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311191 05/09/17 y ur C.1MgI �P. %� CITY OF CARMEL, INDIANA VENDOR: 00350364 ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $"'*'1,852.73" r°, CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 311191 °M,�roN INDIANAPOLIS IN 46204 CHECK DATE: 05/09/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4340701 100018 00-30461 809.89 OFFICER PHYSICALS 1110 4340701 100018 00-30509 1,042.84 OFFICER PHYSICALS n 2 c) -0 < « k & � q � O O k � q ? 8 2 2 D m r o i00 ^ z 7 0 # c) ( 0 0 k / q C $ 8 k/ k O Cl)CD § ° w 2 I % Cl) § 2 2 � & q q # 0 ¢ k c > r ƒ M ® / � f � f ƒ / n D \q » � e q 2 ] C \ @ < m 2 6 § # # X 0 m k I q \ 2 O 2 / > -n O CD 0 \ \ q CD § z � ) a % a 7 - 2 > z ; . W Z c 3 CL 0 0 � CD / § m M k 0 § - CD q - (D # f E Q 0 0) / 0 k 0 CD OL(D 3\ \ 0 a a F4, ; R ] 7 0 E g $ � ƒ § E C) 7 5 03 0 C - m w , 0 7 0 E E 7 k ƒ § Cl) 3 2 0 7 %ƒ 2 2 q \o < co ƒ _ T > c 0 OL ° j j m \ } 0 ^ D CD� cr / - / \ � ( ; K _ § 9 � < ° o 0 /\ k \ CD ƒ CD CD C o e # ) / CL © \ 9 \ § \ @ & 6/ ff =r0= D }w CD D §o ) � 7 nm > ¥ 7 A q } 0 » n / / / 0 j E / c c * r f 2 / j i m ƒ C 7 0 c G Q m m / 0- n CD CLCCL M \ E 0 m X ] § k \ \ 0 , \ CD \ 69/ $ \ \ \ � $ _ � (D ® k Public Safety Medical - INVOICE �°- Public Safety Medical Invoice Date: 04/28/2017 324 E. New York Street Invoice# 00-30509 m Suite 300 Terms: w Indianapolis, IN 46204 c Carmel Police Department/CARMEPD 12 (SS) Pyoung@carmel.In.Gov m (W)Tgreen@carmel.In.Gov Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due 04/21/17 r William D n Rapid Test l Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.8 CBC(Comp Blood Count 20.29 $20.2 CMP(Comp Metabolic Panel 22.41 $22.41 Foster Johnathan A. HIV-4th Gen Rapid Test Blood 25.93 $25.9 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC Com Blood Count 20.29 $20.29 MP(Comp Metabolic Panel) 22.41 $22.41 PSA-Prostate Specific A Blood 0.99 Harting, V. Venipuncture $3.53 $3.53 Lipid Panel CBC(Comp Blood Count $20.29 $20.2 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 0.99 $40.9 Navarrete Juan HIV-4th Gen Rapid Test Blood 25.93 $25.9 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC Com Blood Count 20.29 $20.2 CMP(Comp Metabolic Panel 22.41 $22.41 Renf rth Tr vor M. HIV-4th Gen Rapid Test Blood) $25.93 $25.9 Venipuncture $3. 3. 3 Lipid BCount) CMP C rnp Metabolic Panel 22.41 $22.41 Schoeff Jr. Donald D. HIV-4th Gen Rapid Test Blood 25.93 $25.93 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.8 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 0.99 $40.9 Semester.James S. HIV-4th Gen Rapid Test Blood 25.93 $25.93 Venipuncture 3. 3 $3.53 Lipid Panel Blood $23.82 $23.82 CBC(C rnp BloodCount) Public Safety Medical - INVOICE lo— Public Safety Medical Invoice Date: 04/28/2017 324 E. New York Street Invoice# 00-30509 m Suite 300 Terms: I= Indianapolis, IN 46204 o Carmel Police Department/CARMEPD f- (SS) Pyoung@carmel.In.Gov m (W)Tgreen@carmel.In.Gov Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due PSA-Pr t ifi A B Smith Troy D. HIV-4th Gen Rapid Test Blood $25.93 $25.9 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 0.99 $40.9 Thomas Richard E. HIV-4th Gen Rapid Test Blood 25.93 $25.93 Veni uncture $3.53 3.53 Lipid Panel Blood $23.82 2 . 