cotton bail $1.88 $0.00 Guaze, 2 X 2 Sterile 1 $0.02 $0.02 Gauze 4 X 3 sponge per box $1.24 $0.00 Gauze 4 x 4 tub 7 $0.32 $2.24 Gauze Kerlex 2 $0.67 $1.34 Gloves-Med 2 $10.35 $20.70 Gloves- Large 3 $10.35 $31.05 Gloves-Xlar a $10.35 $0.00 IV Adapter, Luerlock 10 $0.15 $1.50 IV Dial a flow $3.15 $0.00 IV Extension 19" $1.91 $0.00 IV Lock with Ext 91 $1.87 $170.17 IV Start Kits ea 140 $2.88 $403.20 IV Start Kits Sobraview 100/bx 25 $2.66 $66.50 IV Tubing 15gtt 81 $1.17 $94.77 Kerlix 4.5"x6ply $0.73 $0.00 Lancets per box 2 $50.00 $100.00 Largyngscope Blades Stat 3 box $135.74 $0.00 Largyngscope Blades Stat 4 box $135.74 $0.00 Microdot Xtra Test Strips $29.95 $0.00 Microdot Xtra Control Solutions $12.00 $0.00 Normal Saline 1000 cc bags/ca $9.48 $0.00 Razor, dis oseable $0.12 $0.00 Scape1#11 $1.30 $0.00 Sharps Container $4.59 $0.00 Sterile H2O bottle $0.71 $0.00 Suction Canister&top 5 $3.26 $16.30 Suture Kit 1 $1.09 $0.00 Syringe w/Needle 1 ml $0.07 $0.00 Syringe w/Needle 3 ml 10 $0.05 $0.50 Syringe w/Needle 3 ml per case 1 $35.70 $35.70 Syringe w/Needle 5ml $0.10 $0.00 Syringe w/Needle 10 ml 37 $0.12 $4.44 Syringe w/Needle 10 ml per case 1 $41.92 $41.92 Syringe w Saline 3ml $0.28 $0.00 Syringe w/Saline10ml 0.321 $0.00 10 ml saline vials(per box 5 $9.63 $48.15 Tape 2"(6 rolls/box) 10 $1.00 $10.00 Tape 1" 6 $0.50 $3.00 Tape 2"cloth adh $1.29 $0.00 Tape Transpore 1/2" $1.28 $0.00 TB ET Cuffed Rediture $1.80 $0.00 Warm paks $1.46 $0.00 Wound Cleanser $5.04 $0.00 Yankauers $0.34 $0.00 Ambu Ba w/mask-Adult $14.63 $0.00 Ambu Ba w/mask-Adult cs/10 $146.30 $0.00 Ambu Ba w/mask-Peds cs/10 $126.00 $0.00 Ambu Ba w/mask- Infant cs/10 $16.00 $0.00 CPAP mask- 1 case/10 $919.99 $0.00 Lg Bitrac Full Face Mask $29.00 $0.00 ET Tube St tette $0.00 Wipes Disenfect $11.52 $0.00 Grand Total $2,361.30 Approved by date Depatmental Transfer of Supplies date Jun-16 Requesting Department: Carmel Fire Dept Supplying Department ER Business Unit and Department 4602431600 QUANTITY UNIT COST TOTAL COST Alcohol preps $1.96 $0.00 Angiocath 14g $1.58 $0.00 Angiocath 16 $1.58 $0.00 Angiocath 18g 39 $1.50 $58.50 Angiocath 20g 82 $1.50 $123.00 Angiocath 22g 30 $1.50 $45.00 Angiocath 24g 10 $1.55 $15.50 Basin kidney shaped $0.08 $0.00 Basin round $0.31 $0.00 Ca no-Line Sampling ETCO2 Smart Ped per bx $287.50 $0.00 Ca no-Circuit Nasal with Tubing Adult per cs $312.50 $0.00 Ca no-St filter lin Adlt/ ed 1 case $940.00 $0.00 Coban 1' Roll ea $1.75 $0.00 Cold paks 6 $0.57 $3.42 EKG Electrodes 4 $3.12 $12.48 Emesis Bas(perpack) $11.52 $0.00 EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00 Foam -Quikcare $2.67 $0.00 Guaze, 2 x 2 Cotton bail $1.88 $0.00 Guaze, 2 X 2 Sterile 2 $0.02 $0.04 Gauze 4 X 3 sponge (per box) $1.24 $0.00 Gauze 4 x 4 tub 1 $0.32 $0.32 Gauze Kerlex 20 $0.67 $13.40 Gloves-Med $10.35 $0.00 Gloves-Large $ 0.351 $0.00 Gloves-Xlar a $10.351 $0.00 IV Adapter, Luerlock 13 $0.15 "$1.95 IV Dial a flow $3.15 $0.00 IV Extension 19" $1.91 $0.00 IV Lock with Ext 106 $1.87 $198.22 IV Start Kits ea 88 $2.88 $253.44 IV Start Kits Sobraview 1.00/bx 10 $2.661 $26.60 IV Tubing 15gtt 21 $1.17 $24.57 KY pkt 5 $0.10 $0.50 Kerlix 4.5"x6ply $0.73 $0.00 Lancets per box $50.00 $0.00 Larg n sco a Blades Stat 3 box $135.74 $0.00 Largyngscope Blades Stat 4 box $135.74 $0.00 Microdot Xtra Test Strips 30 $29.98 $899.40 Microdot Xtra Control Solutions 20 $14.95 $299.00 Normal Saline 1000 cc bags/ca $9.48 $0.00 Razor, dis oseable $0.12 $0.00 Sca el#11 $1.30 $0.00 Sharps Container $4.59 $0.00 Sterile H2O bottle $0.71 $0.00 Suction Canister&to $3.26 $0.00 Suture Kit 1 $1.09 $0.00 Syringe w/Needle 1 ml 3 $0.07 $0.21 Syringe w/Needle 3 ml 7 $0.05 $0.35 Syringe w/Needle 3 ml per case $35.70 $0.00 Syringe w/Needle 5ml $0.10 $0.00 Syringe w/Needle 10 ml $0.12 $0.00 Syringe w/Needle 10 ml per case $41.92 $0.00 Syringe w Saline 3ml $0.28 $0.00 Syringe w/Saline10ml 15 $0.321 $4.80 10 ml saline vials (per box) 6 $9.631__. $57.78 Tape 2" 6 rolls/box) $1.001 $7.00 Tae 1" 7 1 $0.501 $2.00 Tape 2"cloth adh 4 $1.29 $5.16 Tape Trans ore 1/2" $1.28 $0.00 TB ET Cuffed Rediture $1.80 $0.00 Warm paks $1.46 $0.00 Wound Cleanser $5.04 $0.00 Yankauers $0.34 $0.00 Ambu Ba w/mask-Adult $14.63 $0.00 Ambu Ba w/mask-Adult cs/10 $146.30 $0.00 Ambu Ba w/mask- Peds cs/10 $126.00 $0.00 Ambu Ba w/mask- Infant cs/10 $16.00 $0.00 CPAP mask- 1 case/10 $919.99 $0.00 Lg Bitrac Full Face Mask $29.00 $0.00 ET Tube St tette $0.00 Wi es Disenfect $11.521 $0.00 Grand Total $2,052.64 Approved by date