HomeMy WebLinkAbout322107 02/19/18 CITY OF CARMEL, INDIANA VENDOR: 00350364
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ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES
CHECK AMOUNT: S•""•*"266.83'
?� CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 322107
Mi�oN. INDIANAPOLIS IN 46204 CHECK DATE: 02/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100944 0032284 168.44 OFFICER PHYSICALS
1110 4340701 100944 0032334 98.39 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
$266.83
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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 00-32284 43-407.01 $168.44 1 hereby certify that the attached invoice(s),or 2/7/18 00-32284 officer physicals $168.44
1110 101 1110 101
100944 00-32334 43-407.01 $98.39 bill(s)is(are)true and correct and that the 2/15/18 00-32334 officer physicals $98.39
1110 101 materials or services itemized thereon for 1110 1 101
yL:...� which charge is made were ordered and
- ., received except
r
04
Monday, February 19,2018
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
o Public Safety Medical Invoice Date: 02/07/2018
324 E. New York Street Invoice# 00-32284
E e Suite 300
4v i Terms:
r Indianapolis, IN 46204 +
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Carmel Police Department/CARMEPD
m Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Safety Professionals Since 1990.
Date Employee Description Amount Balance Due
01/30/18 Tilson Travis C. HIV-4th Gen Radd T Blood 26.58 $26.58
Venipuncture $3.62 $3.62
Li id Panel Blood $24.42 $24.42
CBC(Comp Blood Count 20.80 $20.80
CMP(Comp Metabolic Panel 22.97 $22.97
PSA-Prostate Specific A Blood 42.01 $42.01
02/02/18 Theis Adam G. Lipid Panel Blood 24.42 $24.42
Veni uncture $3.62 3.62
Total Charges-> $168.44
Total Payrrients.&Balance Due,-> $0.00 1 $168:44
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.
Public-Safety Medical - INVOICE
o. Public Safety Medical Invoice Date: 02/1512013
324 E.New York Street Invoice# 00-32334
m ' Suite 300 Terms:
Indianapolis,IN 46204
A Carmel Police Department!CARMEPD
Pyoung@carmel.In.Gov (VI)
Exclusively Serving Public Safety Professionals Since 1990.
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MIM18 PAIlar, is 6,58
Venipmcture $3.62 $3.62
lipid Panel(Blood) 24.42 $24.4
CBC(Comp Blood Count 0.80 20.
CMP lCon Metabolic Panel 22.97 22.9
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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.