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Home My WebLink About322828 03/12/18 ,Cqq CITY OF CARMEL, INDIANA VENDOR: 360209 d ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $*****3,301.60* CARMEL, INDIANA 46032 ATTN:KRISTINE BROWN,ACCT.RPTNG CHECK NUMBER: 322828 M,�rpN-4o� 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 03/12/18 INDIANAPOLIS IN 46290 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT I DESCRIPTION 102 4239011 14061 3,301.60 SPECIAL DEPT SUPPLIES a VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 360209 ST VINCENT HOSPITAL IN SUM OF$ CITY OF CARMEL ATTN: KRISTI N E 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 $3,301.60 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 14061 42-390.11 $3,301.60 1 hereby certify that the attached invoice(s),or 3/4/18 14061 $3,301.60 1120 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 Sunday, March 04,2018 DSS David Haboush Fire Chief 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 DATE INVOICE# 4040 Vincennes Circle Indianapolis,IN 46268 2/23/2018 14061 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased January 2018 0.00 :Medical Supplies`-January,2018 3,3 01 60 46029-160085-65100. Please note invoice number Total $39301.60 that you are paying on check/stub. Thank you! Inquiries: Kristine Brown Payments/Credits $0.00 Kristine.Brown@ascension.org Balance Due $39301.60 Depatmental Transfer of Supplies date submissed 02113/18 Requesting Department: Carmel Fire Dept Supplying Department ER Jan-18 Cost Center Cost Center 27230 QUANTITY UNITCOST TOTAL COST Alcohol preps $0.25 $0.00 Angiocath 14 $1.58 $0.00 Angiocath 16 $1.56 $0.00 Angiocath 18 $1.50 $0.00 Angiocath 20 $1.50 $0.00 An iocath 20g 1.88 per box $95.00 $0.00 Angiocath 22 $1.50 $0.00 Angiocath 24 $1.55 $0.00 Bandaids 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 2 $940.00 $1,880.00 Ca no-St filter lin Adlt/ed 1 case $356.30 $0.00 Coban 1'Roll ea $1.75 $0.00 Cold paks $0.57 $0.00 Drill Driver Power EZ-IO $295.00 $0.00 EKG Electrodes $3.12 $0.00 Emesis Bas(perpark) $11.52 $0.00 EZ-IO Adult Needles $495.00/box of 5 $99.00 $0.00 EZ-IO Power Driver $295.00 $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 s one(per box $1.24 $0.00 Gauze 4 x 4 tub $0.32 $0.00 Gauze Kedex $0.67 $0.00 Gloves-Med $10.35 $0.00 Gloves-Large $10.35 $0.00 Gloves-Mar a $10.35 $0.00 IV Adapter,Luerlock $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 ea $2.88 $0.00 IV Starts Kits per case 6 $137.00 $822.00 IV Start Kits Sobraview 100/bx $2.661 $0.00 IV Tubing 10 tt $1.161 $0.00 IV Tubbing 10 tt per case of 48 $121.101 $0.00 Kleenex $0.191 $0.00 KY pkt $0.10 $0.00 Kerlix 4.5"x6ply $0.73 $0.00 Lancets per box $57.78 $0.00 Largynascope Blades Stat 3 box $180.50 $0.00 Lar_qyngscope Blades Stat 4 box $135.74 $0.00 Microdot Xtra Test Strips 20 $29.98 $599.60 Microdot Xtra Control Solutions $12.00 $0.00 Normal Saline 1000 cc bags/ca $9.481 $0.00 Pressure Bag Infusion 1000cc $0.381 $0.00 Pulse Ox,Adult $5.181 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 wheedle $0.251 0.00 Syringe w/Needle 1 ml $0.07 $0.00 Syringe wheedle 3 ml $0.05 $0.00 S rin a w/Needle 3 ml per case $35.76 $0.00 Syringe w/Needle 5ml $0.10 $0.00 Syringe w/Needle 5ml 1 case $69.30 $0.00 Syringe wheedle 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 S rin a w/Salinel0ml $0.32 $0.00 10 ml saline vials(per box $9.63 $0.00 Tape 2" 6 rolls/box $1.00 $0.00 Tae 1" $0.50 $0.00 Tape 2"cloth adh $1.29 $0.00 Tape Trans ore 1/2" $1.28 $0.00 TB ET Cuffed Rediture $1.80 $0.00 Warm paks $1.46 $0.00 Wound Cleanser $5.04 $0.00 Suction Canister 8 to $3.26 $0.00 Yankauers $0.34 $0.00 Ambu Bag w/mask-Adult $14.63 $0.00 Ambu Bag w/mask-Adult cs/10 $86.38 $0.00 Ambu Ba w/mask-Peds cs/10 $126.00 $0.00 Ambu Bag w/mask-Infant cs/10 $16.00 $0.00 CPAP Flow-Safe 11 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 ETTube S lette $0.00 Wipes Disenfect $11.52 $0.00 Grand Total $3,301.60 Approved by date