HomeMy WebLinkAbout318065 10/31/2017 CITY OF CARMEL, INDIANA VENDOR: 00350364 ,....
ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $ 3,181.44'
r CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 318065
•�•. INDIANAPOLIS IN 46204 CHECK DATE: 10/31/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100018 0031566 3,181.44 OFFICER PHYSICALS
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Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 10/18/2017
324 E. New York Street Invoice# 00-31566
E Suite 300 Terms:
W Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
I- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
10/10/17 Barlow,James C HIV-4th Gen Rapid Test(Blood) $25.93 _--j2LU
Veni uncture $3.53 $3.53
Lipid Panel Blood 23.82 $23.82
CBC(Comp Blood Count 20.29 $20.29
CMP(Comp Metabolic Panel 22.41 $22.411
PSA-Prostate Specific A Blood 0.99 S40.991
Bickel Jose h E. HIV-4th Gen Rapid Test Blood 25.93 $25.93
Veni uncture $3.53 $3.53
Li id Panel Blood 23.82 $23.82
CBC(Comp Blood Count 20.29 $20.29
MP Metabolic Panel) .41 $22.41
A- rostate SpecificI
Brady,Sean P. HIV-4th Gen Rao6d Test(Blood) $25.93 $25.9
Venipuncture $3.53 $3.53
Lipid Panel Blood 23.82 $23.82
CBC(COMD Blood Count 20.29 $20.29
CMP(Comp Metabolic Panel 22.41 $22.41
PSA-Prostate Specific A Blood 0.99 $40.99
Hobson Phillip L. HIV-4th Gen Rapid Test Blood 25.93 $25.93
Venipuncture $3.53 $3.53
Li id Panel Blood 23.82 23.82
CBC(Comp Blood Count 20.29 20.2
MP( omp Metabolic Panel) 22.41 22.41
P -Prostate Specific
Leach-Aaron M. HIV-4th Gen Rapud Test(Blood) $2593
Venipuncture $3.53 $3.53,
Lipid Panel Blood 23.82 $23.82
CBC(Comp Blood Count 20.29 $20.29
CMP(Comp Metabolic Panel 22.41 22.41
PSA-Prostate Specific A Blood 0.99 $40.99
McAllister.John W. HIV-4th Gen Ra id Test Blood 25.93 $25.93
Veni uncture $3.53 $3.531
Lipid Panel Blood 23.82 $23.821
CBC omp Blood Count 20.29 $20.291
MP(Comp Metabolic Panel) 22.41 22.41
PSA- Ag(Blood) S40.99
Public Safety Medical - INVOICE
0 Public Safety Medical Invoice Date: 1 011 81201 7
324 E. New York Street Invoice# 00-31566
E Suite 300 Terms:
W Indianapolis, IN 46204 r
C Carmel Police Department/CARMEPD
I- Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
Verimpuncture $3.53 $3.53
Livid Panel Blood 23.82 $23.82
CBC(Comp Blood Count 20.29 $20.29
CMP(Comp Metabolic Panel 22.41 $22.41
PSA-Prostate Specific A Blood 0.99 $40.991
Meyer,Ryan J. 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 $20.29
CMP Com Metabolic Panel 22.41 $22.41
PSA-Pifi
Pirics.JohnIV-4th Gen Rapid T BI $25.9
Venbuncture $3.53 $3.53
Lipid Panel Blood 23.82 $23.82
CBC(Comp Blood Count $20.29 $20.29
CMP(Comp Metabolic Panel 22.41 $22.411
PSA-Prostate Specific A Blood 0.99 40.9
10/11/17 Clark Sr. Todd C. 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
P A-Pros to S ifi A (Blood)
Gilbert, HIV-4th Gen Rapid T I
Venipuncture $3.53 $3.53
Lipid Panel Blood 23.82 $23.82
CBC(Comp Blood Count 20.29 $20.29
CMP(Comp Metabolic Panel 22.41 $22.41
PSA-Prostate Specific A Blood 0.99 $40.99
Homer.Jeffrey J. HIV-4th Gen Rapid Test Blood 25.93 $25.93
Venipuncture $3.53 $3.53
LOW Panel Blood 23.82 $23.82
CBC(Comp Blood Count 20.29 $20.29
CMP(Comp Metabolic Panel 22.41 $22.41
PSA-Prostate cific A (Blood) 0.
