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Home My WebLink About324658 04/25/18 CITY OF CARMEL, INDIANA VENDOR: 360209 CHECK AMOUNT: $*****2,708.64* ONE CIVIC SQUARE ST VINCENT HOSPITAL 9 ?� CARMEL, INDIANA 46032 ATTN:KRISTINE BROWN,ACCT.RPTNG CHECK NUMBER: 324658 MiroN.co. 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 04/25/18 INDIANAPOLIS IN 46290 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 14076 2,708.64 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 360209 ST VINCENT HOSPITAL IN SUM of$ CITY OF CARMEL ATTN: KRISTINE 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 $2,708.64 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 14076 42-390.11 $2,708.64 1 hereby certify that the attached invoice(s),or 4/23/18 14076 $2,708.64 1120 102 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 Monday,April 23,2018 David Haboush Fire 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer St. Vincent Hosp &Healthcare Center, Inc. Invoice ATTN:Kristine Brown 4040 Vincennes Circle DATE INVOICE# Indianapolis,IN 46268 4/19/2018 14076 5 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased February 201`8 651 76 March 2018 582.38 Pharmacy Supplies -March 2018 1,474.50 46029-160085-65100. Please note invoice number Total that you are paying on check/stub. Thank you! $2,708.64. Inquiries: Kristine Brown Payments/Credits $0.00 Kristine.Brown@ascension.org Balance Due $29708.64 Pharmacy Orders 3/1/2018 through 3/31/2018 CARIVIELsFIRE 000000 704025=32254 TOM PAYNE DEPARTMEN �Rw a 'G T FIRE r" OOQ00# 317 5712630 ` R AMB _ __ [CC432154) Date Ordered Pharmacy McKesson d Generic Name Brand Name Strength Form Package Size EA Quantity Quantity Fatal Price Ordered Sent % s; 3/5/2018 CAR-St Vincent 2705077 Ketorolac Toradol 60mg/2 vial 25's NULL 100 100 94.00. Carmel Pharmacy 60mg/2ml vial ml a 3/5/2018 CAR-St Vincent 1245950 ESMOLOL BREVIBLOC 50 MG INJ EA 25 25 212.25 Carmel Pharmacy 50MG 51VIL ' 3/5/2018 CAR-St Vincent 1468784 CEFAZOLIN KEFZOL 1 GM 1 GM INJ EA 50 50 62.00 Carmel Pharmacy iGM/10ML OR SYR SWI SY I � F 3/5/2018 CAR-St Vincent 1712249 ONDANSETRO ZOFRAN 40 MG INJ Ea 25 25 23.25 Carmel Pharmacy N(ZOFRAN)40 r " 1 IVIG 20 ML INJ 3/7/2018 CAR-St Vincent 1820554 KETAMINE KETALAR 500 MG INJ Ea 7 7 42.14 ' Carmel Pharmacy 100MG/ML 5ML INJ 3/7/2018 CAR-St Vincent 1752211 FENTANYL 300 SUBLIMAZE 100 MCG INJ Ea 157 I57 381.51 ' Carmel Pharmacy MCG/2ml SYR 5 j 3/7/2018 CAR-St Vincent 1833805 MIDAZOIAM VERSED SMG/ML INJ 10 EA 46 46 9.66 J Carmel Pharmacy SMG/ML 2ML 2ML i INJ 3/8/2018 CAR-St Vincent 2705077 Ketorolac Toradol 60mg/2 vial 25's NULL 5 5 4.70 Carmel Pharmacy 60mg/2ml vial ml f F 3/8/2018 CAR-St Vincent 1451798 Diphenhydrami- Benadryl 50mg/ml vial 25'sNULL 1 "1 OSG.' ' Carmel Pharmacy ne 50mg/ml INJ q 1 3/8/2018 CAR-St Vincent 3556065 Nitroglycerin Nitrostat 0.4mg tablet. bottle of 25 NULL 1 Carmel Pharmacy Sublinqual ' 7 0.4mgtab q i 3/8/2018 CAR-St Vincent 3241114 Ondansetron Zofran DDT 4m tablet 30's NULL 15 k g is Carmel Pharmacy 4mg0OT 3/8/2018 CAR=St Vincent 1245695 Racemic Racemic 2.2556/0. nebuliz 30's