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Home My WebLink About329693 09/05/18 ,Coq M. CITY OF CARMEL, INDIANA VENDOR: 00350364 ® ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $****47,451.18" CARMEL, INDIANA 46032 6612 E.75TH STREET CHECK NUMBER: 329693 SUITE 200 CHECK DATE: 09/05/18 INDIANAPOLIS IN 46250 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4340701 33486 22,302.61 MEDICAL EXAM FEES 1120 4340701 33522 25,148.57 MEDICAL EXAM FEES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00350364 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PUBLIC SAFETY MEDICAL SERVICES IN SUM OF$ CITY OF CARMEL 6612 E. 75TH STREET An invoice or bill to be properly itemized must show:kind of service,where performed,dates service SUITE 200 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46250 Payee $47,451.18 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 33486 43-407.01 $22,302.61 1 hereby certify that the attached invoice(s),or 8/30/18 33486 Sworn members physical $22,302.61 1120 101 1120 101 33522 43-407.01 $25,148.57 bill(s)is(are)true and correct and that the 8/30/18• 33522 Sworn members physical $25,148.57 1120 1 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Thursday,August 30,2018 V44,� _ 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 Public Safety Medical - INVOICE r r Public Safety Medical Invoice Date: 0812912018 6612 E.75th Street Invoice# 00.33522 ; E Floor 2 Terms: :gym; �,i�,�,,•�'.j, Indianapolis,IN 46250 t =aF. �•� Carmel Fire Department 1 CARMEF Denise Snyder, Budget&Accred Mgr 5� Dsnyder@carmel.In.Gov(B) 111 9111 Exclusively Serving Public Safety Professionals Since 9990. ;,•, :� WINE � Q. e..�t �:..:�",•��i ,>��f•�h. }3 ,,,,�•�P1�b13'w�a X�tas3n's��l fE;��:x,•_1U31 Cliff � 2 Daflert. :a;.a'�; _ ��+.f.�it'.!t/�"Y-......_•E,...�c _!L_";,..:u'�,.. ..:v!..Y ans.:._._.... ~ 18 Alle Brad A. Comprehensive,Physical Exam 7.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medikee er .00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med O inion-Res irator $0.00 $0.00 Tread -Submax $182.69 $182.69 Body Fat Test-PIA Bio-Elec Im An 16.7 $16.73 Vital Signs-HT WT BP P R $0.00 VIRIon-Acuity 1.06 P -Pulmonary Functiones 9.42 $39, 2 Audlometry $1 . 3 EKG I te $23.89 Urinalysis-;Dipstick $3.60 $3.60 Alverson Jonathan L. Comprehensive Physical Exam $117.07 $117.07 Respirator/Medical Review $19.11 19.11 On ed Program $Q.00 $0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med O inion-Respirator $0.00 $0.00 Treadmill-Submax 81182.69 $182,69 Bodv Fat Test-B Bio- ec al 18-73 Vital Signs-HT WT BP 0.00 $0.00 Vision-Acuity .0 $31. PFT-Pulmonary Function •4 Audiometry $16.73 $16.73 EKG W1 Interp $23.89 $23.89 Urinalysis-Di stick 3.60 $3.60 DeLona,Michael T. Comprehensive Physical Exam $117.07 $117.07 Res irator/Med9cal Review $19.11 $19.11 O Med Program 0.00 0.00 Health Rsk Arwralsal Medikee er 0.00 $0.00 Mad O inlon-Wellness $0.00 $0.00 Med Opinion-Respirator $000 $0.00 Med O i io -Hazmat $0.00 $0.00 Treadmill-Submax 18 $182.69 j Body Fat t- Public Safety Medical - INVOICE Public Safety Medical Invoice Date: 08/29/2018 6612 E.75th Street Invoice# 00-33522 Floor 2 Terms: s Indianapolis,IN 46250 Carmel Fire Department/CARMEFD �a moi: Denise Snyder,Budget&Accred Mgr Dsnyder@carmei.In.Gov(B) Exclusively Serving Public Safety Professionals Since 9990. t }.-::e.•!p... .-Y:rk:Ga : . '.' : s:�:G'�•r-N pc tw+�-r, S �+r.:a+em•..nr.