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HomeMy WebLinkAbout314432 07/31/17 %'�,,�`. CITY OF CARMEL, INDIANA VENDOR: 00350364 ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $****21,815.45* 4: CARMEL, INDIANA 46032 324 INDIANAPOLIS EEW RN 46SO4TE 300 CHECK NUMBER: 314432 < <.oNCHECK DATE: 07/31/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4340701 100018 00-30966 2,799.11 OFFICER PHYSICALS 1110 4340701 100018 11-31012 1,365.68 OFFICER PHYSICALS 1120 4340701 100336 31011 17,650.66 FIRE DEPT PHYSICALS nz q $ « S � G9 � 0 O A � � 0 i X C) X 2 > m �_ � c } � § # > / m n % ? 00 ? o � \ z ? U) 0 k 0 C W < 2 o e /. a z 2 % n m n 0 # # 2 m A ( ■ m -n -4q ® 2 7 ] D c 2 E n a m S r / k _0 «k: 0CD -0 C) m 33 $ q / z (D0 § § |_ cy) a # _ 5 ■ R > k / § F-: / { \ % k & i k_ m H x 3 R ® G Q E; (DR - � 2 - m # f \ 4CL \ / : ( - E - m _ E - / % $ Q \ i@ o 0 D K = ( - • k 2 k {\ � [ ; [ E E � CL C, g | o [ , - , ± %(D / m = [ _ a kƒ \ § ) \ CD ; g J E {$ 0 D \ P \ CD § k � < a D 0 m a o ƒ \ � / / © ■ \ f n C) %k § \ \ 010 7E J a Z7- C) D \k / o £ E L § k / CW z f n / j E \ \ r 3 3 ] A CD 7 C ® o § o ) 0 &Q � m z R 0 $ CD M§k \ E G \ f u ] § \ � ° l / 2 D / \ = o $ CD ° ) Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: IX Indianapolis, IN 46204 C Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due 07/11/17 Allen,Brad A. HIV-4th Gen Raowd Test(Blood) $25.93 $25-93 TSH-Thyroid Stim Hormone Blood 28.01 28.01 Veni uncture $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 S ecific A Blood 40.99 $40.99 Bene Jonathan R. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture Lipid I BI B I $20.2 CMP(Como Metaboloc Panel) $22.41 $22.41 Bondurant.Jeff S- HIV-4th Gen Rapid Test(Blood) CUR q.11 It2r)Al TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid 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 $40.99 Buttler.James N. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Li id Panel(Blood) 23.82 $23.82 (ComoCBC Blood Count) .2 CMP(Como Metabofic Panel) $22.41 $22.41 PSA-Prostate Specific Aa(Blood) $40.99 $40.9 Butts Joseph A. TSH-Thyro d Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.2d CMP(Como Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Butts Renee L. TSH-Thyroid Stim Hormone Blood 28.01 28.01 V ni uncture $3.53 -Lipid Panel(Blood) $23.82 $23.&2 B I .2 Public Safety Medical - INVOICE 0 Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 C Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr m Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due TSH-Thyroid Stem Hormone(Blood) q9R.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP Com Metabolic Panel 22.41 $22.411 PSA-Prostate S ecific A Blood 40.99 $40.99 Deitsch Marc W. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 BloodCBC(Comi) P(Comp MetabolicPanel) 22.4 1 DeLona.Michael T. HIV-4th Gen Rapid Test(Blood) $25.93 $25.9 TSH-Thyroid Stim Hormone(Blood) q9R.01 $28.01 Veni uncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Edwards Daniel E. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lii2id Panel Blood 23.82 $23.82 (CompQBC Count) CMP(Comp Metabolic Panel) $22.41 $22.41 PSA-Prostate Specific Aa(Blood) $40.99 $40.9 Finn David S. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.821 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 Freer Keith T. Veni uncture Unable To Draw Blood 3.53 $3.53 FuchsJeffery W. HIV-4th Gen Ra id Test Blood 25.93 $25.93 TSH-Thyroid tim Hormone Blood 28.01 $28.01 Venipuncture Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 .. 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: w Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD F- Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due PSA-Prostate Specific A Blood $40.99 $40.99 Griffin Timothy M. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 23.82 CBC(Comp Blood Count 20.29 20.29 CMP Com Metabolic Panel 22.41 22.41 Grimes.Jeffrey A. HIV-4th Gen Rapid Test Blood) $25.93 $25.93 TSH- r i tim Hormone(Blood) 2 1 Venipuncture Linid Panel(Blood) S23.82 $93.89 QBQ(Comp Blood Count) %?n 9A &2029 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Harrington,Adam C. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $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 .99 $40.99 Heavner.Joel S. HIV-4th Gen Rapid T I ISH-Thyroid Stim Hormone(Blood) $28.01 $28.01 Veninuncture $3.53 $3.53 LOW Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.411 Heinlein Robert A. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Th roid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 LOW Panel Blood 23.82 $23.82 BC(Comp Blood Count) 20.29 $20.29 MP(Comp Metabolic Panel) $22.41 $22.41 PSA-Prostate if BI 4 Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: tY Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Venoguncture $3.53 $3.53 Lipid 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 40.99 $40.99 Marvel Thomas L. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 28.01 Veni uncture $3.53 $3.53 Li id Panel(Blood) 23.82 $23.821 BC(Como Blood Count) MP Metabolic Panel) 22.41 $22.41 McNa'r.Trav*s L. HIV-4th Gen Raped Test(Blood) $25.93 $25.9 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.291 CMP(Comp Metabolic Panel 22.41 $22.411 Mead Jr. Donald R. TSH-Thyroid Stim Hormone Blood 28.01 $28.011 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Com12 Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel) 22.41 $22.41 PSA-Pr t t ifi A Blood) $40.99 $40.99 Medlen.M*chael J. HIV-4th Gen Rap'd Test(Blood) $25.93 $25.93 TSH-Thyroad Stim Hormone(Blood) $28.01 $28.01 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate S ecific A Blood 40.99 $40.9 Nallev.Marcus E. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Vgnipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 BC(Comp Blood Count) Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: "` W Indianapolis, IN 46204 C Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr to Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Venopuncture S3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Como Metabolic Panel 22.41 $22.41. Peterson Vemon(Al)A. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 LOW Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(CompM t bolic Panel) 22.41 $22.41 PSA- ifi Aa(Blood) $40.99 $40.99 Phillips, r i M. HIV-4th Gen RapidTest l TSH-Thyro'd Sth Hormone(Blood) $28.01 $28.01 Ven'12uncture $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 40.99 $40.99 Ray,Lucas M. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Comp Blood Count) $20.29 2 .2 CMP(Como Metabolic Panel) .41 $22.411 Reecer.Jason L. HIV-4th Gen Raoid Test(Blood) $25.93 $25931 TSH-Thyrod Sbm Hormone(Blood) $28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(ComoMetabolic Panel 22.41 $22.411 PSA-Prostate Specific A Blood 40.99 $40.99 Reese Aaron P. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture 3.53 $3.53 Lipid Panel Blo d $23.82 23.821 (ComoCBC BI nt) $20.29 $20.29 Public Safety Medical - INVOICE t°- Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr m Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due TSH-Thyroid St*m Hormone(Blood) $28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(ComD Metabolic Panel 22.41 $22.411 PSA-Prostate Specific A Blood 0.99 $40.99 Rutherford Justin D. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venii)uncture $3.53 $3.53 Lipid I $23.82 CBC (Comp-BICount) CMP(Comp Metabolic Panel) $22.41 S22.411 Schooler-Dustin D. HIV-4th Gen Rapid Test(Blood) $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC Com Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.411 Smith David M. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel(Blood) 23.82 $23.82 BC(Comp Blood Count) 2 .2 $20.29 CMP(Comp Metabolic Panel) $22.41 $22.411 Strou Scott A. HIV-4th Gen ap'd Test(Blood) $25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 28.01 Venipuncture $3.53 $3.53 Lipid 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 40.99 $40.99 Sutton Sean B. HIV-4th Gen Rapid Test Blood 25.93 25.9 TSH-Thrid Stim Hormone Blood 28.0 $28.01 Venipuncture $3.53 $3.53 Lipid Panel BI 2 Public Safety Medical INVOICE o Public Safety Medical Invoice Date: 07/19/2017 .. 