NULL 23 13 19.20' Carmel Pharmacy Epinephrine Epinephrine 5ml ed soln 0.5ml neb soln i3 3/8/2018 CAR-St Vincent 1718659.ONDANSETRO ZOFRAN 4 MG INJ Ea 1 1 0.27 . ,i. Carmel Pharmacy N 41VIG INJ Pharmacy Orders 3/1/2018 through 3/31/2018 (CARMEL FIRE 3/8/2018 CAR-St Vincent 1763093 EPINEPHRINE ADRENALIN 30 MG INJ Ea 2 2 132.16 �DEPARTMEN' Carmel Pharmacy 1MG/ML30ML MDV ;TSF E/AM64 I (CC 32154) 3/8/2018 CAR-St Vincent 1763689 ADENOSINE ADENOCARD 6 MG INJ Ea 9 9 20.25 Carmel Pharmacy 6MG INJ i I 3/8/2018 CAR-St Vincent 3519857 GLUCAGON GLUCAGON 1 MG INJ Ea 3 3 307.11 t Carmel Pharmacy 1MG KIT i 3/8/2018 CAR-St Vincent 1254812 PREDNISONE DELTASONE 20 MG TAB EA 20 20 3.00 Carmel Pharmacy TAB 20 MG 3/8/2018 CAR-St Vincent 1131093 NALOXONE NARCAN 2MG/2M INJ 10 EA 1 1 27.94 Carmel Pharmacy 2MG/2ML L SYRINGE 3/8/2018 CAR-St Vincent 1226505 MAGNESIUM MAGNESIUM 1GM/2M INJ 25 EA 7 7 6.02 Carmel Pharmacy SULF IGM/2ML SULF L C } VIAL 3/8/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 28 28 56.56 d Carmel Pharmacy Chloride 0.9% Chloride IV bag t I 1000ml IV Bag I 3/8/2018 CAR-St Vincent 1918101 Sodium Sodium 0.90% 500ml 24's NULL 24 24 44.64 I Carmel Pharmacy Chloride 0.9% Chloride IV bag I 500ml IV Bag 3/8/2018 CAR-St Vincent 1718659 ONDANSETRO ZOFRAN 4 MG INJ Ea - 25 ZS 6.75 Carmel Pharmacy NAMG INJ i ! 565 565 1474.50 Depatmental Transfer of Supplies date submissed 04/10/18 Requesting Department: Carmel Fire Dept Supplying Department ER Feb-18 Cost Center Cost Center 4602431600 QUANTITY UNIT COST 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 $1.501 $0.00 Angiocath 20g 1.88 per box 3 $79.00 $237.00 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 $940.00 $0.00 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-10 $295.00 $0.00 EKG Electrodes $3.12 $0.00 Emesis Bas(perpack) $11.52 $0.00 EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00 EZ-10 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 sponge(per box) 1.241 $0.00 Gauze 4 x 4 tub $0.32 $0.00 Gauze Kerlex $0.67 $0.00 Gloves-Med $10.35 $0.00 Gloves-Large $10.35 $0.00 Gloves-Marge $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 ercase 2 $121.00 $242.00 IV Start Kits ea $0.69 $0.00 IV Starts Kits per case $137.00 $0.00 IV Start Kits Sobraview 100/bx $2.66 $0.00 IV Tubing 10 tt $1.16 $0.00 IV Tubbing 10 tt per case of 48 $121.10 $0.00 Kleenex $0.19 $0.00 KY pkt $0.10 $0.00 Kerlix 4.5"x6ply $0.73 $0.00 Lancets per box $57.78 $0.00 Largyngscope Blades Stat 3 box $180.50 $0.00 Largyngscope Blades Stat 4 box $135.74 $0.00 Microdot Xtra Test Strips $29.98 $0.00 Microdot Xtra Control Solutions $12.00 $0.00 Normal Saline 1000 cc bags/ca $9.48 $0.00 Pressure Bag Infusion 1000cc $0.38 $0.00 Pulse Ox,Adult 5.181 $0.00 Pulse Ox, Peds $5.171 $0.00 Razor,dis oseable $0.121 $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 w/needle $0.25 $0.00 Syringe w/Needle 1 ml $0.07 $0.00 Syringe w/Needle 3 ml $0.05 $0.00 Syringe 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 w/Needle 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 Syringe w/Saline10ml $0.32 $0.00 10 ml saline vials(per box $9.63 $0.00 Tape 2" 6 rolls/box $1.001 0.00 Tae V $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&to $3.26 $0.00 Yankauers $0.34 $0.00 Ambu Ba w/mask-Adult $14.63 $0.00 Ambu Ba w/mask-Adult cs/10 2 $86.38 $172.76 Ambu Ba w/mask-Peds cs/10 .