HomeMy WebLinkAbout315629 8/30/2017 �' �f� CITY OF CARMEL, INDIANA VENDOR: 360209
`'� � ST VINCENT HOSPITAL CHECK AMOUNT: $k 1 N k t 1,062.79`
ONE CIVIC SQUARE
_�; CARMEL, INDIANA 46032 ATTN:CAROLYN TERRY ACCT.RPTNG CHECK NUMBER: 315629
10330 N MERIDIAN ST SUITE 430 CHECK DATE: 08/30/17
_�yiroN, INDIANAPOLIS IN 46290
DEPARTMENT ACCOUNT PO NUMBERINVOICE NUMBER AMOUNT DESCRIPTSPECIAL DEPTON
SUPPLIES
102 4239011 13983 1,062.79
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St. Vincent Hosp &Healthcare Center, Inc. Invoice
Attn: Kristine Brown, Acct Rptg
10330 N. Meridian St., Suite 430 North DATE INVOICE#
Indianapolis, IN 46290-1024 8/15/2017 13983
BILL TO
Carmel Fire EMS
Attn: Denise Snyder
2 Carmel Civic Square
Carmel, IN 46032
TERMS
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased July 2017
Medical Supplies July 422.45
Drugs Transferred July 640.34
46029-160085-65100. Please note invoice number Total $19062.79
that you are paying on check/stub. Thank you!
Inquiries: Kristine Brown Payments/Credits $0.00
Kristine.Brown@ascension.org Balance Due $1,062.79
Depatmental Transfer of Supplies date submissed 07/16/17
Requesting Department: Carmel Fire Dept Supplying Department ER Jul-17
Cost Center Cost Center 27230
QUANTITY UNIT COST TOTAL COST
Alcohol preps 10 $0.25 $2.50
Angiocath 14 $1.58 $0.00
Angiocath 16 $1.56 $0.00
Angiocath 18g 27 $1.50 $40.50
An iocath 20g 32 $1.50 $48.00
Angiocath 20 1.88 per box $95.00 $0.00
Angiocath 22g 17 $1.50 $25.50
Angiocath 24g 7 $1.55 $10.85
Bandaids
Basin kidney shaped $0.08 $0.00
Basin round $0.31 $0.00
Ca no-Line Sampling ETCO2 Smart Ped per bx $253.00 $0.00
Ca no-Circuit Nasal with Tubing Adult per cs $312.50 $0.00
Ca no-Circuit Nasal with Tubing Adult per cs 100 $940.00 $0.00
Ca no-St filter lin Adlt/ ed 1 case $356.30 $0.00
Coban 1'Roll ea $1.75 $0.00
Cold paks 18 $0.57 $10.26
Drill Driver Power EZ-10 $295.00 $0.00
EKG Electrodes $3.12 $0.00
Emesis Bas(perpack) $11.52 $0.00
EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00
EZ-10 Power Driver $295.00 $0.00
Foam-Quikcare 1 $2.67 $2.67
Guaze, 2 x 2 Cotton bail $1.88 $0.00
Guaze,2 X 2 Sterile 1 $0.02 $0.02
Gauze 4 X 3 sponge(per box $1.24 $0.00
Gauze 4 x 4 tub 13 $0.32 $4.16
Gauze Kerlex 6 $0.67 $4.02
Gloves-Med $10.35 $0.00
Gloves-Lar a $10.35 $0.00
Gloves-Xlar a $10.35 $0.00
IV Adapter, Luerlock 60 $0.15 $9.00
IV Dial a flow $3.15 $0.00
IV Extension 19" $1.91 $0.00
IV Lock with Ext 40 $1.87 $74.80
IV Start Kits ea 25 $2.88 $72.00
IV Start Kits Sobraview 100/bx) 2.661 $0.00
IV Tubing 10 tt $1.17 $0.00
Kleenex $0.19 $0.00
KY Pkt $0.10 $0.00
Kerlix 4.5"x6ply $0.73 $0.00
Lancets per box 1 $57.78 $57.78
Largyngscope Blades Stat 3 box $180.50 $0.00
Larqyngscope Blades Stat 4 box $135.74 $0.00
Microdot Xtra Test Strips $29.98 $0.00
Microdot Xtra Control Solutions $12.00 $0.00
Normal Saline 1000 cc bags/ca $9.48 $0.00
Pulse Ox,Adult 5.181 $0.00
Pulse Ox, Peds $5.17 $0.00
Razor, dis oseable $0.12 $0.00
Sca el#11 $1.30 $0.00
Sharps Container $4.59 $0.00
Sterile H2O bottle $0.71 $0.00
Suction Canister&to $3.26 $0.00
Suture Kit 1 $1.09 $0.00
SYR Hypo w/needle $0.25 $0.00
Syringe w/Needle 1 ml 6 $0.07 $0.42
Syringe w/Needle 3 ml $0.05 $0.00
S rin a w/Needle 3 ml per case $35.76 $0.00
Syringe w/Needle 5ml $0.10 $0.00
Syringe w/Needle 5ml 1 case $69.30 $0.00
Syringe w/Needle 10 ml $0.12 $0.00
Syringe 20ml 4 $0.16 $0.64
S rin a 30ml $0.421 $0.00
S rin e w Saline 3ml $0.28 $0.00
Syringe w/Saline10ml $0.32 $0.00
10 ml saline vials(per box 2 $9.63 $19.26
Tape 2"-(-6 rolls/box $1.00 $0.00
Tae 1" 5 $0.50 $2.50
Tape 2"cloth adh 9 $1.29 $11.61
Tape Trans ore 1/2" $1.28 $0.00
TB ET Cuffed Rediture $1.80 $0.00
Warm paks 2 $1.46 $2.92
Wound Cleanser $5.04 $0.00
Suction Canister&to $3.26 $0.00
Yankauers $0.34 $0.00
Ambu Ba w/mask-Adult $14.63 $0.00
Ambu Ba w/mask-Adult cs/10 $86.38 $0.00
Ambu Ba w/mask-Peds cs/10 $126.00 $0.00
Ambu Ba w/mask-Infant cs/10 $16.00 $0.00
CPAP Flow-Safe!! Ez $443.95 $0.00
CPAP mask-1 case/10 $480.00 $0.00
CPAP Adapter Tee Valve $41.20 $0.00
LQ Bitrac Full Face Mask $29.00 $0.00
ET Tube S leTe- $0.00
Wipes Disenfect 2 $11.52 $23.04
Grand Total $422.45
Approved by date
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