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Home My WebLink About323847 04/06/18 CITY OF CARMEL, INDIANA VENDOR: 00350364 ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $*****4,596.84* a' CARMEL, INDIANA 46032 324 E'NEW YORK ST SUITE 300 CHECK NUMBER: 323847 chi TON'cO� INDIANAPOLIS IN 46250 CHECK DATE: 04/06/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4340701 100944 00-32542 3,444.08 OFFICER PHYSICALS 1110 4340701 100944 00-32580 1,152.76 OFFICER PHYSICALS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00350364 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PUBLIC SAFETY MEDICAL SERVICES IN SUM OF$ 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 $4,596.84 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 00-32542 43-407.01 $3,444.08 1 hereby certify that the attached invoice(s),or 3/22/18 00-32542 officer physicals $3,444.08 1110 101 1110 101 100944 00-32580 43-407.01 $1,152.76 bill(s)is(are)true and correct and that the 3/29/18 00-32580 officer physicals $1,152.76 1110 101 materials or services itemized thereon for 1110 1 101 which charge is made were ordered and received except Monday,April 2,2018 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 • Public Safety Medical Involce Date: 03122/2018 6612 E.75th StreetA" Invoice# X00-32542-. '��: Floor 2 Terms: Indianapolis,IN 46240 N� Carmel Police Department l CARMEPD Pyoung@carmel.In.Gov (VII) Exclusively Serving Public Safety Professionals Since 9990. WINNER Med Oginion-Wallnegg S0,00 0 Med Opinion-Res irator $0.00 $0.0 WalstlH! Ratio $3.62 $3.62 Body Fat Test-BIA Bio•Elec Imp An 16.61 $16.81 Treadmill-Sub x $183.59 $183.59 - - - - Urine is-Oinsfick $3.62 $3.62 G W!InLem $24.01 P4.01 Audiometry 16. 1 1 PFT-Pulo2onary Functloo Test $44.62 $44.B Vision-Acuity 931.21 snti Vital Si ns-HT WT BP P R $0,00 $O.OQ OnMed Program Resp! o ed 9• Health Risk Appraisal(Medikeeper $0.00 $4.00 Hemoccult $0.00 $0.00 Comprehensive Physical Exam $117.64 $117.64 Dawson Greaory F. OnMed Pro-gram 0.00 $0.00 Respirator/Medical Review19.21 19.21 Heal Risk Appraisal Medik 0.40 .00 Comprehens a Ph I Exam 117. 117.6 Med Opinion-Wellnem SOAG00 Med O -SWAT $Q.00 19.00 Mod Opinion-ftspirator SOLD $0, Walstift Ratio 3.62 $3.62 Body F 'o-Elec Imp Anslyl 916.81 $16-M treadmill-Submax $183.59 $183.5 Urinalysis»Dipstick .62 .62 EKG W!Interp $24.01 $24.01 Audlometry $16.81 $16.81 PFT-Pulmonary Function Test $44.62 $44.