$126.00 $0.00 Ambu Ba w/mask-Infant cs/10 $16.00 $0.00 CPAP Flow-Safe !!Ez $443.95 $0.00 CPAP mask-1 case/10- $480.00 $0.00 CPAP Adapter Tee Valve $41.20 $0.00 Lg Bitrac Full Face Mask $29.00 $0.00 ET Tube St lette $0.00 Wipes Disenfect $11.521 $0.00 Grand Total $651.76 Approved by date Depatmental Transfer of Supplies date submissed 04/10/18 Requesting Department: Carmel Fire Dept Supplying Department ER Mar-18 Cost Center Cost Center 4602431600 QUANTITY UNIT COST TOTAL COST Alcohol preps $0.25 $0.00 - Angiocath 14 $1.58 $0.00 Angiocath 16 $1.56 $0.00 Angiocath 18g 10 $1.50 $15.00 Angiocath 20g 15 $1.50 $22.50 Angiocath 20g 1.88 per box $95.00 $0.00 Angiocath,22g $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 $940.00 $0.00 Ca no-St filter lin Adlt/ ed 1 case $356.301 0.00 Coban 1'Roll ea $1.75 $0.00 Cold paks $0.57 $0.00 Drill Driver Power EZ-10 $295.00 $0.00 EKG Electrodes $3.12 $0.00 Emesis Bas(perpack), 1 $11.52 $11.52 EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00 EZ-10 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 sponge(per box $1.24 $0.00 Gauze 4 x 4 tub $0.32 $0.00 Gauze Kerlex $0.67 $0.00 Gloves-Med $10.35 $0.00 Gloves-Large $10.35 $0.00 " Gloves-Marge $10.35 $0.00 IV Ada ter,•Luerlock $0.15 $0.00 IV Dial a flow $3.15 $0.00 IV Extension 19" $1.91 $0.00 IV Lock with Ext 36 $1.87 $67.32 IV Start Kits ea 20 $0.69 $13.80 IV Starts Kits per case $137.00 $0.00 IV Start Kits Sobraview 100/bx 50 $2.66 $133.00 IV Tubing 10 tt $1.16 $0.00 IV Tubbing 10 tt per case of 48 2 $121.10 $242.20 Kleenex $0.19 $0.00 KY pkt $0.10 $0.00 Kerlix 4.5"x6ply $0.73 $0.00 Lancets per box 1 $57.78 $57.78 Largyngscope Blades Stat 3 box $180.50 $0.00 Largyngscope Blades Stat 4 box $135.74 $0.00 Microdot Xtra Test Strips $29.98 $0.00 Microdot Xtra Control Solutions $12.00 $0.00 Normal Saline 1000 cc bags/ca $9.48 $0.00 Pressure Big Infusion 1000cc $0.381 $0.00 Pulse Ox,Adult $5.18 $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 w/needle $0.25 $0.00 Syringe w/Needle 1 ml $0.07 $0.00 Syringe w/Needle 3 ml $0.05 $0.00 Syringe 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 w/Needle 10 ml $0.12 $0.00 Syringe 20ml $0.16 $0.00 Syringe 30ml $0.421 $0.00 Syringe w Saline 3ml $0.28 $0.00 Syringe w/Saline10ml $0.321 $0.00 10 ml saline vials(per box 2 9.631 $19.26 Tape 2" 6 rolls/box $1.001 $0.00 Tape 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&to $3.26 $0.00 Yankauers $0.34 $0.00 Ambu Ba w/mask-Adult $14.63 $0.00 Ambu Ba w/mask-Adult cs/10 $86.38 $0.00 Ambu Ba w/mask-Peds,cs/10 $126.00 $0.00 Ambu Ba w/mask-Infant cs/10 $16.00 $0.00 CPAP Flow-Safe II Ez $443.95 $0.00 CPAP mask-1 case/10 $480.00 $0.00 CPAP Adapter Tee Valve $41.20 $0.00 Lg Bitrac Full Face Mask $29.00 $0.00 ET Tube St lette $0.00 Wipes Disenfect 1 $11.521 $0.00 Grand Total $582.38 Approved by date