HomeMy WebLinkAbout321776 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 00350364
ii
ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES
CHECK AMOUNT: $*"****143.62*
CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 321776
v,•. INDIANAPOLIS IN 46204 CHECK DATE: 02/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100944 143.62 OFFICER PHYSICALS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350364 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PUBLIC SAFETY MEDICAL SERVICES IN SUM OF$ CITY OF CARMEL
324 E NEW YORK ST SUITE 300 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46204
Payee
$143.62
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
100944 00-32179 43-407.01 $143.62 1 hereby certify that the attached invoice(s),or 1/24/18 00-32179 officer physicals $143.62
1110 101 1110 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, February 2,2018
ac'..' IE6..4w
Jim Barlow
Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Public Safety Medical - INVOICE
0 , Public Safety Medical Invoice Date: 01/24/2018
324 E. New York Street Invoice# 00-32179
E Suite 300
i E : Terms:
w Indianapolis, IN 46204
o Carmel Police Department/CARMEPD
I �
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description' Amount. Balance Due
01/15/18 Bodenhom Wendy M. Venipuncture 13.62 $3.62
Lipid Panel Blood $24.42 $24.42
CBC(Comp Blood Count $20.80 $20.80
CMP(Comp Metabolic Panel 22.97 $22.97
Rice Jonathan D. I Venipuncture 3.62 3.62
Lipid Panel Blood 24.42 $24.42
CBC(Comp Blood Count 20.80 $20.80
CMP(romp Metabolic Panel 22.97 $22.97
Total Charges-> $143.62
-Total Payments&.Balance Due-> $0.00 $143.62
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.