HomeMy WebLinkAbout310092 04/10/17 �. ��'"'� CITY OF CARMEL, INDIANA VENDOR: 360209
ur CHECK AMOUNT: $"""""5,524.95"
ONE CIVIC SQUARE ST VINCENT HOSPITAL
?a; CARMEL, INDIANA 46032 ATTN:CAROLYN TERRY ACCT.RPTNG CHECK NUMBER: 310092
��` 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 04/10117
t roN._ INDIANAPOLIS IN 46290
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 13907 5,524.95 SPECIAL DEPT SUPPLIES
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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 3/17/2017 13907
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 2017 5,524.95
Medical Supplies February - 1,781.04
Drugs transfer February- 3,743.91
Total February due: $5,524.95
46029-160085-65050. Please note invoice number Total $5,524.95
that you are paying on check/stub. Thank you!
Inquiries: Carolyn Terry Payments/Credits $0.00
CMTerry@stvincent.org Balance Due $53,524.95
Depatmental Transfer of Supplies date submissed 03/10/17
Requesting Department: Carmel Fire Dept Supplying Department ER Feb-17
Cost Center Cost Center 27230
QUANTITY UNIT COST TOTAL COST
Alcohol preps 76 $0.25 $19.00
Angiocath 14g 1 $1.58 $1.58
Angiocath 16 $1.56 $0.00
Angiocath 18g 65 $1.50 $97.50
Angiocath 20g 155 $1.50 $232.50
Angiocath 20g 1.88 per box 1 $95.00 $0.00
Angiocath 22g 22 $1.50 $33.00
Angiocath 24 $1.55 $0.00
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-Circuit Nasal with Tubing Adult per cs 100 1 $940.00 $940.00
Ca no-St filter lin AdIU ed 1 case 1 $356.30 $356.30
Coban V Roll ea $1.75 $0.00
Cold paks $0.57 $0.00
Drill Driver Power EZ-10 1 $295.00 $295.00
EKG Electrodes $3.12 $0.00
Emesis Bas(perpack) 3 $11.52 $34.56
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 1 $0.02 $0.02
Gauze 4 X 3 sponge r box $1.24 $0.00
Gauze 4 x 4 tub 13 $0.32 $4.16
Gauze Kedex $0.67 $0.00
Gloves-Med $10.35 $0.00
Gloves-Large $10.35 $0.00
Gloves-Xla a $10.35 $0.00
IV Adapter,Luedock 37 0.151 $5.55
IV Dial a flow $3.151 $0.00
IV Extension 19" $1.91 $0.00
IV Lock with Ext 135 $1.87 $252.45
IV Start Kits ea 175 $2.88 $504.00
IV Start Kits Sobraview 100/bx 35 $2.66 $93.10
IV Tubinq 10 tt 62 $1.17 $72.54
Kerlix 4.5"x6ply $0.73 $0.00
Lancets per box $57.78 $0.00
Largyngscope Blades Stat 3 box $180.50 $0.00
Largyngscope,Blades Stat 4 box $135.74 $0.00
Microdot Xtra Test Strips $29.98 $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
Sca el#11 $1.30 $0.00
Sharps Container $4.59 $0.00
Sterile H2O bottle $0.71 $0.00
Suction Canister&top 4 $3.26 $13.04
Suture Kit 1 $1.09 $0.00
SYR Hypo w/needle 200 $0.25 $50.80
Syringe w/Needle 1 ml 24 $0.07 $1.68
Syringe w/Needle 3 ml 3 $0.05 $0.15
Syringe w/Needle 3 ml per case $35.76 $0.00
Syringe w/Needle 5ml $0.10 $0.00
Syringe w/Needle 10 ml $0.12 $0.00
Syringe 30ml $0.42 $0.00
Syringe w Saline 3ml $0.28 $0.00
Syringe w/Salinel0ml $0.32 $0.00
10 ml saline vials(per box 5 $9.63 $48.15
Tape 2" 6 rolls/box $1.001 $0.00
Tae 1" 1 $0.501 $0.50
Tape 2"cloth adh 1 $1.291 $1.29
Tape Trans ore 1/2" 11 $1.28 $14.08
TB ET Cuffed Rediture $1.80 $0.00
Warm paks $1.46 $0.00
Wound Cleanser $5.04 $0.00
Suction Canister&to $3.26 $0.00
Yankauers $0.34 $0.00
Ambu Ba w/mask-Adult $14.63 $0.00
Ambu Ba w/mask-Adult cs/10 1 $146.30 $146.30
Ambu Ba w/mask-Peds cs/10 $126.00 $0.00
Ambu Ba w/mask-Infant cs/10 $16.00 $0.00
CPAP Flow-Safe!!Ez 1 $443.95 $443.95
CPAP mask-1 case/10 $480.00 $0.00
CPAP Adapter Tee Valve 2 $41.20 $82.40
Lg Bitrac Full Face Mask $29.00 $0.00
ET Tube Stylette i $0.00
Wipes Disenfect $11.521 $0.00
Grand Total $3,743.91
Approved by date
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