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 C Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due PSA-Prostate Soecwfic Aa(Blood) $40.99 $40.9 Thomas Nathan C. HIV-4th Gen Rapid Test Blood $25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 Tierney.Scott A. HIV-4th Gen Rapid Test Blood 25.93 25.93 TSH-Thyroid Stim Hormone Blood $28.01 $28.01 Veniouncture Lij2id Panel(Bl CBC(Como Blood Countl $20.29 $20.29 QMP(Comp Metaboloc Panel) $22.41 $22.41 PSA-Prostate Specific A Blood $40.99 $40.99 WoodburnScott E. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.821 CBC(Como Blood Count 20.29 $20.291 CMP(Comp Metabolic Panel 22.41 $22.411 Wyant.Andrew D. HIV-4th Gen Ra id Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture CBC(Como Blood Count) $20.29 $90.99 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 0.99 $40.99 07/12/17 Alverson Jonathan L. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.531 Li id Panel Blood 23.82 $23.821 CBC(Comp Blood Count 20.29 $20.29 CMP(Como Metabolic Panel) $22.41 $22.41 PSA-Prostate Specific A Blood) $40.99 $40.9 Anderson.D.Cory HIV-4th Gen Rapid Test(Blood) $25.9 $25.93 Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 r 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Lopmd Panel(Blood) $23.82 $93.89 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Collins Tony A. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 P Metabolic Panel) .41 $22.41 PSA-P state SpecificA BI Cox.Jordan R. HIV-4th Gen Rapid Test(Blood) $25.93 $25.9 TSH-Thyrood Sturn Hormone(Blood) $28m01 $28.01 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 $22.41 Cummins Frank C. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 LOW Panel Blood 23.82 $23.82 BC(Como BloodCount) 20.2 20.2 MP(Comp MetabolicPanel) $22.41 $22.41 PSA-Prostate Spedfic Ao(Blood) MOM 40m99 DeRyckere.Matthew HIV-4th Gen Rap'd Test(Blood) $25m93 $25.9 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP Com Metabolic Panel 22.41 $22.41 Dorsch James E. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 V ni ncture $3.53 $3.53 Lipid Panel Blood 23.82 23.82 (CompCBC I Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD I Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.2d CMP(Comp Metabolic Panel gl$40.99 2.41 22.41 PSA-Prostate S ecific A Blood 40.99 Edwards Steven L. HIV-4th Gen Ra id Test Blood 5.93 25.93 TSH-Thyroid Stim Hormone(Blood) 8. 1 28.01 Venipuncture Lipid-Panel-BI CBC(Comp Blood Count) $20.29 $20.2 QMP(Comp Metabolec Panel) $22.41 $22.41 PSA-Prostate Specific A Blood $40.99 $40.99 Eischen Kyle J. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 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 S ecific A Blood 40.99 $40.99 Essex Cory C. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thrid Stim Hormone Blood 28.01 $28.01 Venipuncture Lbed Panel(Blood) $23.82 $23821 QBQ(Comp lood Count) $20.29 $2029 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 0.99 $40.99 Fa in Timothy D. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.2 CMP(Comp Metabolic Panel 22.41 $22.41 Fisher, a L. Veni uncture $3.53 $3.53 Lioid Panel I Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 J 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Frenzel,Ede C. HIV-4th Gen Raged Test(Blood) $95.93 $95.93 TSH-Thyroid Stim Hormone Blood $28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82. CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate S ecific A Blood 40.99 $40.99 Frye.Steven R. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 ...Lipid Panel I 2 CBC(ComD Blood Count) CMP(Como Metabofic Panel) $22.41 $22.41 Gehlbach.Mam A. HIV-4th Gen Rapid Test(Blood) $25.93 $95.93 TSH-Thyroid Stim Hormone Blood 28.01 28.01 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 40.99 S40.99 Gu el Mark E. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Ve,612uncture $3.53 $3.52 Lipid Panel I $23.82 CBC(Comp Blood Count) $20.29 $20291 CMP(Co D Metabolic Panel) $22.41 $22.41 PSA-Prostate Specific A Blood 0.99 0.9 Haboush David G. