317671 10/19/17 u,c�NM
CITY OF CARMEL, INDIANA VENDOR: 00350364
ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: S*****8,769.06*
? CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 317671
INDIANAPOLIS IN 46204 CHECK DATE: 10/19/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100018 00-31469 8,769.06 OFFICER PHYSICALS
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Public Safety Medical - INVOICE
F Public Safety Medical Invoice Date: 10/05/2017 J
324 E.New York Street Invoice# 00-31469
Suite 300 Terms:
Indianapolis, IN 46204 1
c Carmel Police Department/CARMEPD
F- Tgreen@carmel.In.Gov (SS)
M Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
-Comprehensive I Exam $114.77 $114.77
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec IMD 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 $23.4
Audiornetry $16.40 $16.4
PFT-Pulmonary Function Test
Vision-Acuity 30.45 $30.4d
Vital Signs-HT WT BP P R 1 $0,00 Q 001
Total Char es->1 $8,769.06
Total Payments&Balance Due->1 $0.001 $8,769.06
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
0 Public Safety Medical Invoice Date: 10/05/2017
324 E.New York Street Invoice# 00-31469
d Suite 300 Terms:
lY Indianapolis,IN 46204
C Carmel Police Department/CARMEPD
I- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Dunlap,09128/17 Christopher T. OnMed Proaram
Respirator/Medical Review $18.74 $18.7
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.4
Treadmill-Submax 179.11 $179.11
Muscular Strenoth Endurance Test $30.45 $30.4
Flexibility Te t $11.72 $11.70
Urinalysis-Di stick 3.53
EKG /Interp $23.42
Audio etry 4
PFT-.P m
Vision-Acuity 30.45 $30.4
Vital Si ns-HT WT BP P R $0.00 $0.00
Gerdt Andrew P. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation) $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 3.53
Body-Fat T IA(Bio-Elec ImpAnal 16.40 $16.4
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.4
Flexibility
EKG W/Interp $23.42 $23.42
Audiometry $16.40 $16.4
PFT-Pulmonary Function Test $38.65 $38.6
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R 0.00 0.00
Grose James E. 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
Waist/Hip Ratio 3.53 $3.53
F IA(Bio-Elec Imp Analvl $16.4016.4
Treadmill-Submax $17Q 11 $179.11
Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 10/05/2017
324 E. New York Street Invoice# 00-31469
4) 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 9990.
Date Employee Description Amount Balance Due
Muscular Strenoth Endurance Test
Flexibility Test $11.72 $11.72
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
38PFT-PulmonaryFunction Test 0.65 38.6
Vision-Acuity VI
0_0
00
0.00 0.00
0.0
Haymaker.William E. nM d Program
r i al Review
.74 18.74 Appraisal Motivation 0.00 $0.00
Hemoccult $0.00 $0.0
-Comprehensive h si I Ex
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Imp Anal $16.40 $16.4
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.45
Flexibility Test $11.72 $11.72
Urinalysis-Dipstick $3.53 $3.53
EKG W/Inte 23.42 $23.42
Audiometry 6.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.65
Vision-Acuity 30.45 $30.4
Vital Sions-HT WT BPPR $0.00 so.00l
Richard M r
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation $0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 3.53
Body Fat Test-BIA Bio-Elec ImpAnal 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 12342
Audiometry 16.40 16.4
PF -
Public Safety Medical - INVOICE
I°- Public Safety Medical Invoice Date: 10/05/2017 J
& 324 E. New York Street Invoice# 00-31469
CD Suite 300 Terms:
W Indianapolis, IN 46204 1
G Carmel Police Department/CARMEPD
F- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.1n.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Vision-Acuity $30.45 4
Vital Signs-HT WT BP P R $0.00 $0.00
LvUe.Blake A. 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
Waist/Hi Ratio $3.53 $3.53
Body-Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.4
Treadmill-Subm x $179.11 179.11
-M-uscular Strenoth Endurance Test $30.45 $30.451
-Flex-ibility Test $11.72 S11.7
Urinalysis Dipstick
g30.45
Audiometry
$16.40
PFT-PulmonaryFunction Test $38.65
Vision-Acuity $30.45Vital Si ns-HT WT BP P R 0.00
Matthews Daniel M. 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
s ip Ratio $3,53 $3.53
Bodv Fat Test-BIA(Bio-Elec Imp Anal $16.40 16.40
Tr ill-Submax 9179.11 $179.11
r Test $30.45 $30.45
Flexibility Test $11.72 $11.7
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
PFT-PulmonarV Function Test $38.65 $38.65
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
Morris James D. OnMed Program $0.00 $0.00
Respirator/Medical R iew 18.74 $18.7
Health Risk A raisal Motivation 0.00 $0.001
Comprehensive Physical Exam 114.77 $114.771
Ratio
Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 10/05/2017 !
