HomeMy WebLinkAbout323367 03/23/18 CITY OF CARMEL, INDIANA VENDOR: 00350364
ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $*******310.60`
CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 323367 INDIANAPOLIS IN 46204 CHECK DATE: 03/23/18
�..fTONf-0'
DEPARTMENT ACCOUNT_ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100944 0032469 310.60 OFFICER PHYSICALS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350364 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PUBLIC SAFETY MEDICAL SERVICES IN SUM OF$ CITY OF CARMEL
324 E NEW YORK ST SUITE 300 An invoice or bill to be properly itemized must show:kind of service,when: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
$310.60
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 00-32469 43-407.01 $310.60 1 hereby certify that the attached invoice(s),or 3/7/18 00-32469 officer physicals $310.60
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 13,2018
&0.— eia-A�
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Public Safety Medical - INVOICE
w :Z `
,.a r Public Safety Medical Involce Date: 03/07/2018
324 E.New York Street
III Invoice# 00-32469
.1 Suite 300Terms:
Indianapolis, IN 46204
Carmel Police De
f p'� partment/CARMEPD
Pyoung@carmel.In.Gov
U`iI '
Exclusively Serving Public Safety Professionals Since 9990.
S'ry el'�'' �'SYb F!3'.'�` •J i•i �i��(..•Y i:�f:!'C'a�J S�SS.r��'.' �;s:':"t:•'t';�;c.'.L: •�,y^ '.azi: ,�,.
02/27118 Xhahom.
�•.,.I7at.. r a..�:; ,'t°'Em lo.'�"I T�..:a���,; � s,-.�hr'°y.���'�T".{{DeC'/M� {.cfn r;":: r, .I�p
+h:' a1,. .t�i ..T...fi§.' �~N.�' ',t;(lo.9.., r.Y•v, ry f,Vynt:t%;<• w�'IanW.�a
Kevin n RaWd T B 26.58
Venipuncture .62 $3.62
U id Panel Blood 24.42 .4
CBC Com Blood Count .80 .80
CMP(Como Metabolle Panel 22.97 $22.9
03/01/18 Hasty,Zachery R. HIV-41h Gen Rapid Test Blood 26.58 $26.5
Y_e_n1Duncture $3.62 $3.6
1d Panel Blood 24.42
CBC(Comp Blood Cmnt) ,8
CMMetabolic Ranell $22.97
03/02116 -QAws-Qn.-Gr-egoiyF. VenipuncWm ,g
Li i Panel
CBC WQ n Blood Count) 20.80
CMP C Metabolic Pane! 22.97 $22.9
PSA-Prostate Specific A Blood $42.01 $42.01 '
.}`til 'va?ti. ST.'�i.Y�'•r z r' a.. h YS ';.sz �a+' i•
.,��' i}., • rt��� �?•g,Yq.�. t'�b• a .xs• �. :�; M?{` �d�^vw�;iiz°� �v�'.a *•uo.4,.•.�e��n.;��.,.. � � ti
iK::53bsi 3`�?,°�.Y.i:.�'�•.A� �[3o'dd��$.�."�'d1 74:s�:�t'1Y�.ti-a ,,50.' dw`:4r'�l- Ta.',{si�.•.�,iYr�p'A� s?� �.�^,i•.iv//{{...,�,��"��uTyw���s�• ...�'�r �i{{�..7`�a pry-,'a;��@`.�,. ,qu.,:(.�.�...(:��� Y {may �1�i
fh: xi .9'iQ]:ta`wi+iael�`i. •F7.54,........ �."'+.9a1' � .Y7.vr`�`i•:� '�"N"�.�.•`�.vY.r•
T.���p.y, , ��,,. e`r;s .'� ;d,�„5-xr>g"�.%•� .i�,' .._.'�:'1;"'� F� °;4�":z a�;r= e"��{'•'lsa.:6;:�;,.,.:,�r•'2�x[:>:S,�at..•" �;.'bt?'•seW.,�r W'csr"'+f.�.s�.;
s .fi:'�'�'� r't. ,3;. �^a5+s+s':?.?�4�'�,. r.'' �:��'..'a'���h..NFr ,'fe:T-•e., �?I�$. �tS�.�BalaflC6�U + k.+
Please write invoice number on payment check. Our Federal Employer Identification number is 35-2079797.
We greatly appreciate the opportunity to sere you. If you have any questions regarding this invoice, please contact
Michelle McClure at 317-964-2364.