HomeMy WebLinkAbout322803 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 00350364
CHECK AMOUNT: S"'•"""98.39'
.�; b '��•: ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SE VICES
CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 322803
INDIANAPOLIS IN 46204 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNTI DESCRIPTION
1110 4340701 100944 00-32372 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
$98.39
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 00-32372 43-407.01 $98.39 1 hereby certify that the attached invoice(s),or 2/22/18 00-32372 officer physicals $98.39
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
Tuesday, March 6,2018
IN, IF6.'X""
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Public Safety Medical - INVOICE
F6; Public Safety Medical Invoice Date: 2/2212018
324 E.New York Street Invoice# 0-32372 '
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fits-Eil Suite 300 Terms:
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R. Indianapolis,IN 46204
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Carmel Police Department/CARMEPD
Pyoung@carmel.In.Gov (W)
Exclusively Serving Public Saf ty Professionals Since 1990.
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02J14118 be Blood
Venl uncture 1$3.62 $3.62
Upid Panel Blaod 4.42 $24.4
CBC(CoMR Blood Count 20.80 $20.8
CMP(Com2 Metabolic Panel 22. 7 22.9
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Please write Invoice number on payment check. Our Federal Employer identificatio i 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.