HomeMy WebLinkAbout312499 06/13/17 9`y 9 ���`,�9 CITY OF CARMEL, INDIANA VENDOR: 00350364
i' ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: 5"""3,982.34'
�; CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 312499
-'Mi.uN�. INDIANAPOLIS IN 46204 CHECK DATE: 06/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100018 00-30681 3,982.34 OFFICER PHYSICALS
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Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 05/26/2017
324 E. New York Street Invoice# 00-30681
E Suite 300 Terms:
W Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
t- Pat Young
m Pyoung@carmel.In.Gov
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
5/17/17 Robbins Todd E. Fitness For Duty Exam(Initial)Level 2 $200.93 $200.93
05/19/17 Bickel,Scott W. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 t223.42
Urinalysis-Dipstick 3.53
EKG W/Inter 23.42 Audiomet 16.40 PFT-Pulmona Function Test 38.65
Vision-Acuity 30.45 $30.45
Vital Si ns-HT WT BP P R $0.00 $0.00
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Im Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.4
Flexibility Test $11.72 $11.721
Gilmore Jason M. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Urinalysis-Dipstick $3.53 $3.53
EKG W/Intero $23.42 $23.421
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.6
Vision-Acuity 30.45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Imp Anal $16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.4
FlexibilitV Test $11.72 $11.72
Hartina,Charles V. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation 0.00 $0.00
Hemoccult $0.00 $0.00
Com rehensive Physical Exam $114.77 $114.77
Urinalysis-Di ti k
Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 05/26/2017
�. 324 E. New York Street Invoice# 00-30681
E Suite 300 Terms:
W Indianapolis, IN 46204
G Carmel Police Department/CARMEPD
H Pat Young
m Pyoung@carmel.In.Gov
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
EKG W/Inter 23.42 $23.42
Audiometry $16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.6
Vision-AcuitV $30.45 $30.4,1
Vital Signs-HT WT BP P R $0.00 $0.00
Waist/Hi Ratio $3.53 $3.53
BodV Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.4
Flexibility Test $11.72 $11.72
Hood Bryan L. OnMed Program $0.00 $0.00
Res irator/Medical Review $18.74 $18.74
Health Risk A raisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Urinal sis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
Waist/Hi Ratio $3.53 $3.53
Bodv Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.4
Flexibility Test $11.72 $11.72
Long,Scott D. OnMed Pro r m $0.00 $0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation $0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
Vision-Acuity 30.45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Im Anal 16.40 $16.40
Treadmill-Submax179.11 179.11
MuscularStrength EnduranceTest 0.4 .4
Public Safety Medical - INVOICE
H Public Safety Medical Invoice Date: 05/26/2017
324 E. New York Street Invoice# 00-30681
E Suite 300 Terms:
W Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
Pat Young
m Pyoung@carmel.In.Gov
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Flexibility Test $11.72 $11.72
Paris,Mark J. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation $0.00 $0.00
Comprehensive Physical Exam $114.77 114.77
Urinal sis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
AudiometrV $16.40 $16.40
Vision-Acuity 30.45 30.4
Vital Signs-HT WT BP P R $0.00 $0.001
Waist/Hi Ratio $3.53 $3.531
Body Fat Test-BIA Bio-Elec Im Anal2$179.11
16.40 16.40
Treadmill-Submax 179.11
Muscular Stren th Endurance Test 30.45 $30.4
FlexibilityTest 11.72 $11.72
Schoeff Jr. Donald D. OnMed Program $0.00 0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation 0.00 $0.00
Hemoccult $0.00 $0.00
Com rehensive Physical Exam $114.77 $114.77
Urinalysis-Dipstick $3.53 $3.53
EKG W/Inter 23.42 $23.421
Audiometry 16.40 $16.40J
PFT-Pulmonary Function Test $38.65 $38.6d
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 30.4
Flexibility Test $11.72 $11.721
VanNatter,Shane R. OnMed Program $0.00 0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Aopraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Urinalysis-Di stick $3.53 $3.53
EK W/I t r 23.42 $23.421
Public Safety Medical - INVOICE
t°— Public Safety Medical Invoice Date: 05/26/2017
= 324 E. New York Street Invoice# 00-30681
E Suite 300 Terms:
ce Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
H Pat Young
m Pyoung@carmel.In.Gov
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.6
Vision-Acuity $30.45 $30.4
Vital Si ns-HT WT BP P R $0.00 $0.00
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Stren th Endurance Test $30.45 $30.4
Flexibility Test $11.72 $11.72
Total Charges-> $3,982.34
Total Payments&Balance Due-> $0.001 $3,982.34
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.