= 324 E. New York Street Invoice# 00-31469
Suite 300 Terms:
Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
f- 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- i - $16.4
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
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.6
Vision Acuity 30.45 $30.45
Vital Si ns-HT WT BP P R $0.000.00
Rush,Michael T OnMed Proaram $0.00 $0.00
Resdrator/Medical Review 1 .74 $18.74
Health Rsk Appraisal(Motivation) $0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 $3.53
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 $11.721
Urinalysis-Dipstick $3.53 $3.531
EKG W/Inter 23.42 $23.42
Audiometry $16.40 16.4
PFT-Pulmonary Function Test $38.65
Vision-Acuity 3 .4
-AtaLSions-HT WT BP PR
Semester.James S. 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
Waist/Hi Ratio $3.53 3.53
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 T 11.72 $11,72
Urinalysis-Dipstick
KG W/Interp $23.42 $23.42
Audiometry 1 A.An T16.4
Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 10/05/2017 +
324 E. New York Street Invoice# 00-31469
0i Suite 300 Terms: r
W Indianapolis, IN 46204 1
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
PFT-Pulmonary Function Test
Vision-Acuity $30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
09/29/17 B me Timothy L. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 18.7
Health Risk Appraisal Motivation 0.00 0.00
Comprehensive Physical Exam 114.77 114.77
Waist/Hi Ratio 3.53 3.53
BodyFat Test-BIA Bio-Elec Im Anal 16.40 16.4
Treadmill-Submax $179.11 $179.11
Muscular Stren th Endurance Test
Flexibility Tet $11.72 $11.7
Urinalysis-Dipstick
EKG W/Interp $23.42 $23.4
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 Y$30.45
Vision-Acuity30.45Vital Si ns-HT WT BP P R 0.00 Cash II Steven H. OnMed Pro ram 0.00 Res irator/Medical Review 18.74
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 114.77
WalslJft Ratio 3.53 $3.53
Body Fat Test BIA(Bio-Elec Imp4
Treadmill-Submax $179.11 $179.11
Muscular Stren th Endurance Test $30.45 $30.4
Flexibility Test $11.72 $11.72
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.4
Audiornetry $16.40 $16.4
PFT-Pulmonary Function Test $38.65 $38.65
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
Kin on David M. OnMed Program $0.00 $0.00
Res irator/Medical Review 18.74 $18.74
Healthrais I(Motivation .00 0. 0
CornDrehensive Physical Exam $114.77 1
Public Safety Medical - INVOICE
lo- Public Safety Medical Invoice Date: 10/05/2017
324 E. New York Street Invoice# 00-31469
Suite 300 Terms: �•--
Indianapolis,IN 46204 I
G Carmel Police Department/CARMEPD
t- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Waist/Hai)Ratio 3.53 S3.5
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 $11.7
Urinalysis-Dipstick $3.53 $3,53
EKG W/Interp $23.42 23.4
Audiornetry $16.40 16.4
PFT-Pulmonary Function Test $38.65 38.6
Vision-Acuity $30.45 $30.4
Vital Si ns-HT WT BP P R 0.00 0.00
(Formally Harris), m $0.00 $0.00
Res[Arator/Medical Review $18.74 $18.7
Health Risk Appraisal Motivation $0.00 $0.00
Comprehensive 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
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.45
Flexibility Test $11.72 $11.7
Urinalysis-Di stick $3.53 $3.53
EKG W Interp $23.4223.4
Audiometry 16.40 $16.
