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HomeMy WebLinkAbout315253 8/29/2017 4� `',yR ,, . CITY OF CARMEL, INDIANA VENDOR: COMM AMOUNT: S`""""'611.00• ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH CHECK "'- 7169 SOLUTION CENTER CHECK NUMBER: 315253 =q; CARMEL, INDIANA 46032 CHICAGO IL 60677-7001 CHECK DATE: 08/29/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 497751 282.00 MEDICAL FEES 1125 4340700 497751 47.00 MEDICAL FEES 1081 4340700 499142 282.00 MEDICAL FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 355031 Community Occupational Health Services Terms 7169 Solution Center Chicago, IL 60677-7001 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 8/2/17 497751 Pre-Employment Drug Testing 50275 $ 282.00 8/2/17 497751 Pre-Employment Drug Testing 50275 $ 47.00 8/16/17 499142 Pre-Employment Drug Testing 50274 $ 282.00 Total $ 611.00 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20_ Clerk-Treasurer Community Occupational Health Svs ' 7169 Solution Center Chicago, IL 60677-7001 R vE D Phone: 317-621-0341 FEIN: 35-1955223 AUG Q 7 1011 BY: Invoice August 02, 2017 Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 07/17 1411 E. 116th St. Carmel, IN 46032- _ Invoice# 497751 Proc Code Date Description Qty Charge Recei t Adjust Balance 746404 07/27/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Nathan Chandler Balance Due: 47.00 746404 07/12/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Crystal L George Balance Due: 47.00 .......___._..._____ 746404 05/12/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Cody M McCollum Balance Due: 47.00 746404 07/18/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Stephfonique Seymour Balance Due: 47.00 746404 07/29/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Kaman C States Balance Due: 47.00 746404 07/12/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 shyniqua Thompson Balance Due: 47.00 746404 07/12/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 emily utz Balance Due: 47.00 Invoice# 497751 Balance Due: 329.00 Please remit payment promptly �.7 Cut and return with payment Community Occupational Health Svs 7169 Solution Center Chicago, IL 60677-7001 Phone: 317-621-0341 FEIN: 35-1955223 AUG 2 1 2017 i BY:.. Invoice August 16, 2017 Bill to: Lynn Russell For: Carmel Clay Parks & Recreation Carmel Clay Parks & Recreation 08/17 1411 E. 116th St. Carmel, IN 46032- ��� Invoice# 499142 Proc Code ICD Date Description QtV Charge Receipt Adjust Balance 746404 08/08/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 anna Konig Balance Due: 47.00 746404 1) 06/12/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 S93.402A 2) W10.1XX A Melissa Liebner Balance Due: 47.00 746404 08/09/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Jessica Moore Balance Due: 47.00 746404 08/08/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Natalie Over Balance Due: 47.00 746404 08/03/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Megan C Smith Balance Due: 47.00 746404 08/03/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Logan K Stearns Balance Due: 47.00 Invoice# 499142 Balance Due: 282.00 Please remit payment promptly Cut and return with payment Or