HomeMy WebLinkAbout306066 12/12/16 J ��°tF CITY OF CARMEL, INDIANA VENDOR: 367222
ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: S'""52,274.18•
{ 2046 RELIABLE PKWY CHECK NUMBER: 306066
,a CARMEL, INDIANA 46032 CHICAGO IL 60686-0020 CHECK DATE: 12/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 753570 4,374.16 OTHER EXPENSES
1205 4347500 753571 723.60 GENERAL INSURANCE
301 5023990 753744 34,522.15 OTHER EXPENSES
1201 4358800 753823 30.00 TESTING FEES
301 5023990 753931 12,060.07 OTHER EXPENSES
301 5023990 754017 564.20 OTHER EXPENSES
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Indiana University Health Workplace Services, LLC
950 North Meridian Street
------- Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
November 30, 2016
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite EAP Services/Nov.2016
1 Civic Square
Carmel,IN 46032-
Invoice# 753571
Service Date Description Quantity Charae Receipt A" Balance
11/01/2016 EAP Services 603.00 723.60 723.60
CITYCARO Invoice# 753571 Balance Due: 723.60
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
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Indiana University Health Workplace Services, LLC
950 North Meridian Street
Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
November 30, 2016
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Occupational/Nov.2016
1 Civic Square
Carmel,IN 46032-
._.-_
Invoice# 753823
Service Date Description Quantitv Charge Receipt Adiust Balance
11/17/2016 Quick Read UDS/6panel includes 1.00 15.00 15.00
kit
30.00
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
DEC 0 5 2016
Cut and return with payment
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Indiana University Health Workplace Services,LLC
�p) 950 North Meridian Street
Suite 950
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
November 30, 2016
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Onsite Fee's/Nov.2016
1 Civic Square
Carmel,IN 46032-
_
Invoice# 753570
Service Date Description Quantity Charae Receipt Adiust Balance
11/01/2016 City of Carmel Sports Performance 1.00 1,800.00 1800.00
Lease
11/01/2016 City of Carmel Clinic Build Out 1.00 2,574.16 2574.16
CITYCARO Invoice# 753570 Balance Due: 4374.16
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
DEC 0 5 2010
9%-.Gsr Cut and return with payment
Indiana University Health Workplace Services,LLC
950 North Meridian Street
Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
November 30, 2016
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Misc.Onsite/Nov.2016
1 Civic Square
Carmel,IN 46032-
.......
Invoice# 753931
Service Date Description Quantity Charae Receipt A&51 Balance
10/01/2016 Onsite Lab Charges 1.00 4,054.67 4054.67
October 2016 Labs
10/09/2016 Young at Heart Mail-Ins 1.00 2,238.84 2238.84
10/12/2016 Young at Heart Clinic Meds 1.00 2,221.93 2221.93
10/14/2016 Young at Heart Clinic Meds 1.00 106.08 106.08
10/20/2016 Young at Heart Clinic Meds 1.00 294.37 294.37
10/23/2016 Young at Heart Mail-Ins 1.00 2,144.03 2144.03
10/27/2016 Young at Heart Clinic Meds 1.00 1,000.15 1000.15
CITYCARO Invoice# 753931 Balance Due: 12060.07
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
DEC 5 2016
w Cut and return with payment
Indiana University Health Workplace Services, LLC
950 North Meridian Street
------- Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
November 30, 2016
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Staff Time/Nov.2016
1 Civic Square
Carmel,IN 46032-
Invoice# 753744
Service Date Description Quanti Charae Receipt Adiust Balance
11/01/2016 MD Staff Time 6.00 1,050.00 1050.00
Dr.Fagan
11/01/2016 M.A.Staff Time 7.50 210.00 210.00
Kimberly Pride
11/01/2016 R.N.Staff Time 6.50 403.00 403.00
Mareesa Martin
11/02/2016 M.A.Staff Time 8.50 238.00 238.00
Kimberly Pride
11/02/2016 N.P.Staff Time 8.50 957.78 957.78
Tina Nitsos
11/02/2016 R.N.Staff Time 9.00 558.00 558.00
Mareesa Martin
11/03/2016 MD Staff Time 4.00 700.00 700.00
Dr.Fagan
11/03/2016 Health Coach Staff Time 5.00 320.00 320.00
Marissa Grant
11/03/2016 M.A.Staff Time 5.00 140.00 140.00
Kimberly Pride
11/03/2016 R.N.Staff Time 4.75 294.50 294.50
Mareesa Martin
11/04/2016 MD Staff Time 5.00 875.00 875.00
Dr.Fagan
11/04/2016 Health Coach Staff Time 5.00 320.00 320.00
Marissa Grant
11/04/2016 M.A.Staff Time 6.00 168.00 168.00