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.821 CBC(Comp Blood Count 20.29 $20.291 CMP Com Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A (Blood) 40.9 40. Holubik Steven W. HIV-4th Gen Ra id Test(Blood) 25. $25. TSH-Thyroii Hormone 21 $28.01 Public Safety Medical - INVOICE to- Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: IX Indianapolis, IN 46204 G Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr m Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due CBC(Comp Blood Count) $20.29 $90.99 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Joehl Carson M. HIV-4th Gen Ra id Test Blood 25.93 $25.931 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel) 22.41 22.41 Kinnev.JaredN. HIV-4th Gen Rapid T T H-.Thyroid Stim Hormone(BI 1 Venbuncture $3.53 $3.53 Lap*d Panel(Blood) $23.82 $93.89 CBC(Comp Blood Count 20.29 $20.291 CMP(Comp Metabolic Panel $22.41 $22.411 PSA-Prostate Specific A Blood 0.99 $40.99 Love Joseph(Bradley) HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82. CBC(Como Blood Count 20.29 $20.29 MP mD Metabolic Panel) $22.41 $22.41 PSA-Pr t t 'f I 4 Lux.Whael T. HIV-4th Gen Rapod Test(Blood) $25.93 $25.9 TSH-Thyro*d Stam Hormone(Blood) $28.01 $28.01 Venipuncture $3.53 $3.53 Lipid 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 40.99 $40.99 McNab John D. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 Lipid Panel Blood $23.82 $23.82 BloodCBG(Comp nt Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 C Carmel Fire Department/CARMEFD E- Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due McNeely,Michael W. HIV-4th Gen Radd Test(Blood) $25.93 TSH-Thyroid Stim Hormone Blood $28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.291 CMP(Comp Metabolic Panel 22.41 $22.41 Mowery,AnthonyW. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture 3.53 $3.53 U12id Panel I 2 B mD BloodCount) CMP(Comp Metabolac Panel) $22.41 $22.41 Mueller,Wallaam G. IV-4th-�ap*d Test(Blood) $95.93 $25.9 TSH-Th roid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.2 CMP(Comp Metabolic Panel 22.41 $22.41 Paddock Ronald"Dean" HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel BI od 23.82 $23.82 BC(Como Blood Count) CMP(Como Metabofic Panel) $22.41 $22.411 PSA-Prostate Specific Aa(Blood) $40.99 $40.9 Price Joseph P. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.291 CMP(Comp Metabolic Panel 22.41 $22.411 PSA-Prostate Specific A Blood 40.99 $40.9d Reynolds,Shawn J. HIV-4th Gen Rapid Test(Blood) $25.93 $25.93 TSH-Thyroid Stim Hormone(Blood) 28.01 $28.01 Venipuncture Public Safety Medical - INVOICE F°- Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 C Carmel Fire Department/CARMEFD F- Denise Snyder, Budget&Accred Mgr m Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due CMP(Como Metaboluc Panel) $22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Russel Grant W. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 20.29 CMP Com Metabolic Panel 22.41 $22.41 Starr.Greaory A. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture Lipid Panel(Bl $23.82 CBC(Como Blood Count) $20.29 $20.2 CMP(Comn Metabofic Panel) $22.41 &2241 PSA-Prostate Specific A Blood 40.99 $40.99 Stindle Kevin P. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Th roid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.291 CMP(Como Metabolic Panel 22.41 $22.411 Utzi Chad M. HIV-4th Gen Rapid Test Blood 25.93 $25.931 TSH-Thyroid tim Hormone BI $28.01 $28.01 Venipuncture Upod Panel(Blood) $23.82 $23.8 CBC(Como Blood Count) $20.29 $20.2 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 0.99 $40.9 Utzig,Todd T. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.29 MP(Como Metabolic Panel) 22.41 $22.41 PSA-Prostate Specific A BI $40.99 $40.9 Voskuhl.Mark J. HIV-4th Gen RaoidTest BI Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 = 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 C Carmel Fire Department/CARMEFD r~ Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Ltowd Panel(Blood) $23.82 $93.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Walker Christopher E. HIV-4th Gen Rapid Test Blood 25.93 $25.93 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC Com Blood Count 20.29 $20.29 CMP(ComoM taboli Panel 22.41 $22.41 PSA-Pt ifi A I Watts.Trent E. HIV-4th Gen Rapid Test BI $25.93 TSH-Thyro*d St'm Hormone(Blood) $28.01 $28.01 Ven'puncture $3-53 $3.53 Lipid 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 40.99 $40.99 Webb Gregory A. