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Home My WebLink About302690 08/31/16 CITY OF CARMEL, INDIANA VENDOR: 360209 ® ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $****"1,086.87• CARMEL, INDIANA 46032 ATTN:KATREENA SHIREY CHECK NUMBER: 302690 9�'lioN' 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 08/31/16 INDIANAPOLIS IN 46290 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 13818 1,086.87 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ST VINCENT HOSPITAL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ATTN:MTREENA SHIREY IN SUM OF$ 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. $1,086.87 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 13818 42-390.11 $1,086.87 1 hereby certify that the attached invoice(s),or 8/22/16 13818 $1,086.87 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 Monday,August 22,2016 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 5-11-10-1.6 120— 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 7/31/2016 13818 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased July 2016 1,086.87 Transfer Drugs - July $1,086.87 46029-160085-65050. Please note invoice number Total $19086.87 that you are paying on check/stub. Thank you! Inquiries: Carolyn Terry Payments/Credits $0.00 CMTerry@stvincent.org Balance Due $19086.87 ControI12 Control dtrxtfcDateOnl Coni Controls txtRxTFCstd1 txtRxTFCstd10 Faci PS CO PS Dept PS GL DISPENSING EPINIBRIS EpiNEPHrine HCL INJ 0.1 MG/ML 7/6/2016 10 $40.70 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL GLUC1 Glucagon INJ 1 MG 7/6/2016 4 $398.56 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL DEXT40 Glucose(Dextrose)GEL 40% 7/6/2016 1 $5.81 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL NAL01 Naloxone INJ 1 MG/ML 7/6/2016 1 $28.11 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL ONDA41 Ondansetron INJ 2 mg/mL 7/6/2016 17 $5.95 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL 1N9 Sodium Chloride INJ 0.9%1000 mL 7/6/2016 21 $16.59 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL 51\19 Sodium Chloride INJ 0.9%500 mL 7/6/2016 4 $3.04 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL H2O216 Hydrogen Peroxide SOL 7/6/2016 2 $1.46 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL ALBUUD Albuterol SULF NEB SOL(0.083%) 7/12/2016 1 $0.16 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL ASA80 Aspirin Tab Chew 81 MG 7/12/2016 36 $0.72 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL i DSOBRIS Dextrose INJ-SYRNG 50% 7/12/2016 5 $42.75 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL NTG4 Nitroglycerin Tab 0.4 MG 7/12/2016 1 $22.12 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL ONDA41 Ondansetron INJ 2 mg/mL 7/12/2016 6 $2.10 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL ONDA40DT Ondansetron Tab ODT 4 MG 7/12/2016 4 $0.64 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL 1N9 Sodium Chloride INJ 0.9%1000 mL 7/12/2016 9 $7.1102-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL 5N9 Sodium Chloride INJ 0.9%500 mL 7/12/2016 3 $2.28 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL MPRED125 MethylPREDNISolone NA Succ INJ 125 M( 7/12/2016 1 $7.44 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL ATROBRIS Atropine Sulfate INJ-SYRNG 1 MG/10 mL 7/19/2016 2 $15.38 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL ASA80 Aspirin Tab Chew 81 MG 7/19/2016 1 $0.02 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL EPINIBRIS EpiNEPHrine HCL INJ 0.1 MG/ML 7/19/2016 9 $36.63 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL NAL01 Naloxone INJ 1 MG/ML 7/19/2016 1 $28.1102-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL 1N9 Sodium Chloride INJ 0.9%1000 mL 7/19/2016 11 $8.69 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL FENT2 FentaNYL INJ 100 MCG/2 mL 7/21/2016 32 $24.00 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL MIDAI MIDAZOLAM INJ 10 MG/2 mL 7/21/2016 2 $1.68 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL ALBUUD Albuterol SULF NEB SOL(0.083%) 7/27/2016 10 $1.60 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL D50BRIS Dextrose INJ-SYRNG 50% 7/27/2016 3 $25.65 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL EPINIBRIS EpiNEPHrine HCL INJ 0.1 MG/ML 7/27/2016 6 $24.42 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL KET060 Ketorolac INJ 60 MG/2 mL 7/27/2016 3 $2.82 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL LIDOBRIS Lidocaine HCL INJ-SYRNG 100 MG 7/27/2016 2 $8.60 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL NTG4 Nitroglycerin Tab 0.4 MG 7/27/2016 1 $22.12 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL ONDA41 Ondansetron INJ 2 mg/ml 7/27/2016 1 $0.35 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL ONDA40DT Ondansetron Tab ODT 4 MG 7/27/2016 3 $0.48 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL 1N9 Sodium Chloride INJ 0.9%1000 mL 7/27/2016 12 $9.48 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL ACET325 TYLENOL Tab 325 MG 7/27/2016 4 $0.04 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL ADEN61 ADENOSINE INJ 6 MG 7/27/2016 32 $72.00 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL ATROBRIS Atropine Sulfate INJ-SYRNG 1 MG/10 mL 7/27/2016 9 $69.21 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL IPRAUD Ipratropium SOL 0.02% 7/27/2016 4 $0.64 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL DIPHI DiphenhydrAMINE INJ 50 MG/mL 7/27/2016 1 $0.56 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL D50BRIS Dextrose INJ-SYRNG 50% 7/27/2016 2 $17.10 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL D2510 Dextrose INJ-SYRNG 25% 7/27/2016 1 $6.15 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL EPINIBRIS EpiNEPHrine HCL INJ 0.1 MG/ML 7/27/2016 5 $20.35 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL ' LIDOBRIS Lidocaine HCL INJ-SYRNG 100 MG 7/27/2016 1 $4.30 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL MGSO Magnesium SULF INJ 1000 MG/2 mL 7/27/2016 3 $2.34 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL NALO1 Naloxone INJ 1 MG/ML 7/27/2016 1 $28.1102-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL NTG4 Nitroglycerin Tab 0.4 MG 7/27/2016 1 $22.12 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL NS950 Sodium Chloride INJ 0.9%50 mL 7/27/2016 7 $15.26 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL ONDA4ODT Ondansetron Tab ODT 4 MG 7/27/2016 2 $0.32 02-8213 Carmel Fire Department Cost Centre:02-8213 246024 32154 704025 CARMEL PRED20 predniSONE Tab 20 MG 7/27/2016 6 $0.84 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL RACE2.251I1 Racemic Epinephrine SOL 2.25%LID 7/27/2016 6 $8.46 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL KETO60 Ketorolac INJ 60 MG/2 mL 7/27/2016 25 $23.50 02-8213 Carmel Fire Department Cost Centre:02-8213 2 46024 32154 704025 CARMEL $1,086.87 2-8213 Carmel Fire Department Total i `i