315520 08/30/17 (9)
CITY OF CARMEL, INDIANA VENDOR: 00350364ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICESCHECK AMOUNT: S*******946.86*CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 315520
INDIANAPOLIS IN 46204 CHECK DATE: 08/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100018 1131120 946.86 OFFICER PHYSICALS
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Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 08/10/2017
324 E. New York Street Invoice# 00-31120
E Suite 300 Terms:
W Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
II- Pat Young
m Pyoung@carmel.In.Gov
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
07/31/17 illm n R. Scott HIV-4th Gen Raoid Test(Blood) 25.93 $25.93
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 $22.411
PSA-Prostate Specific A Blood 40.99 $40.9
08/04/17 GossettLucas A. HIV-4th Gen Rapid Test Blood 25.93 $25.93
Venipuncture $3.53 $3.53
Li id Panel Blood 23.82 $23.8
CBC(Como Blood Count 20.29 $20.29
CMP(Como Metabolic Panel 22.41 $22.41
Haymaker.William E. Venipuncture $3.63
Lipid Panel(Blood) 23.82 $23.82
CBC(Como Blood Count $20.29 $20.2
CMP(Como Metabolic Panel $22.41 $22.41
PSA-Prostate Specific A Blood 40.99 $40.99
Lovitt Richard A. HIV-4th Gen Rapid Test Blood 25.93 $25.9
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 $22.411
PSA-Prostate Specific A Blood 40.99 $40.9
Matthews Daniel M. HIV-4th Gen Rapid Test Blood 25.93 $25.93
Venipuncture $3.53 $3.53
Lioid Panel(Blood) 22 $23.82
CBC(Como Blood Count $20.29 $20.2
CMP(Como Metabolic Panel 22.41 $22.41
PSA-Prostate Specific A Blood 40.99 $40.9
Morris James D. HIV-4th Gen Rapid Test Blood 25.93 $25.9
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 $22.411
Rodriguez,Cristhian R. HIV-4th Gen Ra id Test Blood 25.93 25.93
Veni uncture $3.53 3.53
Li id Panel BI $23.82 23.82
Blood1 CBC(Como 2
Public Safety Medical - INVOICE
F Public Safety Medical Invoice Date: 08/10/2017
324 E. New York Street Invoice# 00-31120
E Suite 300
Indianapolis, IN 46204 Terms:
C Carmel Police Department/CARMEPD
F— Pat Young
m Pyoung@carmel.In.Gov
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
MP(Como Metabolic Panel 22.41 $22.41
Rush,Michael T. HIV-4th Gen Rapid Test Blood $25.93 $25.93
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
PSA-Prostate Specific A Blood 40.99 $40.9
Total Charges-> $946.86
Total Payments&Balance Due-> $0.00 $946.86
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.