•^wnc�,7 'Sdy Now" C.ri =�u�+ � Vial S' s-HT WT BPP $0.00 $0.00 Vision-Acuity 31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.42 Audlometry g16.73 $16.73 EKG W/Intery $23.89 $23.89 Urina! sis-Di stick $3.60 $3.60 Freer Kelth T. Comprehensive Physical Ex 117.07 $117.07 Res irator/Medleal Review $19.11 $19-11 OnMed Program $0.00 $0.00 Health 's Aopraisal(Medikeeperl $0.00 0.00 Med O i i -Wellness $0.00 $0.00 Med O i i -Resn1rator T dmi I-6ubmax $182.69 $182,69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.73 Vital Signs-HT WT BP P R $O.OD $0.00 Vision-Acuity $31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.42 Audlometry $16.73 $16.73 EKG W/Intern 23.89 $23.89 Urinal is-Di tick $3.60 $3.60 Gu el Mark E. Comprehensive Physical a 117.07 $117.07 s I tor/Medical Review $19.11 OnNed Program 0 0 $0.00 Health i A i t a ikee er) so-go $0.00 Mad Oryinion-Wellness $0.00 $0.0 Med Opinion-Respirator $0.00 0.00 Med Opinion-Hazmat $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.73 Vital Signs-HT WT BP P $0.00 $0.00 Vision-Aculty $31.06 P -Culmonary Function Test $39.42 42 Audlometry $16.73 $16.73 EKG W/Intew $23.89 $23.89 Anal s-Dipstick 60 $2.60 Urine-gladder Cancer Sc ee 6 $53.7 Public Safety Medical - INVOICE ,^L g ... •7 ' Public Safety Medical Invoice Date: 08129/2018 SRI 6612 E.75th Street Invoice# 00-33522 _• Floor 2 Terms: Indianapolis,IN 46250 �14t Carmel Fire Department!CARMEFD LAI Denise Snyder,Budget&Accred Mgr Dsnyder@carmel.in.Gov(B) l'n.;13y1 7 Exclusively Serving Public Safety Professionals Since 1990. ._- .. ••-•--..,,_-ham ..�;,,_, ..,..,-_-.� -v-- - nom_.. N ,..;�.•_�v :_�::�:�,:,::u:��aH;4 � a�,e,�;:.r u^ .,:r-- ,:re ,i';`w�•"'2"`I•sS ..!e� .Gy,ni-h S.�•me.a=e'�,�yri!alsn;:��^�'•rs� T u' :,iJ?.'•+<iEl�u ,� �ic"•ii, aha �i! , ilirT_ '.2iyx; ►?A.LDY ��. i .'?,..�a,,,F.. �.,.,4:,,_�, €f.,! z .Qe� iR, k� a fry,. �1�F1lQ:fuk K _.t1 Respirator/Medical Reylew $19,119 OnMed Program $0.00 $0.00 Health Risk Appraisal Medike er $0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 $0.0ol Treadmill-Submax $182.69 $182.69 Body Fat Test'-BI Bio-Elee Imp Anal 16 73 $16.73 Vial Si ns-HT WT BP P R 0.00 $0.00 Vision-Acu' .06 31 EFr- lmonary Function Test 939.42 Audiometry 3 $16.73 EKG W1 Intery $23.89 123, U' sis-01pstick $3,6 Nalley,Marcus E. Comprehensive Physical Exam $117.07 $117.07 Res ratodMedical Review sig.li-A $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal(Medikeeperl $0.00 $0.00 Med Opinion-Wellness $0.00 $0.0p Med Opinion-Respirator $0,00 $0,00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BI Bio-Elec Imp Anal $16.73 16.73 Vital Sions-HT W BP P R $0.00 $0.00 Vision-Acu 31.06 $31,06 ut ona Function Test S39.42 S3R.42 Audlometry $16.73-- $16.73 EKG W1 Interp $23.89 $23.89 Urinal sis-Dipstick $3.60 $3.60 Reecer,Jason L. Com rehensive Physical Exam $117.07 $117.07 Resolrator/MedlCgi Review $19.11 19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal(Medikeeperl $0.00 0 00 Med OnInion-Wellness $0.00 $0.00 Med 0 ' •o -Resdrator $0.00 $0.00 Med Odn6-Hazmat 0.00 0 Treadmill-Submax $182.69 $182.69 Bo t Te -B 'o-Elec Imp Analy) 6 Vital Signs- Public Safety Medical - INVOICE Public Safety Medical Invoice Date: 08/29/2018 F 6612 E.75th Street Invoice# 00-33522 Floor 2 Terms: 5 Indianapolis,IN 46250 B n6 Carmel Fire Department!CARMEFD �z Denise Snyder,Budget 8 Accred Mgr Dsnyder@carmel.in.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. .+•93+Lc,::..+::.. baa. ...N.. ,��+�'... �.Pi T-i:-�.:r..L�t::iiHr�.i-•_"it:v.- �:x:.., �._EiSi��_•_c;„'ruar:+F:iu`___-..:.�:ro�r,�,. . 