Jellison.Ryan D Venipuncture
Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 10/18/2017
324 E. New York Street Invoice# 00-31566
E Suite 300 Terms:
W Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
I Tgreen@carmel.In.Gov (SS)
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
CMP(Comp Metabolic Panel 22.41 $22.41
PSA-Prostate Specific A Blood 0.99 $40.99
Keith Brett A. HIV-4th Gen Rapid Test Blood 25.93 $25.93
Venipuncture $3.53M$2235.5933
Li id Panel Blood 23.82
CBC Com Blood Count 20.29
CMP Com Metabolic Panel 22.41
PSA-Prostate Specific A Blood 0.99
Kinkade Matthew P. HIV-4th Gen Rapid Test Blood 25.93
Venipuncture
Lipid Panel BI 2
CBC(Como Blood Count) $20.29
CMP(Comp Metabolic Panel 22.41 $22.41
Miller Adam C. HIV-4th Gen Rapid Test Blood 25.93 $25.93,
Venipuncture $3.53M23.82
Lipid Panel Blood 23.82CBC Com Blood Count 20.29CMP Com Metabolic Panel 22.41PSA-Prostate S cific A Blood 0.99M ers Brad R. HIV-4th Gen Ra id Test Blood 25.93
Venipuncture $3.53 $3.53
Lipid Panel Blood $23.82 $23.82
CBC(Comp Blood Count) $20.29 2
CMP(Como Metabolic Panel) $22.41 $22.41
PSA-Prostate Specific A Blood 0.99 $40.991
Smilev,Landry D. HIV-4th Gen Rapid Test Blood 25.93 $25.931
Venipuncture $3.53 3.53
Li id Panel Blood 23.82 $23.82
CBC(Comp Blood Count 20.29 $20.2
CMP Com Metabolic Panel 22.41 $22.41
PSA-Prostate Specific A Blood 0.99 0.99
Striker Nicholas W. HIV-4th Gen Ra id Test Blood 25.93 $25.931
Venipuncture $3.53 3.53
Lipid Panel Blood $23.82 2 .82
B Blood Count) 2 2
Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 10/18/2017
�_. 324 E. New York Street Invoice# 00-31666
E Suite 300 Terms:
IY Indianapolis, IN 46204
G 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
10/12/17 Barlow.Cody J HIV-4th Gen Rao4d Test(Blood) $25.93 $25.93
Venipuncture $3.53 $3.53
Lipid Panel Blood $23.82 $23.82
CBC(Comp Blood Count 20.29 $20.29
CMP(Comp Metabolic Panel 22.41 $22.41
Bay,Christopher A. Venipuncture $3.53 $3.53
Lipid Panel Blood 23.82 $23.82
CBC(Comp Blood Count 20.29 $20.29
CMP Com Metabolic Panel 22.41 $22.41
Deven ortAdam M. HIV-4th Gen Ra id Test Blood 25.93 $25.931
Venipuncture
Lipid Panel Iood) $23.82 $23.82
CBC(Comp Blood Count) $20.29 ----ZZQZ
CMP(Comp Metabolic Panel 22.41 $22.41
Howard Lana M. HIV-4th Gen Rapid Test Blood 25.93 $25.93
Venipuncture $3.53 $3.531
Li id Panel Blood 23.82 $23.82
CBC(Comp Blood Count 20.29 $20.29
CMP(Comp Metabolic Panel 22.41 $22.41
Schalbur-Q.Randy S. HIV-4th Gen Rapid Test Blood 25.93 $25.93
Venipuncture $3.53 $3.53
Lipid Panel Blood 23.82 $23.821
CB om BloodCount) 20.2 $20.291
MPMetabolic I $22.41 2 .4
PSA- rostate Specific Ag(Blood) $40.99 $40.991
Soultz Megan 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 $20.29
CMP(Comp Metabolic Panel 22.41 $22.41
Zellers Timothy And A. HIV-4th Gen Rapid Test Blood 25.93 $25.94
Veni uncture $3.53 3.53
Lipid Panel Blood 23.82 23.82
CBC(Comp Blood Count 20.29 20.29
CMP(Comp Metabolic Panel) 22.41 22.41
Total Charges->1 $3,181.44
Public Safety Medical - INVOICE
o Public Safety Medical Invoice Date: 10/18/2017
= 324 E. New York Street Invoice# 00-31566
E Suite 300 Terms:
p[ Indianapolis, IN 46204
C Carmel Police Department/CARMEPD
I Tgreen@carmel.In.Gov (SS)
mPyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount I Balance Due
Total Payments&Balance Due->1 $0.00 $3,181.44
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.