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HomeMy WebLinkAbout318371 11/07/17 *f� CITY OF CARMEL, INDIANA VENDOR: 360209 ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: S`"`""""430.30" r° CARMEL, INDIANA 46032 ATTN:KRISTINE BROWN,ACCT.RPTNG CHECK NUMBER: 318371 '+rlrtidc�. 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 11/07/17 INDIANAPOLIS IN 46290 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 14016 430.30 SPECIAL DEPT SUPPLIES 0 - - » 2 < < } § \ § z / k k / 0 7 0 0 k / m m ` 0 ? q z \ £ z c 2 0 2 3 / 0 ƒ \ 0 z > E E & m n 0 A 2. m _ a) � # q q 0 / d ? NJ m > � q / / / \ 0 CL -4 C)© _ $ z 2 2 2 Q 2 $ > O a 2 0 3 C § Z | = o w = _ w i 3 L # z k g g / / k d % k \ m CD » / a ; k c � 2 k 7 R - 2 - m # f O 3 [ m - I \ 7 O © CL « E § E \ ƒ . § % 3 § \ 7 � .� ; , M @ o E R ° g / ƒ - k CL / \ k / ® E ƒ / \ 3 § g |e [ ID c ± 7 %i / m § } s , ƒ$ a Q j m \ \ /$ 0 D \ ) a g § ¢ C0 � � k � a7 z _ O § \ \ 2 k k C o � � k 0 Z \ 4 } CD ii k k £ 0< \ R 2 -a e_° f 0 > 0 =orCD 3ED _ j� \ \ CD q f \ 0 / / 0 E / \ r r O m ¥ - 5 \ CD C O � / 0 % ( ƒ_ § m / & 0 \ § M \ / CL CD 0 CD / 96 x 3 § § k ° CL _ > CD� _ # 0 9 ° ) 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 10/30/2017 14016 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased September 2017 0.00 Medical Supplies September 430.30 Drugs Transferred September-the pharmacy system used to track transfers is down. September and October will be billed in November. 46029-160085-65100. Please note invoice number Total $430.30 that you are paying on check/stub. Thank you! Inquiries: Kristine Brown Payments/Credits $0.00 Kristine.Brown@ascension.org FBalance Due $430.30 Depatmental Transfer of Supplies date submissed 10/03/17 Requesting Department: Carmel Fire Dept Supplying Department ER Sep-17 Cost Center Cost Center 27230 QUANTITY UNIT COST TOTAL COST Alcohol preps $0.25 $0.00 Angiocath 14 2 $1.58 $3.16 An iocath 1 $1.56 $0.00 Angiocath 18 $1.50 $0.00 Angiocath 20 $1.50 $0.00 Angiocath 20g 1.88 per box $95.00 $0.00 Angiocath 22 $1.50 $0.00 Angiocath 24 $1.55 $0.00 Bandaids $0.00 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 AdItIped 1 case $356.30 $0.00 Coban 1'Roll ea $1.75 $0.00 Colo paks $0.57 $0.00 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 $295.001 $0.00 Foam-Quikcare $2.67 $0.00 Guaze 2 x 2 Cotton bail $1.88 $0.00 Guaze,2 X 2 Sterile $0.02 $0.00 Gauze 4 X 3 sponge r box $1.24 $0.00 Gauze 4 x 4 tub $0.32 $0.00 Gauze Kerlex $0.67 $0.00 Gloves-Med $10.35 $0.00 Gloves-Large $10.35 $0.00 Gloves-Marge $10.35 $0.00 Hover Mat $0.00 Irrigation Solution per case 2 $57.97 $115.94 IV Adapter,Warlock $0.15 $0.00 IV Dial a flow $3.15 $0.00 IV Extension 19" $1.91 $0.00 IV Lock with Ext $1.87 $0.00 IV Start Kits as $2 88 $0.00 IV Start Kits Sobraview 100/bx $2.661 $0.00 IV Tubing 1 Ogtt 10 $1.171 $11.70 Kleenex $0.191 $0.00 KY pkt $0.10 $0.00 Kerlix 4.6'x6ply $0.73 $0.00 Lancets per box $57.78 $0.00 Largynoscope Blades Stat 3 box $180.50 $0.00 Lamynascope Blades Stat 4 box $135.74 $0.00 Microdot Xtra Test Strips 10 $29.95 $299.50 Microdot Xtra Control Solutions $12.00 $0.00 Normal Saline 1000 cc bags/ca $9.48 $0.00 Pulse Ox Adult $5.18 $0.00 Pulse Ox Peds $5.17 $0.00 Razor,dis oseable $0.12 $0.00 Sca I#11 $1.30 $0.00 Sharps Container $4.59 $0.00 Sterile H2O bottle $0.71 $0.00 Suction Canister&to $3.261 $0.00 Suture Kit 1 $1.091 $0.00 SYR Hypo w/needle $0.251 $0.00 Syringe w/Needle 1 ml $0.071 $0.00 Syringe w/Needle 3 ml $0.051 $0.00 Syringe w/Needle 3 ml per case $35.76 $0.00 Syringe w/Needle 5m1 $0.10 $0.00 Syringe w/Needle 5ml 1 case $69.30 $0.00 Syringe w/Needle 10 ml $0.12 $0.00 Syringe 30ml $0.42 $0.00 Syringe w Saline 3ml $0.28 $0.00 Syringe w/Salinel0ml $0.32 $0.00 10 ml saline vials r box $9.63 $0.00 Ta 2" 6 rolls/box $1.00 $0.00 Tape V $0.50 $0.00 Tape 2"Goth adh $1.29 $0.00 Tape Trans re 1/2" $1.28 $0.00 Tegadeffn $0.24 $0.00 Telfa Dressing $0.12 $0.00 Toumi uets 50!k $0.11 $0.00 Ultra Trak Ultimate Test Control $83.30 $0.00 Ultra Trak Ultimate Test Strips/1 0 BX $330.00 $0.00 TB ET Cuffed Rediture $1.80 $0.00 Warm paks $1.46 $0.00 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 Bag wlmask-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 lette $0 N/ s Disenfect 1 $11.52 $0.00 Grand Total $430.30 Approved by date