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Home My WebLink About321790 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 360209 ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $*****3,437.76* CARMEL, INDIANA 46032 ATTN:KRISTINE BROWN,ACCT.RPTNG CHECK NUMBER: 321790 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 02/13/18 INDIANAPOLIS IN 46290 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 14047 3,437.76 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995) Vendor# 360209 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ST VINCENT HOSPITAL IN SUM OF$ CITY OF CARMEL ATTN: KRISTINE BROWN, ACCT. RPTNG An invoice or bill to be properly itemized must show:kind of service,where performed,dates service 10330 N MERIDIAN ST SUITE 430 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46290 Payee $3,437.76 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 14047 42-390.11 $3,437.76 1 hereby certify that the attached invoice(s),or 2/2/18 14047 $3,437.76 1120 102 1120 102 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 02,2018 David Haboush Fire 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 St. Vincent Hosp &Healthcare Center, Inc. Invoice ATTN: Kristine Brown,Accg Rptg 10330 N.Meridian Street, Suite 430 North DATE INVOICE# Indianapolis,IN 46290-1024 1/26/2018 14047 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased December 2017 0.00 Medical Su lies December . 3 437 76 _ _- .-_ _ _ _._ _ ___, Drugs Transferred September=December-December data will not be available - .until after 1/31/18 46029-160085-65100. Please note invoice number Total $39437.76 that you are paying on check/stub. Thank you! Inquiries: Kristine Brown Payments/Credits $0.00 Kristine.Brown@ascension.org Balance Due $39437.76 Depatmental Transfer of Supplies gaze suomiuwu Requesting Department: Carmel Fire Dept Supplying Department ER 27230 Cost Center Jan-18 Cost Center QUANTITY UNIT COST TOTAL COST Alcohol preps $0.25 $0.00 Angiocath 141 $1.58 $0.00 Angiocath 161 $1.56 $0.00 An iocath 18 $1.50 $0.00 An iocath 20 60 $1.50 $90.00 An iocath 20 1.88 ner box $95.00 $0.00 An iocath 22 $1.50 $0.00 An iocath 24 $1.55 $0.00 Bandaids Basin kidne shined $0.08 $0.00 Basin round $0.31 $0.00 Ca no-Line Sam fing ETCO2 Smart Ped per bx 1 $253.00 $253.00 Ca no-Circuit Nasal with Tubin Adult er cs $312.50 $0.00 Ca no-Circuit Nasal with Tubin Adult er cs 100 1 $940.00 __1940.00 1 Ca no-St filter lin Adlt/ ed 1 case $ $3 .30 $0.00 Coban 1' Roll ea $1.75 $0.00 s $0.57 $0.00 Coldak $0.00 Drill Driver Power EZ-10 $2 .00 $3 EKG Electrodes $3.12 $0.00 $0.00 Emesis Bas er ack $11.52 EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00 EZ-10 Power Driver $295.00 $0.00 Foam-Quikcare $2.67 $0.00 Guaze,2 x 2 Cotton ba-1-1 $1.88 $0.00 Guaze,2 X 2 Sterile $0.02 $0.00 Gauze 4 X 3 s one er 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 IV Ada ter, Luerlock 50 $0.15 $7.50 IV Dial a flow $3.15 $0.00 IV Extension 19" $1.91 $0.00 IV Extension 19"(per case 3 $291.62 $874.86 IV Lock with Ext 20 $1.87 $37.40 IV Start Kits ea 100 $2.88 $288.00 IV Start Kits Sobraview 100/bx $2.66 IV Start Kits Sobraview er100/bx 5 $137.00 $685.00 IV Tubing10 tt 2 $1.16 $2.32 Kleenex $0.19 $0.00 KY kt $0.10 $0.00 Kerlix 4.5 x6 I $0.73 $0.00 Lancets Der box $57.78 $0.00 Lar n sco a Blades Stat 3 box $180.50 $0.00 Lar $29.74 n sco a Blades Stat 4 box $ $0.00 Microdot Xtra Test Strips $29.98 $0.00 Microdot Xtra Control IS $12.00 $0.00 Normal Saline 1000 cc ba s/ca $9.48 $0.00 Pressure Ba Infusion 1000cc 30 $0.38 $11.40 Transferred in Nov, but not billed Pulse Ox,Adult $5.18 $0.00 Pulse Ox, Peds $5.17 $0.00 Razor,dis oseable $0.12 $0.00 Sca el#11 $1.30 $0.00 Sharps Container $4.59 $0.00 Sterile H2O bottle $0.71 $0.00 Suction Canister&to $3.26 $0.00 Suture Kit 1 $1.09 $0.00 SYR Hypo w/needle $0.25 $0.00 $0.07 000 jE $0.0 $0.005dle 1 ml $ . S wN $0.25 S rin a w/Needle 3 ml . Syringe w/Needle 3 ml per case $36 Syringe w/Needle 5ml 5 $0.50 9 $60 Syringe w/Needle 5mi 1 case Syringe w/Needle 10 ml $0.12 $0.00 Syringe 20ml $0.16 $0.00 Syringe 30ml $0.42 $0.00 Syringe w Saline 3ml $0.28 $0.00 Syringe w/Saline10ml $0.32 $0.00 10 ml saline vials(per box 5 $9.63 $48.15 10 ml saline vials(per case 2 $98.40 $196.80 Tape 2" 6 rolls/box $1.00 $0.00 Tape 1" $0.50 $0.00 Tape 2"cloth adh 2 $1.29 $2.58 Tape Trans ore 1/2" 1.281 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 Ba w/mask-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 Lg Bitrac Full Face Mask $29.00 $0.00 ET Tube St lette $0.00 Wi es Disenfect $11.52 $0.00 Grand Total $3;437.76 Approved by date