� Vision-Acuity A21.21 1.21 Vaal -HT WT BP P R $0.00 Driver Chades E. OnMed Piroararn $0.00 $0.00 Respimtor/Medlcal Review -$A9.21-L $19.21 Health Msk ftj2ralsal(Medikeeno0.00 0.00 Comp ensive Physical Wm 17.64 -WellneLss Public Safety Medical - INVOICE Public Safety Medical Invoice Date: 03/2212098 a 6612 E.75th Street Invoice# 00.32542 Floor 2 Terms: W, Indianapolis,IN 46240 Carmel Police Department I CARMEPO Pyoung@carmel.In.Gov (IN) �u Exclusively Serving Public Safety Professionals Since 9990. Med it 0.00 $0.00 We].stfft Ratio $3.62 $3.62 Bodv Fat Test-BIA Blo-Elec imp Anal 16.81 $16.81 Treadmill-Submax 2183.59 183.59 Muscul r Stre Endurance Test $31.21 $31.21 Flexibility Test $12.01 V,2. 1 Udnalysls-Dipstick 3.62 $3.62 EKG W/Interp $24.01 $24.01 Audlometry $16.8 $16.81. P -PulmonmyFunction Test $44.0 •62 Vislon-A01ty 131.211 00 0.00 Kelnslay-Matthow1 to Wellness 90.00 $0.00 - Med Op inion-Respirator $0.00 $0.00 Waist/Hip.Ratio 3.62 $3.62 BodyFat Test-BIA Bio-Elan ImpAnal 81 16.81 Treadmill-Submax 11 B.83.59 183.5 Muscular Strength Endurance Test $31.21 $31.21 Fle)dbilU Test S12,61 1 U nal is-DIDOck $3.62 $3.62 EKG W t,audiomatry .- 2 2 1 6.81 $16.81 PFT=Pulmonary Funomest 2 Vision-Acul1y $31.211.21 BP P OnMed Program $0.00 $0.00 Res iratorAledic al Revie $19.21 $19.21 Health Risk Appraisal Medikee er $0.0 $0.00 Comorehensive Physiol Exam $117.64 9117.64 Robbins,Todd E. Med O inlo -Wellness $0.00 $0.00 Med O Inlon-ReWrator $0.00 $0.00 Wals 1p Ratio $3.62 $3.62 Body.Fat T -BIA Blo- lec I 18 Treadmill-Submax $183.59 $183.59 Muscular Strength u ante Twd $31.2 $31,21 Flexiblfity Test $12.01 ri Public Safety Medical - INVOICE Public Safety Medical Invoice Date: 03/22/2018 6612 E.75th Street Invoice# 00-32542 Floor 2 Terms: = Indianapolis,IN 46240 Carmel Police Department!CARMEPD d Pyoung@carmelAn.Gov (YI) r Exclusively Serving Public Safety Professionals Since 1990. 41 EK W1 InIgrp. $24,01 $24.01 Audiometry $16.81 $16.81 PFT-Pulmonary Function Test $44.62 Vision-Acui 1.21 $31.21 _ V'al Si ns-HT WT PPR $0.00 0.00 Med Proram so.60 $0,100 - Res ' todMedicalReview $19.21 $19.21 Heath Risk Aporalsel(Medikeener) 0.00 $0.00. Comorehensive Phwical-Fxam 9117.64 $117.64 Strong,Qayld C, OnMedm $o.no Rawirator/Medical Review $19.21 $19.21 Health Pisk rats I er Physical Fara 4 $117-64 Med O inion-Wellness $0.00 $0.00 Med Opinion-Respirator so.00 $0.00 WalstlHIP Ratio $3.62 $3.62 Body Fat Test-BIA Blo-Elec Imp Ana 16 1 16. 1 Treadmill-Submax 183.59 $183.591 Muscular Strenath Endurance Test 1.21 1.21 ReAklifty Test 12.01 $12.01 U' -Dipdck $3,62 $3.62 EKG W Inte Audlometry t16.81 916.81 P Fu coon 62 Vision-Acuity 131.21 $31.21 Vltai Signs-HT WT BP P R $0.00 $0.00 Valentine Patrick L. Med Opinion-Wellness $0.00 0.00 Med Opinion-Res irator $0.00 $0.00 WaistfHlp Ratio $3.62 $3.62 Body Fat Test-BIA Blo-Elec Imp Anal 16.81 $16-81 Tread - •ubmax $183.59 $163.59 Muscular Strength Endurance Test $31. $31.21 Flexibillty Test $12.01 $12.01 Uri tick $3.82 EKG W/ $24.01 4.01 $16.81 Function