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Comp Blood Count) 20.29 $20.2 M Metabolic Panel) 241 $22.41 PSA-Prostate Soecefic Aa(Blood) $40.99 Weddenaton.Kurt L. HIV-4th Gen Rapid Test(Blood) $25.93 $25.9 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.2d CMP Com Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.9 Wilson Jr. Carlos A. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thrid Stim Hormone Blood 28.01 $28.01 Venbuncture $3.53 Lipid Panel BI 2 Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD H Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Workman,Wall'am J. HIV-4th Gen Ran'd Test(Blood) $95.93 -----j2LU TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC Com Blood Count 20.29 $20.291 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 40.9 Zeller Michael J. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone(Blood) 28.01 $28.01 Venipuncture $3.53- Lipid Panel(Blood) 2 QQQ(Comp B1 od Count) $20.29 $20.291 QMP(Comp Metabofic Panel) $22.41 $22411 07/13/17 Allen John P. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.411 Anderson Kent W. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 ii I I CBC(Comp Blood Count) $20.29 $2029 CIVIP(Como Metabofic Panel) $22.41 $22.41 Andres Jr Victor S. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Th roid Stim Hormone Blood 28.01 28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(ComD Blood Count 20.29 $20.291 CMP(Comp Metabolic Panel 22.41 $22.41 Baskerville Steven M. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone(Blood) 28.01 $28.01 V ni uncture $3.53 $3.53 PanelLipid I Public Safety Medical - INVOICE oo Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr m Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Baskervalle.Steven P. HIV-4th Gen Ran'd Test(Blood) $95.93 $95.93 TSH-Thyroid Stim Hormone Blood 28.01 28.01 Venipuncture $3.53 $3.53 Livid Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.291 CMP Com Metabolic Panel 22.41 $22.41 PSA-Prostate S ecific A Blood 40.99 $40.99 Bowles Orbie H. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture i i n I CBC(Como Blood Count) $20.29 $20.29 QMP(Comp Metabolic Panel) 0,99.41 $22.41 PSA-Prostate Specific A Blood 0.99 $40.99 Brisco Michael D. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.29 CMP Com Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Butts Andrew P. HIV-4th Gen Rar)id Test Blood 25.93 $25.93 TSH-Th i Hormone BI $28.01 $28.01 Ven'ouncture $3.53 $3.53 Upid Panel(Blood) S2382 &2382 CBC(Comp Blood Count 20.29 $20.291 CMP(Comp Metabolic Panel 22.41 $22.41 Ca shave Jeffrey A. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.29 CMP(Como Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A BI $40.99 $40.99 ondra Kyle E. HIV-4th Gen Rapid Tet Blood 25.93 $25.93 TSH-Th i tim Hormone(BI 1 Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 C Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due CBC(Como Blood Count) $20.29 $20.2 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.9 Cromlich Mark A. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Th roid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC Com Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel) 22.41 $22.411 PSA-Pr ifi A BIood) $40.99 $40.9 Dailey. rt A. HIV-4th Gen Rapid T I TSH-Thyroed St'm Hormone(Blood) $28.01 $28.01 Venepuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.821 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 Ellison Christopher M. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 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 SpecificA I $40.99 Graves.Glenn C. HIV-4th Gen Rapid Test(Blood) $25.93 $2593 TSH-Thyco*d St'm Hormone(Blood) $28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.2d CMP(Como Metabolic Panel 22.41 $22.41 Haus Joshua S. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 BC(Comp Blood Count $20.29 20.2 (ComoCIVIP Metabolic Panel) .41 41 Public Safety Medical - INVOICE oo Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 IM o Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Venapuncture $3.53 $3.53 Lipid 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 40.99 $40.99 Hutchison Brian P. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood $23.82 $23.82 CBC(Como Blood Count) 2 $20.291 MP(ComoMetabolic Panel) 4 2.41 TSH-Thyro'd St'rn Hormone(Blood) $28.01 Venipuncture $3.53 3.53 Lipid Panel Blood 23.82 23.82 CBC(Como Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 Johnson Jeremy S. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 B mD Blood Count 20.29 $20.29 CMP(Como Metabolic Panel) .4 2.41 PSA-Prostate Specefic Aa(Blood) $40.99 $40.9 Keaton,Anthony R. HIV-4th Gen Rao'd Test(Blood) $25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 LOW Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.411 PSA-Prostate Specific A Blood 40.99 $40.99 Kelsheimer.Troy W. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Th r i tim Hormone(Blood) 28.01 $28.01 Venipuncture $3.5 3.5 ii I Public Safety Medical - INVOICE H Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD H Denise Snyder, Budget&Accred Mgr m Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due PSA-Prostate Snedfic Aa(Blood) S40.99 $40.9 Marcum Bradley D. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.29 CMP(Como Metabolic Panel 22.41 $22.41 PSA-Prostate S ecific A Blood 40.99 $40.99 Marsh Michael A. HIV-4th Gen Ra id Test(Blood) 25. 3 $25.9 TSH-T r i tim Hormone(Blood) $28.01 $28.01 Venipuncture Lupkd Panel(Blood) $23.82 ___12LU CRC(Como Blood Count) &2029 S20291 CMP(Como Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.9 Martin David D. HIV-4th Gen Rapid Test Blood 25.93 $25.9 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.29 CMP(Como Metabolic Panel 22.41 $22.41 PSA-Prostate Soecific A (Blood) $40. 9 40.99 Martin.Richard A. HI -4th Gen Rapid Test l TSH-Thyro'd Sfim Hormone(Blood) $28.01 $28.01 Venbuncture $3.53 $3-53 Lipid Panel Blood 23.82 $23.82 CBC(Como Blood Count 20.29 $20.29 CMP(Como Metabolic Panel 22.41 $22.411 PSA-Prostate Specific A Blood 40.99 $40.99 Mead David L. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood $23.82 $23.82 CBC(Como Blood Count 20.29 $20.2d MPMetabolic P n I) $22.41 $22.41 Public Safety Medical - INVOICE E°- Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: � Indianapolis, IN 46204 G Carmel Fire Department/CARMEFD F Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Como Metabolic Panel 22.41 $22.411 Mulford David A. HIV-4th Gen Rapid Test Blood 25.93 25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 BC(Comp BICount) GMP-(Comp Metabolic Panel) 22.41 $22.411 PSA-Prostate Specific Ao(Blood) S40.99 S40.99 Plumer.Charles J. HIV-4th Gen Rap'd Test(Blood) $25.93 $95.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.291 CMP(Comp Metabolic Panel 22.41 $22.411 PSA-Prostate Specific A Blood 0.99 $40.99 Reeves Neil P. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid P I CBC(Comr)Blood Count) $20.29 $20291 CMP(Como etabol'c Panel) $22.41 $2241 Rohr Christopher M. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid 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 40.99 $40.99 Ryan.Christopher D. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thrid Stim Hormone Blood 28.01 $28.01 Venipuncture Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: M Indianapolis, IN 46204 o Carmel Fire Department/CARMEFD I Denise Snyder, Budget&Accred Mgr m Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due CMP(Comr)Metabol*c Panel) $22.41 $22.41 PSA-Prostate Specific A Blood 0.99 $40.99 Sombke Brad D. HIV-4th Gen Rapid Test Blood 25.93 $25.93 TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Livid Panel Blood 23.82 23.82 CBC(Comp Blood Count 20.29 20.2 CMP Com Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A (Blood) $40.99 40.99 Steurv.Kent C. HIV-4th Gen Rapid Test BI $25.9 TSH-Th r i ti n BI 1 $28.01 Ven*puncture $3.53 $3.53 1 inirl Panel(Blood) 92382 &23-R2. CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Thordarson Erik M. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Livid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.2 CMP Com Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 40.99 $40.99 Vir it L. IV-4th rZan R i T t 2 TSH-Thyro'd StIm Hormone(Blood) $28.01 $28.01 Veniouncture $3.53 $3.53 Lipid 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 40.99 $40.99 Wendzel Jason D. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Veni uncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 BC Com Blood Cunt) $20.29 $20.2 MP(Comp Metabolic Panel) 22.41 22.41 Youno.Andrew S. HIV-4th Gen Rapid Test I Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 324 E. New York Street Invoice# 00-31011 E Suite 300 Terms: W Indianapolis, IN 46204 C Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr mDsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Up4d Panel(Blood) $23.82 ___jaLU CBC(Comp Blood Count 20.29 $20.29 CMP(Comp Metabolic Panel 22.41 $22.41 Youna.Kevin M. TSH-Thyroid Stim Hormone Blood 28.01 $28.01 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.29 CMP(Como Metabolic Panel 22.41 $22.41 Total Charge -> $17,650.66 Total Payments&Balance Due-> $0.00 $17,650.66 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. n Q -0 « « � o CD 0 0 O S k E \ O \ ° 2 \ / 0 D 7 n { 7 n E X « m w 2 / \ § \ z q / O o ® 2 K o \ M co k 7 k / 7 7 2 c > 2 C: t t/ = q m o m \ § � ) U j CD 7 CD k X CL / k g 0 w 2 < # > -n 0 14 l \ § q m | 7 m - 2 r, ¢ $ 2 = Z Cl) \ i g :3. / \ \ k . 0 7CD ) - 7 i o k ) 3 J 2 7 k 7 C - = ƒ \ } Z ƒ 7 CD 0 k k \ a g m 2Z \ o w § 7 \ g & 7 - k K K ) I ± § / o / kI � 0 f ƒ c7 0.\ \ � m \ ( 0 f \ _ D A \ 7 0 , \ , § � f a CD 0 co 0\ / � § CD / � / 22 0) - CD m R>ii § / {< 17CD } J ƒ O > f_f ( \ ( )o & 2.5: 0 D 6)L7 & & % M & > Go ¥ ¥ E § COD2 « _ - X z ) O / ° a k O f / 0 / cr ) CCD D 0 CD 0 Uff ii � ° a M / § m \ \ ] CD ( ] § ( § \ \ 0 \ C9;2D \ 2 $ CD } m ® \ Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/13/2017 324 E. New York Street Invoice# 00-30966 d 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 17 Kinvon.DavidI -4th Gen Rapid Test l 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 $22.41 06/28/17 Flaming,Anna G. OnMed Program $0.00 $0.00 Respirator/Medical Review $18.74 $18.74 Health Risk Appraisal Motivation 0.00 $0.00 Com rehensive Physical Exam $114.77 $114.771 Waist/Hip Ratio $3.53 $3.53 Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.4 Muscular Strenath Endurancet $30.45 Flexibility Test $11.72 $11.7 Urinalysis-Dipstick $3.53 $3.53 EKG W/Interp $23.42 $23.42 Audiometry 16.40 $16.4 Vision-Acuity 30.45 $30.45 Vital Signs-HT WT BP P R $0.00 $0.00 Foster Johnathan A. OnMed Program $0.00 $0.00 Res irator/Medical Review $18.74 $18.74 Health Risk Appraisal Motivation 0.00 $0.00 Comprehensive Physical Exam $114.77 $114.77 Waist/Hip Ratio $3.53 $3.53 Body F m Muscular Strenath Endurance Test $30.45 Flexibility Test $11.72 $11.7 Urinalysis-Dipstick $3.53 $3.53 EKG W/Interp $23.42 $23.42 Audiometry 16.40 16.4 Vision-Acui 30.45 30.4 Vital Signs-HT WT BP P R 0.00 0.00 Malloy,Katherine E. OnMed Pr ram 0.00 0.00 Res irator/Medical Review 18.74 18.74 Health Rik Appraisal(Motivation) $0.00 . 0 ComprehensivePhysical Exam 114.77 114.77 Ratio Public Safety Medical - INVOICE t°- Public Safety Medical Invoice Date: 07/13/2017 324 E. New York Street Invoice# 00-30966 E Suite 300 w Indianapolis, IN 46204 Terms: o Carmel Police Department/CARMEPD 12 Pat Young m Pyoung@carmel.In.Gov Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount Balance Due Muscular r n th Endurance Test Flexibility Test $11.72 $11.72 Urinalysis-Dipstick $3.53 $3.53 EKG W/Interp $23.42 $23.42 Audiornetry $16.40 $16.40 Vision-Acuity 30.45 $30.45 Vital Si ns-HT WT BP P R $0.00 $0.00 Navarrete Juan OnMed Program $0.00 $0.00 I iTest r/Medical Review 18.74 18.74 k r i I M tiv tion .00 Comprehensive Physical Exam 114.77 114.77 Waist/Hip Imp Analy) $16.40 Treadmill-Submax $179.11 $179.11 Muscular Strength Endurance Test $30.45 $30.4 Flexibility Test $11.72 $11.7 Urinalysis-Dipstick $3.53 $3.53 EKG W/Interp $23.42 $23.42 Audiornetry $16.40 $16.40 Vision-Acuity 30.45 $30.45 Vital Si ns-HT WT BP P R $0.00 $0.00 Snow,Donald