HomeMy WebLinkAbout316473 09/26/17 9,�a m.p��MF
CITY OF CARMEL, INDIANA VENDOR: 00350364
® ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: S*****5,439.39*
4j rq CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 316473
_, bN. INDIANAPOLIS IN 46204 CHECK DATE: 09/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100018 0031303 95.98 OFFICER PHYSICALS
1110 4340701 100018 0031350 5,343.41 OFFICER PHYSICALS
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Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 09/13/2017
324 E. New York Street Invoice# 00-31350
E Suite 300
Indianapolis, IN 46204 Terms:
c Carmel Police Department/CARMEPD
H Tgreen@carmel.In.Gov (SS)
mPyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
H Ih I(Motivation) $0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Bodv Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.45
Flexibility Test $11.72 $11.72
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 16.40
Vision-Acuity .4 3 A
Vital Sin -HT WT BP P R $0.00 $0.001
Total Charges->",343.41
Total Payments&Balance Due-> $0.001 $5,343.41
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
Michelle McClure at 317-964-2364.
Public Safety Medical - INVOICE
j2 Public Safety Medical Invoice Date: 09/13/2017
324 E. New York Street Invoice# 00-31350
m Suite 300 Terms:
1z Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
H Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount BalanceDue
09/06/17 Amos.Chad -BIA(Bio-Elec Imp1 $16.4
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.4
Flexibility Test $11.72 $11.72
Urinalysis-Di stick $3.53 $3.531
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.4
Vision-Acuity 30.45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
OnMed-Proaram $0.00
Respirator/Medical R vi w $18.74 $18.74
Health Risk r ' (Motivation)
Hemoccult $0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Babczak Brian M. 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 $114.77
Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $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
EKG W/Interp $23.42 4
Audiometry 1
Vision-Acuity 30.45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
Batic Zachary J. OnMed Program $0.00 $0.00
Res irator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation 0.00 $0.00
Com rehensive Physical Exam $114.77 $114.77
Bodv Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Strenath Endurance Tet $30.45 $30.4
Flexibility Test $11.72 $11.7
i
Public Safety Medical - INVOICE
0 Public Safety Medical Invoice Date: 09/13/2017
324 E. New York Street Invoice# 00-31350
m Suite 300 Terms:
X Indianapolis, IN 46204
c Carmel Police Department/CARMEPD
H Tgreen@carmel.In.Gov (SS)
mPyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Audiometry 1
Vision-Acuity $30.45 $30.4
Vital Si ns-HT WT BP P R $0.00 $0.00
Waist/Hi Ratio $3.53 $3.53
Broadnax Matthew L. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.74
Health Risk raisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Bodv Fat Test-BIA Bio-Elec Im Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Str n th Endurance Test $30.45 $30.4
Flexibility Test $11.72 11.
Urinalysis-Dipstick
EKG W/Interp $23.42 $23.4
Audiometry 16.40 $16.40
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 0.00
Dewald Gregory S. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Body Fat Test-BIA(Bio-Elec Imp Anal $16.40 1 .4
Treadmill-Submax $179.11 $179.111
Muscul r Strenath Endurance Test $30.45 $30.4
Flexibility Test $11.7 11.
Urinal sis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.4
Audiometry 16.40 $16.40
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
GossettLucas A. OnMed Program $0.00 $0.00
Res irator/Medical Review $18.74 $18.74
Health Risk Aporaisal Motivation 0.00 $0.00
Comprehensive Ph i l Exam $114.77 $114.771
Body Fat Test-BIA(Bio-Elec Imp Anal $16.40 1 .40
Treadmill- m x $179.111
Public Safety Medical - INVOICE
12 Public Safety Medical Invoice Date: 09/13/2017
324 E. New York Street Invoice# 00-31350
E Suite 300 Terms:
IX Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
�- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Body Fat t-BIA Bi - Iy) $16.40 $16.4
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.4
Flexibility Test $11.72 $11.72
Urinal sis-Di stick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.4
Vision-Acuity 30.45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
McIntyre,Trent A. OnMed Pr ram $0.00 $0.00
Respirator/Medical R vi w $18.74 $18.74
Health Risk Appraisal
Comprehensive Physical m $114.77 $114.77
Body Fat Test-BIA Bio-Elec Imp Anal $16.40 $16.4
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.4
Flexibility Test $11.72 $11.72
Urinalysis-Dipstick $3.53 $3.531
EKG W/Inte 23.423$30.45
Audiometry16.40
Vision-Acuity30.45Vit I ins-HT WT BP P R 0. 0
Morrow Scott A. OnMed Pr r m 0. 0
Respirator/Medical Rev $18.74
AppraisalHealth Risk (Motivation
Comprehensive Physical Exam $114.77 $114.77
Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill-Submax 179.11 179.11
Muscular Strength Endurance Test 30.45 30.4
FlexibilityTest 11.72 11.72
Urinalysis-Dipstick 3.53 3.53
EKG W/Inte 23.42=230
3.42 23.42
Audiometry1$16.40 16.40
Vision-A ui 45 .4Vital ins-HT WT BP P R 00
Jamie N. OnMed Proaram
Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 09/13/2017
324 E. New York Street Invoice# 00-31350
E Suite 300
M Indianapolis, IN 46204 Terms:
C Carmel Police Department/CARMEPD
Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Flexibility Test $11.72 $11.7
Urinal sis-Di stick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
Vision-Acuity 30.45 $30.45
Vital Si ns-HT WT BP P R $0.00 0.00
Hams Robert P. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 18.74
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill- x $179.11 $179.11
Muscular Strenuth Endurance
Flexibility Test $11.72 $11.7
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.4
Audiometry 16.40 $16.40
Vision-Acuity 30.45 $30.45
Vital Si ns-HT WT BP P R $0.00 0.00
Hedrick Brad A. OnMed Program $0.00 0.00
Res irator/Medical Review $18.74 18.74
Health Rik Appraisal(Motivation)
Hemoccult 0.0 0.00
COMDrehensive Physical Exam $114.77 $114.77
I $16.40 .4
Treadmill-Submax 179.11 179.11
Muscular Stren th Endurance Test 30.45 30.4
Flexibili Test $11.72 $11.72
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
Vision-Acuity 30.45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
Locke,Robert E. OnMed Pr ram
ResDirator/Medical Review 1 .74 $18.74,
Health Risk isal(Motivati
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Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 09/08/2017
324 E. New York Street Invoice# 00-31303
E Suite 300 Terms:
Indianapolis,IN 46204
o Carmel Police Department/CARMEPD
H Tgreen@carmel.In.Gov (SS)
mPyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
08/28/17 Zellers.Nancy L. HI -4th Gen Rapid Test l
Venipuncture $3.53 $3.53
Lipid Panel Blood 23.82 $23.8
CBC(Comp Blood Count 20.29 $20.2
CMP(Comp Metabolic Panel 22.41 $22.41
Total Charges-> $95.98
Total Payments&Balance Due->1 $0.00 $95.98
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
Michelle McClure at 317-964-2364.