PFT-Pulmonary Tet $38.65 $38.6
Vision- .45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
Mabie Michael L. 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
Waist/Hip Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Strenoth Endurance Test $30.45 $30.45
Flexibility Test $11.72 $11.7
Urinalysis-Dipstick $3.53 $3.53
EK W InterInterp 23.42 $23.42
Public Safety Medical - INVOICE
H Public Safety Medical Invoice Date: 10/05/2017 J
.• 324 E. New York Street Invoice# 00-31469
E Suite 300 -
tY Indianapolis, IN 46204 Terms:
C Carmel Police Department/CARMEPD
F- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Audiometly $16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.6
Vision-Acuity 30.45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
Pitman Michael A. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.7
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 $3.53
Body Fat Test- I i - Im Anal $16.40 $16.40
Treadmill- $179.11 $179.11
Muscular Strenath Endurance Tet $30.45 $30.4
Flexibility Te $11.72 11 7
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.6
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
Schmidt Brian E. OnMed Program $0.00 $0.00
Res irator/Medical Review $18.74 18.7
Health Rik Appraisal Motivation) $0.00
r hen ive Physical Exam $114.77 $114.77
Waist/Hip Ratio $3.53
Body Fat Test-BIA(Bio-Elec Imp Analy) 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 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.65
Vision-Acuity 30.45 $30.45
it I n -HT WTBPPR $0.00 $0.00
Spillman,R. Scott OnMed Program $0.00
R s it for/Medical Review $18.74 $18.74
Health RiskAppraisal i
u,c�NM
CITY OF CARMEL, INDIANA VENDOR: 00350364
ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: S*****8,769.06*
? CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 317671
INDIANAPOLIS IN 46204 CHECK DATE: 10/19/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100018 00-31469 8,769.06 OFFICER PHYSICALS
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Public Safety Medical - INVOICE
F Public Safety Medical Invoice Date: 10/05/2017 J
324 E.New York Street Invoice# 00-31469
Suite 300 Terms:
Indianapolis, IN 46204 1
c Carmel Police Department/CARMEPD
F- Tgreen@carmel.In.Gov (SS)
M Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
-Comprehensive I Exam $114.77 $114.77
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec IMD 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 $23.4
Audiornetry $16.40 $16.4
PFT-Pulmonary Function Test
Vision-Acuity 30.45 $30.4d
Vital Signs-HT WT BP P R 1 $0,00 Q 001
Total Char es->1 $8,769.06
Total Payments&Balance Due->1 $0.001 $8,769.06
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
0 Public Safety Medical Invoice Date: 10/05/2017
324 E.New York Street Invoice# 00-31469
d Suite 300 Terms:
lY Indianapolis,IN 46204
C Carmel Police Department/CARMEPD
I- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Dunlap,09128/17 Christopher T. OnMed Proaram
Respirator/Medical Review $18.74 $18.7
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.4
Treadmill-Submax 179.11 $179.11
Muscular Strenoth Endurance Test $30.45 $30.4
Flexibility Te t $11.72 $11.70
Urinalysis-Di stick 3.53
EKG /Interp $23.42
Audio etry 4
PFT-.P m
Vision-Acuity 30.45 $30.4
Vital Si ns-HT WT BP P R $0.00 $0.00
Gerdt Andrew P. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation) $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 3.53
Body-Fat T IA(Bio-Elec ImpAnal 16.40 $16.4
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.4
Flexibility
EKG W/Interp $23.42 $23.42
Audiometry $16.40 $16.4
PFT-Pulmonary Function Test $38.65 $38.6
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R 0.00 0.00
Grose James E. 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
Waist/Hip Ratio 3.53 $3.53
F IA(Bio-Elec Imp Analvl $16.4016.4
Treadmill-Submax $17Q 11 $179.11
Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 10/05/2017
324 E. New York Street Invoice# 00-31469
4) 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 9990.