C. OnMed Pr r m $0.00 $0.00 Respirator/Medical Review $18.74 $18.74 Health ri COMDrehensive Physical Exam $114.77 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 Urinalysis-Dipstick $3.53 $3.53 EKG W/Interp $23.42 $23.421 Audiornetry $16.40 $16.4d Vision-Acuity .4 .4 Vital Sians-HT WT BPP Public Safety Medical - INVOICE H Public Safety Medical Invoice Date: 07/13/2017 324 E. New York Street Invoice# 00-30966 E Suite 300 X Indianapolis, IN 46204 Terms: 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 Resoirator/Medical Review 1 .74 Health Risk Appraisal Motivation $0.00 $0.00 Com rehensive Physical Exam $114.77 $114.77 Waist/Hi Ratio $3.53 $3.53 Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40 Muscular Strength Endurance Test $30.45 $30.4 Flexibility Test $11.72 $11.72 Urinalysis-Dipstick $3.53 $3.53 EKG W/Inten) $23.42 Audiometry $16.4 16.4 Vision-Acuity 30.45 $30.4 06/30/17 Carter.Nathan A. t r $26.00 Chart Review/Completion $94.85 $94.8 Indiana PERF Exam $213.13 $213.13 Drug Screen 9 +Opiates&Ox codone $46.85 $46.8 Tonometry Glaucoma Test 2.16 $42.16 Urinalysis-Dipstick $3.53 $3.53 EKG W/Inte 23.42 $23.42 Audiometry 16.40 16.4 PFT-PulmonaryFunction Test 38.65 38.6 Vision-Color(Ishihara) 30.45 30.4 Vi i n-Acuity- 30.45 30.4 Vit -HT WT BP P R Venipun ure $3.53 $3.53 Applicant Blood Panel-PERF $134.46 $134.46 Quantiferon-Tb Blood 58.55 $58.5 Chest X-Ray-PA/LAT(Digital) 70.26 $70.26 Total Charges-> $2,799.11 Total Payments&Balance Due-> $0.001 $2,799.11 Public Safety Medical - INVOICE ~ Public Safety Medical Invoice Date: 07/13/2017 324 E. New York Street Invoice# 00-30966 E Suite 300 Terms: r' W Indianapolis, IN 46204 o Carmel Police Department/CARMEPD Pat Young mPyoung@carmel.In.Gov Exclusively Serving Public Safety Professionals Since 1990. Date Employee Description Amount I Balance Due 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. Public Safety Medical - INVOICE F Public Safety Medical Invoice Date: 07/19/2017 i 324 E. New York Street Invoice# 00-31012 E Suite 300 Terms: W 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 07/05/17 Snow,Donald C. Fitness (Initial)Level 2 2 $200.93 07/13/17 Babczak Brian M. HIV-4th Gen Rapid Test Blood $25.93 $25.93 Veni uncture $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 Batic Zachary J. HIV-4th Gen Rapid Test Blood 25.93 $25.93 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 UBom Blood Count $20.29 20.2 m Metabolic Panel 22.41 22.41 B m Timothy L. n Rapid Test BI Venipuncture $3.53 $3.53 nel Blood $23.82 $23.82 CBC(Comp Blood Count 20.29 t$22.41 CMP Com Metabolic Panel 22.41PSA-Prostate S cific A Blood 0.99 Gerdt Andrew P. HIV-4th Gen Ra id Test Blood 25.93 Veni uncture $3.53 $3.53 Lipid 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. 0. Livinaston(Formally HarriHIV-4h GenRapid I Venipuncture Li id Panel Blood 23.82M$3..53 CBC Com Blood Count 20.29 CMP Com Metabolic Panel 22.41 L le Blake A. HIV-4th Gen Rapid Test Blood 25.93 Venipuncture 3.53 Lipid Panel Blood 23.82U22-.4 CBC Com Blood Count 20.29 CMP Com Metabolic Panel 22.41Mabi Mich el L. HIV-4th Gen Ra id T t BI d 2 .9 Venipuncture $3.53 Upid Panel Public Safety Medical - INVOICE o Public Safety Medical Invoice Date: 07/19/2017 �. 324 E. New York Street Invoice# 00-31012 CD 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 (ComoCMP Metabolic Panel) 22.41 $22.41 PSA-Prostate Specific A Blood $40.99 $40.9 McIntyre,Trent A. HIV-4th Gen Rapid Test Blood 25.93 25.93 Venipuncture $3.53 $3.53 Li id Panel Blood 23.82 $23.82 CBC(Comp Blood Count 20.29 $20.2 CMP(Comy Metabolic Panel 22.41 $22.41 PSA-Prostate Specific A Blood 0.99 $40.99 Morrow Scott A. HIV-4th Gen Rapid Test Blood 25.93 $25.931 Venipuncture $3.53 $3.53 Lipid Panel Blood 23.82 $23.82 (ComoQBQ Blood Count) $20.29 P Metabolic Panel) $22.41 $22.41 Vanderbeck David R. HIV-4th Gen Rapid Test Blood $25.93 $25.93 Veni uncture titi$22.41 3.53 Lipid Panel Blood 23.8 CBC Com Blood Count 20.2 CMP Com Metabolic Panel PSA-Prostate S cific A Blood 0.9 Total Charges->1 $1,365.68 Total Payments&Balance Due->1 $0.001 $1,365.68 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.