Public Safety Medical - INVOICE Public Safety Medical Involce Date: 03/2212018 ; 6612 E.75th Street Invoice# 00-32542 Floor 2 Terms: ,. Indianapolis,IN 46240 tl'F'i79 ' Cannel Police Department l CARMEPD �E. Pyoung@carmel.In.Gov (111 WF Exclusively Serving Public Safety Professionals Since 9990. vision-Acuity .21 131,21 Vaal Signs-HT W`r BP P R $0.00 $0.0 OnMed Proram $D.00 $0.00 Res irstorflAsdlcal Review $19.21 $19.21 Health R k AimraisalMedike r) so-ge $0.00 Comprehensive Physical Exam $117.64-1 117.64 - i.01 ^"-z.b` .Ut4''s.. '- .• ry iP :o�.se W- 7 . rr t _ r 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 WII-1XI Public Safety Medical Invoice Date 03/29/2018 4"-' �d 6612 E.75th Street Invoice Floor 2 Terms: Indianapolis,IN 46250 C3ry.1 Carmel Police Department/CARMEPD Pyoung@carmel.In.Gov (W) Exclusively Serving Public Safety Professionals Since 1990. rr•.... -R1414-.6-0-10, :.g ...:y l�o...:wVIER'... r..+,a._. .y. .;'.:u}?ry,in^;� •:'��. 'ati•:� ,�i..�rr-.A.fi7l�5�ii "5^ .`^�.�., u�ro:'i`�� ur��x' `%ot7i -�ui:A;.�., ;, ste '„�i .,. :"Sfl ' x iM'i! 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Urinalysis-Dipstick .62 $3.62 EKG 24.01 $Z4.01 Audiometry $16.81 $16.81 Pulmonary Fungton Test M Vision 1 931.21 Vit BP P QnMed P Respirator/Medics]Review $19.21 $19.21 Health RiskAppraisal Medikee 0.00 0.00 Comprehensive Physical Exam $117.64 $117.64 Med nion-Wellness S0.00 $0.00 Med Opinion-Respirator D.00 $0.00 Waist/1-11D Ratio .62 $3.62 Body FatTest-BIA 8 -Elec IM9 Ansly) 1 Treadirnill-Submax $183.5 183.59 Muscular Strenath Endurance t 1.21 $31.21 FlexibilityTest V2,01 12.01 Chest Xnftf-PAILAT Di •e�.y✓• K u�n:J .+•s-:>� '.'" '�� .;+y cR4'.�l9i,y-..f.'y-"2"..' ?;.ii'9+�,"ji'lYv^F"...r.f�l 'w..-'�:�el, u..nn-::.sa �':.ocTiva;: Ja'S,� '.•"`a'>" IQ'f'` (.erF-� `I:r i811- i 1 ...,uv, 'H �+ u!� _ Fi•. Ohl u` .1, `k l�;s�;ti;^u..,K�_,i:.c�_.M;G.h+��si�� --. _.,r:??' rr.��hx.,tk'`�..6'fit,:ra•an„r_-.:::�1..._;.OtB�tt• ar �5�r7:r '- Public Safety Medical - INVOICE Public Safety Medical Invoice Date: 03129/2018 6612 E.75th Street Invoice# 00-32580 Floor 2 Terms: Indianapolis,IN 46250 '.R-' Carmel Police Department/CARMEPD NSA =M! Pyoung@carmel.In.Gov (W) Exclusively Serving Public Safety Professionals Since 9990. ITT t +EMPIRE, �i '�?;'�r'I� I ' ' .;,. —,.:s• fA"( ::..I T.ti,f lei; :cu:... Sj —.,r� uR. t!�a_>�:.,1.i•. H—' ,::, �;�., .y!swFyr ._::�y:.;:,. :-_:_ ,_ ,a-, .w_, fii`.f' s..:.,•y-r ;.!rr;i::: �f:,._5 M: -( ••.!.•ui:u•+�'•�,�s -�Y YIUf }�; ��fi�it�ti n,..��:'fi`.i�jdi'i�.r}'flec:"-�'�ce,::c��•ff::::f:c..: , ..3 �.c^�•• :' 14 g �:_...,• : �,•�.,..!r......:•N� k, �r.� � € ,'r...r •.,�::: � R�,�`fir...:.+._„ 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.