Date Employee Description Amount Balance Due
Muscular Strenoth Endurance Test
Flexibility Test $11.72 $11.72
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
38PFT-PulmonaryFunction Test 0.65 38.6
Vision-Acuity VI
0_0
00
0.00 0.00
0.0
Haymaker.William E. nM d Program
r i al Review
.74 18.74 Appraisal Motivation 0.00 $0.00
Hemoccult $0.00 $0.0
-Comprehensive h si I Ex
Waist/Hi Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Imp Anal $16.40 $16.4
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.45
Flexibility Test $11.72 $11.72
Urinalysis-Dipstick $3.53 $3.53
EKG W/Inte 23.42 $23.42
Audiometry 6.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.65
Vision-Acuity 30.45 $30.4
Vital Sions-HT WT BPPR $0.00 so.00l
Richard M r
Respirator/Medical Review $18.74 $18.74
Health Risk Appraisal Motivation $0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 3.53
Body Fat Test-BIA Bio-Elec ImpAnal 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 12342
Audiometry 16.40 16.4
PF -
Public Safety Medical - INVOICE
I°- Public Safety Medical Invoice Date: 10/05/2017 J
& 324 E. New York Street Invoice# 00-31469
CD Suite 300 Terms:
W Indianapolis, IN 46204 1
G Carmel Police Department/CARMEPD
F- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.1n.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Vision-Acuity $30.45 4
Vital Signs-HT WT BP P R $0.00 $0.00
LvUe.Blake A. 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
Waist/Hi Ratio $3.53 $3.53
Body-Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.4
Treadmill-Subm x $179.11 179.11
-M-uscular Strenoth Endurance Test $30.45 $30.451
-Flex-ibility Test $11.72 S11.7
Urinalysis Dipstick
g30.45
Audiometry
$16.40
PFT-PulmonaryFunction Test $38.65
Vision-Acuity $30.45Vital Si ns-HT WT BP P R 0.00
Matthews Daniel M. 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
s ip Ratio $3,53 $3.53
Bodv Fat Test-BIA(Bio-Elec Imp Anal $16.40 16.40
Tr ill-Submax 9179.11 $179.11
r Test $30.45 $30.45
Flexibility Test $11.72 $11.7
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
PFT-PulmonarV Function Test $38.65 $38.65
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
Morris James D. OnMed Program $0.00 $0.00
Respirator/Medical R iew 18.74 $18.7
Health Risk A raisal Motivation 0.00 $0.001
Comprehensive Physical Exam 114.77 $114.771
Ratio
Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 10/05/2017 !
= 324 E. New York Street Invoice# 00-31469
Suite 300 Terms:
Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
f- 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- i - $16.4
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
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.6
Vision Acuity 30.45 $30.45
Vital Si ns-HT WT BP P R $0.000.00
Rush,Michael T OnMed Proaram $0.00 $0.00
Resdrator/Medical Review 1 .74 $18.74
Health Rsk Appraisal(Motivation) $0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 $3.53
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 $11.721
Urinalysis-Dipstick $3.53 $3.531
EKG W/Inter 23.42 $23.42
Audiometry $16.40 16.4
PFT-Pulmonary Function Test $38.65
Vision-Acuity 3 .4
-AtaLSions-HT WT BP PR
Semester.James S. 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
Waist/Hi Ratio $3.53 3.53
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 T 11.72 $11,72
Urinalysis-Dipstick
KG W/Interp $23.42 $23.42
Audiometry 1 A.An T16.4
Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 10/05/2017 +
324 E. New York Street Invoice# 00-31469
0i Suite 300 Terms: r
W Indianapolis, IN 46204 1
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
PFT-Pulmonary Function Test
Vision-Acuity $30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
09/29/17 B me Timothy L. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 18.7