2 CBC(Comp Blood Count) 20.29 2 .2 P(Comp Metabolic P .41 Total Charges-> $1,042.84 Total Payments&Balance Due-> $0.00 $1,042.84 Please write invoice number on payment check. Our Federal Employer identification number is 35-2079797. We greatly appreciate the opportunity to serve you. If you have any questions regarding this invoice, please contact Debbie Pieper at 317-964-2330. 0 2 / -0 ƒ « k mom O O_ # �� O -0 0$ OL c z 53M r- ° / > > M @ m 7 n O > o m / § \ z k / O CD Z I o § k # & q q # \ ¢ p k c > 00 --1 r } , / 0 / ƒ � 7 § I 2 q o *k n CL q q a 3 § -n z > O $ co / C', \ q £ § � | \ \ 2 E » r- C $ E / % ? 0 % i r E E » F n 0 m CD 0 CDa I &6 -n & 269 k o CA CL CD } 0 / k i > + m & - i (D \ ! 3 8CD o a % 0 e " ° \ © ° k } I k cx 7 0) % k g k E §- ƒ § ® l 0 7 k/ $ 7 § i f 7 CL cr m \ ; n ^ Cr , {_$ r k D \ ) \ E § k § c <aCD co \} k CA) § ƒ \ ) / 7 a 0_ z 0> / KkR _ . % % } g \\ _a a % D \/ CD = o j ƒ D % ; -COD D Up CD CL m \ M « � n 91) 0 0 ECDO * " $ % ] / \ CD C R c ® CD CD/ � ° o _\ 2: / @ CD 0 § g -CD M c q , ] CD SD \ § ( [ > \ f \ _ K & g 2 « 0 . \ b, § co ® l Public Safety Medical - INVOICE Public Safety Medical Invoice Date: 04/24/2017 324 E.New York Street Invoice# 00-30461 mSuite 300 Terms: rr. Indianapolis,IN 46204 G Carmel Police Department/CARMEPD F- Pyoung@carmel.In.Gov m ' Exclusively Serving Public Safety Professionals Since 9990. Date Employee Description Amount Balance Due 04/11117 Bickel.Scott W. JJU-4th Gen R i Test(Blood) $25.93 125.9j Veni uncture $3.53 P20.2 Li Id Panel Blood 23.82 CBC Com Blood Count 20.29 CMP Com Metabolic Panel 22.41 PSA-Prostate S cific A Blood 0.99 Dietz,Aaron K. HIV-4th Gen Rapid Test Blood 25.93 25.9 V i uncture $3.53 $3.53 Up'Upid n I(Blood) 23.82 $23.8 GBC(Comn Blood Count) $20, CMP(Como Metabolic .41 $22.41 PSA-Prostate Soecific Aa(Bloocl) $40.99 S40.99 Flamina. n Rapid Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.2 CMP(Comp Metabolic Panel 22.41 S22.411 LoM,Scott D. HIV-4th Gen Ra id Test Blood 25.93 $25.93 Venipuncture $3.53 $3.53 Lipid Panel B 23.82 $23.82 CBC 20.29 MP i .41 Katherine E. Venipuncture CBC(Comp Blood Count) $20,29 $20.2 CMP Com Metabolic Panel 22.41 $22.41 Pitman Michael A. HIV-4th Gen Rapid Test Blood 25.93 $25.9 Venipuncture $3.53 $3.531 Lipid Panel Blood 23.82 23.8 CBC Com Blood Count 20.29 20.2 CMP Com MetabolicPanel) 22.41 22.4 1 PSA-Prostate ifA Blood .9 VanN ttr Shane R. HIV-4th Gen Rapid Test Blood $25.93 Venipuncture Lipid Panel QMP(Comp C MetabolicP 1 Public Safety Medical - INVOICE t—° Public Safety Medical Invoice Date: 04124/2017 324 E.New York Street Invoice# 00-30461 Suite 300 Terms: p% Indianapolis,IN 46204 C Carmel Police Department/CARMEPD Pyoung@carmel.In.Gov m ' Exclusively Serving Public Safety Professionals Since 9990. Date Employee Description Amount Balance Due PSA-Prostate Spedfic Ag(Blood) S40,99 S, Total Charges-> $809.89 Total Payments&Balance Due-> $0.00 $809.89 Please write invoice number on payment check. Our Federal Employer identification number is 35-2079797. We greatly appreciate the opportunity to serve you. If you have any questions regarding this invoice, please contact Debbie Pieper at 317-964-2330.