Kimberly Pride
11/04/2016 R.N.Staff Time 6.50 403.00 403.00
Mareesa Martin
11/07/2016 MD Staff Time 5.00 875.00 875.00
Dr.Fagan
11/07/2016 Health Coach Staff Time 2.50 160.00 160.00
Marissa Grant
My� Invoice# 753744(continued)page 2
Service Date Description Quanti Charae Receipt �iust Balance
11/07/2016 N.P.Staff Time 4.50 507.06 507.06
Tina Nitsos
11/07/2016 R.N.Staff Time 9.50 589.00 589.00
Mareesa Martin
11/08/2016 MD Staff Time 6.00 1,050.00 1050.00
Dr.Fagan
11/08/2016 M.A.Staff Time 6.75 189.00 189.00
Kimberly Pride
11/08/2016 R.N.Staff Time 6.75 418.50 418.50
Mareesa Martin
11/09/2016 M.A.Staff Time 8.25 231.00 231.00
Kimberly Pride
11/09/2016 N.P.Staff Time 8.50 957.78 957.78
Tina Nitsos
11/09/2016 R.N.Staff Time 8.75 542.50 542.50
Mareesa Martin
11/10/2016 MD Staff Time 4.00 700.00 700.00
Dr.Fagan
11/10/2016 Health Coach Staff Time 6.00 384.00 384.00
Marissa Grant
11/10/2016 M.A.Staff Time 4.75 133.00 133.00
Kimberly Pride
11/10/2016 R.N.Staff Time 7.00 434.00 434.00
Mareesa Martin
11/14/2016 R.N.Staff Time 9.50 589.00 589.00
Mareesa Martin
11/14/2016 M.A.Staff Time 9.00 252.00 252.00
Kimberly Pride
11/14/2016 N.P.Staff Time 4.00 450.72 450.72
Tina Nitsos
11/14/2016 Health Coach Staff Time 2.00 128.00 128.00
Marissa Grant
11/14/2016 MD Staff Time 5.00 875.00 875.00
Dr.Fagan
11/15/2016 R.N.Staff Time 6.75 418.50 418.50
Mareesa Martin
11/15/2016 M.A.Staff Time 6.50 182.00 182.00
Kimberly Pride
11/15/2016 MD Staff Time 6.00 1,050.00 1050.00
Dr.Fagan
11/16/2016 R.N.Staff Time 9.25 573.50 573.50
Mareesa Martin
11/16/2016 M.A.Staff Time 8.75 245.00 245.00
Kimberly Pride
11/16/2016 N.P.Staff Time 8.50 957.78 957.78
Tina Nitsos
11/17/2016 R.N.Staff Time 5.00 310.00 310.00
Mareesa Martin
Invoice# 753744(continued)page 3
Service Date Descrition Quanti Charae Receipt AI,iust Balance
11/17/2016 M.A.Staff Time 5.25 147.00 147.00
Kimberly Pride
11/17/2016 N.P.Staff Time 1.50 169.02 169.02
Tina Nitsos
11/17/2016 Health Coach Staff Time 5.50 352.00 352.00
Marissa Grant
11/17/2016 MD Staff Time 4.00 700.00 700.00
Dr.Fagan
11/18/2016 R.N.Staff Time 6.50 403.00 403.00
Mareesa Martin
11/18/2016 M.A.Staff Time 6.50 182.00 182.00
Kimberly Pride
11/18/2016 Health Coach Staff Time 4.50 288.00 288.00
Marissa Grant
11/18/2016 MD Staff Time 5.00 875.00 875.00
Dr.Fagan
11/21/2016 R.N.Staff Time 9.00 558.00 558.00
Mareesa Martin
11/21/2016 N.P.Staff Time 4.50 507.06 507.06
Tina Nitsos
11/21/2016 Health Coach Staff Time 4.00 256.00 256.00
Marissa Grant
11/21/2016 MD Staff Time 5.00 875.00 875.00
Dr.Fagan
11/22/2016 R.N.Staff Time 7.00 434.00 434.00
Mareesa Martin
11/22/2016 M.A.Staff Time 7.00 196.00 196.00
Kimberly Pride
11/22/2016 MD Staff Time 6.00 1,050.00 1050.00
Dr.Fagan
11/23/2016 R.N.Staff Time 9.50 589.00 589.00
Mareesa Martin
11/23/2016 M.A.Staff Time 9.50 266.00 266.00
Kimberly Pride
11/23/2016 N.P.Staff Time 8.50 957.78 957.78
Tina Nitsos
11/28/2016 R.N.Staff Time 9.50 589.00 589.00
Mareesa Martin
11/28/2016 M.A.Staff Time 9.50 266.00 266.00
Kimberly Pride
11/28/2016 N.P.Staff Time 4.25 478.89 478.89
Tina Nitsos
11/28/2016 Health Coach Staff Time 4.00 256.00 256.00
Marissa Grant
11/28/2016 MD Staff Time 5.00 875.00 875.00
Dr.Fagan
11/29/2016 R.N.Staff Time 6.75 418.50 418.50
Mareesa Martin
Invoice# 753744(continued)page 4
Service Date Description Quanti Charae Receipt �iust Balance
11/29/2016 M.A.Staff Time 6.00 168.00 168.00
Kimberly Pride
11/29/2016 MD Staff Time 6.00 1,050.00 1050.00
Dr.Fagan
11/30/2016 R.N.Staff Time 9.25 573.50 573.50
Mareesa Martin
11/30/2016 M.A.Staff Time 8.75 245.00 245.00
Kimberly Pride
11/30/2016 N.P.Staff Time 8.50 957.78 957.78
Tina Nitsos
CITYCARO Invoice# 753744 Balance Due: 34522.15
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
w Cut and return with payment
Indiana University Health Workplace Services, LLC
950 North Meridian Street
Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
November 30, 2016
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite Supply Billing/Nov. 2016
1 Civic Square
Carmel,IN 46032-
Invoice# 754017
Service Date Description Quanti Charge Receipt Adiust Balance
11/01/2016 Onsite Operating Supplies 1.00 564.20 564.20
November 2016 Supplies
CITYCARO Invoice# 754017 Balance Due: 564.20
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
DEC G 5 2016
w Cut and return with payment