Health Risk Appraisal Motivation 0.00 0.00
Comprehensive Physical Exam 114.77 114.77
Waist/Hi Ratio 3.53 3.53
BodyFat Test-BIA Bio-Elec Im Anal 16.40 16.4
Treadmill-Submax $179.11 $179.11
Muscular Stren th Endurance Test
Flexibility Tet $11.72 $11.7
Urinalysis-Dipstick
EKG W/Interp $23.42 $23.4
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 Y$30.45
Vision-Acuity30.45Vital Si ns-HT WT BP P R 0.00 Cash II Steven H. OnMed Pro ram 0.00 Res irator/Medical Review 18.74
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 114.77
WalslJft Ratio 3.53 $3.53
Body Fat Test BIA(Bio-Elec Imp4
Treadmill-Submax $179.11 $179.11
Muscular Stren th Endurance Test $30.45 $30.4
Flexibility Test $11.72 $11.72
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.4
Audiornetry $16.40 $16.4
PFT-Pulmonary Function Test $38.65 $38.65
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
Kin on David M. OnMed Program $0.00 $0.00
Res irator/Medical Review 18.74 $18.74
Healthrais I(Motivation .00 0. 0
CornDrehensive Physical Exam $114.77 1
Public Safety Medical - INVOICE
lo- Public Safety Medical Invoice Date: 10/05/2017
324 E. New York Street Invoice# 00-31469
Suite 300 Terms: �•--
Indianapolis,IN 46204 I
G Carmel Police Department/CARMEPD
t- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Waist/Hai)Ratio 3.53 S3.5
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 $11.7
Urinalysis-Dipstick $3.53 $3,53
EKG W/Interp $23.42 23.4
Audiornetry $16.40 16.4
PFT-Pulmonary Function Test $38.65 38.6
Vision-Acuity $30.45 $30.4
Vital Si ns-HT WT BP P R 0.00 0.00
(Formally Harris), m $0.00 $0.00
Res[Arator/Medical Review $18.74 $18.7
Health Risk Appraisal Motivation $0.00 $0.00
Comprehensive 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
Treadmill-Submax $179.11 $179.11
Muscular Strength Endurance Test $30.45 $30.45
Flexibility Test $11.72 $11.7
Urinalysis-Di stick $3.53 $3.53
EKG W Interp $23.4223.4
Audiometry 16.40 $16.
PFT-Pulmonary Tet $38.65 $38.6
Vision- .45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
Mabie Michael L. 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
Waist/Hip Ratio $3.53 $3.53
Body Fat Test-BIA Bio-Elec Imp Anal 16.40 $16.40
Treadmill-Submax $179.11 $179.11
Muscular Strenoth Endurance Test $30.45 $30.45
Flexibility Test $11.72 $11.7
Urinalysis-Dipstick $3.53 $3.53
EK W InterInterp 23.42 $23.42
Public Safety Medical - INVOICE
H Public Safety Medical Invoice Date: 10/05/2017 J
.• 324 E. New York Street Invoice# 00-31469
E Suite 300 -
tY Indianapolis, IN 46204 Terms:
C Carmel Police Department/CARMEPD
F- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Audiometly $16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.6
Vision-Acuity 30.45 $30.4
Vital Signs-HT WT BP P R $0.00 $0.00
Pitman Michael A. OnMed Program $0.00 $0.00
Respirator/Medical Review $18.74 $18.7
Health Risk Appraisal Motivation 0.00 $0.00
Comprehensive Physical Exam $114.77 $114.77
Waist/Hi Ratio $3.53 $3.53
Body Fat Test- I i - Im Anal $16.40 $16.40
Treadmill- $179.11 $179.11
Muscular Strenath Endurance Tet $30.45 $30.4
Flexibility Te $11.72 11 7
Urinalysis-Dipstick $3.53 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.6
Vision-Acuity 30.45 $30.45
Vital Signs-HT WT BP P R $0.00 $0.00
Schmidt Brian E. OnMed Program $0.00 $0.00
Res irator/Medical Review $18.74 18.7
Health Rik Appraisal Motivation) $0.00
r hen ive Physical Exam $114.77 $114.77
Waist/Hip Ratio $3.53
Body Fat Test-BIA(Bio-Elec Imp Analy) 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 $3.53
EKG W/Interp $23.42 $23.42
Audiometry 16.40 $16.40
PFT-Pulmonary Function Test $38.65 $38.65
Vision-Acuity 30.45 $30.45
it I n -HT WTBPPR $0.00 $0.00
Spillman,R. Scott OnMed Program $0.00
R s it for/Medical Review $18.74 $18.74
Health RiskAppraisal i