HomeMy WebLinkAbout312635 6/16/2017 +W C 1q*
CITY OF CARMEL, INDIANA VENDOR: COMM AMOUNT: $*"""`*181.00`
ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH CHECK
CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 312635
CHICAGO IL 60677-7001 CHECK DATE: 06/16/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 492289 83.00 SPECIAL DEPT SUPPLIES
2201 4239011 492888 98.00
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Community Occupational Health Svs
7169 Solution Center
Chicago, IL 60677-7001
Phone: 317-621-0341
FEIN: 35-1955223
Invoice
June 02, 2017
Bill to: Jim Spelbring For: Carmel Police Department
Cannel Police Department 05/17
1 Civic Square
Carmel, IN 46032-
Invoice# 492289
Proc Code Date Description Qty Charge Receipt Adjust Balance
80301 05/18/2017 Rapid 5 Panel UDS 1,00 51.00 51.00
82075 05/18/2017 Breath Alcohol Test 1.00 32.00 32.00
Timothy A Zellers XXX-XX-2553 Balance Due: 83.00
Invoice# 492289 Balance Due: 83.00
Please remit payment promptly
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Community Occupational Health Svs
7169 Solution Center
Chicago, IL 60677-7001
Phone: 317-621-0341
FEIN: 35-1955223
Invoice
June 02, 2017
Bill to: Jim Spelbring For: Cannel Street Dept.
Carmel Street Dept. 05/17
1 Civic Square
Carmel, IN 46032-
Invoice# 492888
Proc Code Date Description Qty Charge Receipt Adjust Balance
05/24/2017 Respirator Fit Test 1.00 49.00 49.00
Talia Ariens XXX-XX-9617 Balance Due: 49.00
05/24/2017 Respirator Fit Test 1.00 49.00 49.00
Shelby A Hobbs XXX-XX-3850 Balance Due: 49.00
Invoice# 492888 Balance Due: 98.00
Please remit payment promptly