311885 05/30/17 CITY OF CARMEL, INDIANA VENDOR: 360209
ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $*****2,590.13'
r CARMEL, INDIANA 46032 ATTN:CAROLYN TERRY ACCT.RPTNG CHECK NUMBER: 311885
+ '• 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 05/30/17
INDIANAPOLIS IN 46290
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 13935 2,590.13 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 5/16/2017 13935
BILL TO
Carmel Fire EMS
Attn: Denise Snyder
2 Carmel Civic Square
Carmel, IN 46032
TERM
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased April 2017
Medical Supplies April 2,378.93
Drugs Transferred April 211.20
46029-160085-65050. Please note invoice number Total $2,590.13
that you are paying on check/stub. Thank you!
Inquiries: Carolyn Terry Payments/Credits $0.00
CMTerry@stvincent.org Balance Due $2,590.13
Depatmental Transfer of Supplies date submissed 05/02/17
Requesting Department: Carmel Fire Dept Supplying Department ER Apr-17
Cost Center Cost Center 27230
QUANTITY UNIT COST TOTAL COST
Alcohol preps 9 $0.25 $2.25
Angiocath 14 $1.58 $0.00
Angiocath 16 $1.56 $0.00
Angiocath 18g 10 $1.50 $15.00
Angiocath 20g 52 $1.50 $78.00
Angiocath 20g 1.88 per box $95.00 $0.00
Angiocath 22g 20 $1.50 $30.00
Angiocath 24 $1.55 $0.00
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-Circuit Nasal with Tubing Adult per cs 100 1 $978.00 $978.00
Ca no-St filter lin Adlt/ ed 1 case $356.30 $0.00
Coban 1' Roll ea $1.75 $0.00
Cold paks 5 $0.57 $2.85
Drill Driver Power EZ-10 $295.00 $0.00
EKG Electrodes $3.12 $0.00
Emesis Bas(perpack) $11.52 $0.00
EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00
EZ-10 Power Driver 1 $295.00 $295.00
Foam-Quikcare $2.67 $0.00
Guaze,2 x 2 Cotton bail $1.88 $0.00
Guaze,2 X 2 Sterile 2 0.021 $0.04
Gauze 4 X 3 sponge(per box $1.24 $0.00
Gauze 4 x 4 tub 25 $0.32 $8.00
Gauze Kerlex 5 $0.67 $3.35
Gloves-Med $10.35 $0.00
Gloves-Large $10.35 $0.00
Gloves-Marge $ 0.351 $0.00
IV Adapter, Luerlock $0.15 $0.00
IV Dial a flow $3.15 $0.00
IV Extension 19" 10 $1.91 $19.10
IV Lock with Ext 80 $1.87 $149.60
IV Start Kits ea 69 $2.88 $198.72
IV Start Kits Sobraview 100/bx 36 $2.66 $95.76
IV Tubing 10 tt 35 $1.17 $40.95
Kerlix 4.5"x6ply $0.73 $0.00
Lancets per box 1 $57.78 $57.78
Largyngscope Blades Stat 3 box $180.50 $0.00
Largyngscope Blades Stat 4 box $135.74 $0.00
Microdot Xtra Test Strips 10 $29.98 $299.80
Microdot Xtra Control Solutions $12.00 $0.00
Normal Saline 1000 cc bags/ca $9.48 $0.00
Pulse Ox,Adult $5.18 $0.00
Pulse Ox, Peds 5.171 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 2 $3.26 $6.52
Suture Kit 1 $1.09 $0.00
SYR Hypo w/needle $0.25 $0.00
Syringe w/Needle 1 ml $0.07 $0.00
Syringe w/Needle 3 ml $0.05 $0.00
Syringe w/Needle 3 ml per case $35.76 $0.00
Syringe w/Needle 5ml 1 $0.10 $0.00
Syringe w/Needle 5ml 1 case 1 $69.30 $69.30
Syringe w/Needle 10 ml 1 $0.12 $0.12
Syringe 30m1 $0.42 $0.00
Syringe w Saline 3ml $0.28 $0.00
Syringe w/Saline10ml 0.321 $0.00
10 ml saline vials(per box 2 1 $9.63 $19.26
Tape 2" 6 rolls/box $1.00 $0.00
Tae 1" 1 $0.50 $0.50
Tape 2"cloth adh 7 $1.29 $9.03
Tape Trans ore 1/2" $1.28 $0.00
TB ET Cuffed Rediture $1.80 $0.00
Warm palks $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 $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 Flow-Safe !! Ez $443.95 $0.00
CPAP mask- 1 case/10 $480.00 $0.00
CPAP Adapter Tee Valve $41.20L_ $0.00
Lg Bitrac Full Face Mask $29.00 $0.00
ET Tube St lette 1 $0.00
Wipes Disenfect $11.52 $0.00
Grand Total $2,378.93
Approved by date
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