31.06 1.06 PFT-Pulmonary Function Test $39.42 $39.42 Audlometry $16.73 $16.73 EKG W/Inte 23.89 23.89 Urinalysis-Dipstick 3.60 .60 Sutton Sean B. CMP Com Metabolic Panel) 22.86 22.86 CBC Co Blood Count 0.70 0.70 U Panel Blood 24.30 $24.30 Venipuncture 3.60 60 SA-Prostate S eci c A (Blood) Taylor,Markj. Commehensive Physical Exa 7.07 $117.07 es ' o Medi I Review Sig-11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Badv Fat Test-BIA Bio-Eleo Imp Anal 16.73 $16.73 Vital Signs-HT WT BP P R $0.00 0.00 Vision-Acuity 1.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.42 Audiometry 16. 3 $16.73 EKG W/Interp $23.89 $23.89 Urinalysis-1212stick $3.600 Walker. h E Comprehensive Phydcal Exam $117.07 Res irator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Hemoccult $0.00 $0.00 Med Opinion-Wellness 0. 0.00 Med Opinion-Respirator $0.00 $0.00 Med Opinion-Hemet $0.00 $0.00 Treadmill-Submax 182.69 $182A Body Fat Test-BIA fBio-Elec Imp Ana $16.73 $16,7 Vital Signs-HTWTB 0.00 $0.00 Vision- 1.06 $31.06 Public Safety Medical - INVOICE Public Safety Medical Invoice Date: 08/29/2018 6612 E.75th Street Invoice# 00-33522 {�°E.1' Floor 2 Terms: Indianapolis,IN 46250 V,1-1; ; r; 1 Carmel Fire Department/CARMEFD E Denise Snyder,Budget&Accred Mgr I -°M Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 9990. - -�1='!NOR-! uih:Sr.:,.i ii'' i •,y�y:,:its ^i:::5ieb- e:� it��!'..r n+k�.•1,1:v^•:.r�1..7�p.Ahtl4"u.`-yr;�in•�:# z1�4g3 i..;i,;!-" �+..,g�Fi� Now t4 _ .IN, s�6ri I?,niY f'Y.:_re •:die': :l''. lunS'sr'o-'.4'.'•1E:':�tir`.L :i'.'.u�S?iC'l�!i4H'�•_,s� %:12i•`��F3_? Yt:Kl:f;i!w";E=:=7:;_j.'s.Fr(!FSF1tY::r�e1t ��4,Siti��,.,�''d��reiC�ItJ w._ �r a r� ;.. .p.S�Y f Avdiometry 6 B EKG W/Interp $23.89 $23.89 Urinalysis-Dipstick $3.60 $3.60 WoodburnScott E. Comprehensive Physical Exam $117.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal Me 'ke er 0.00 $V.00 Med Opinion-Wellness $0.00 $0.00 Med O ' !o -Respirator $0.00 $0.00 Med Opinion-Hazmat 90.00 0.00 Treadmill-Submax 18 .69 $182.69 Bodv F Tes -BIA(Bin-Elea Imp Anal 6 3 $16.73 Vital Signs-HWTB 000 Vision-Acuily $31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.421 AudlometTy $16.73 $16.73 EKG W1 Interp $23.89 $23.89 Urinal sis-Dipstick 3:60 $3.60 Wvant,Andrew D Com rehensive Physical Exam $117.07 117.07 Respirator/Medical Review 919.11 $19.11 O Med Proram $0.00 0.00 Health is sal ed ee er 0.00 $0.0 Med Opinion-Wellness $O.OQ $Q.o0 ed i i -Respirator 0.00 $0,00 Treadmill-80max $182.69 $182.6 Body Fat Test-BIA Bio-Elec Imp Anal $16.73 $16.73 Vital Si ns-HT WT BP P R $0.00 $0.00 Vision-Acui 31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.42 Audiometry 16.73 $16.73 EKG W/Intern 3.89 $23.8 Urinalysis-Dinstick $3.60 $3.60 08/21/18 Contino David M. Comorehensive Physical Exam $117.07 $117.07 Respirator/Medical Review $19.119 OnMed PMgram0.00 $0.00 Health Risk i t e i ee er $0.00 $0.00 Public Safety Medical - INVOICE g 1 Public Safety Medical Invoice Date: 08129/2018 6612 E.75th Street Invoice# 00-33522 Floor 2 Terms: a+ a`- �r Indianapolis,IN 46250 M :;�I; `'Ml l Carmel Fire Department I CARMEFD Denise Snyder,Budget&Accred Mgr Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. FB .iS•'"�f, `- "".� i`(i.,C=•- -- 'rn,��y._Si=• F��ih-Yti'- -ru• 'i's•"�.-•c-_•tlf'.y:gr�....:;sn :r 1 ..'V.."£""x,:- '� SZ.•)Rr�a,t�..�in:�:r*i5^_.x....�' 17 .�.�i�7=�'c`n- n�'`��'.�:�a:'t4'Si"a. Med OrAnion-Resnirator $0.00 $0.00 Med Opinion-Hazmat $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.73 Vital Si ns-HT WT BP P R $0.00 $0.00 Vision-Acuity 1.06 S31.06 P -Pulmonary Function Test $39.42 $39.42 Audiometry $16.73 $16.73 EKG !Intern 23 3.8 Urinalysis-Dinstick $3,60 $3.60 Cummins.Frank C Commehensive Physical Exam 0 s tor! a 'cal Review $19.119 _QnMed Pr 0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Hemoccult $0.00 $0.00 Med Opinion-Wellness $0.00 0.00 Med Opinion-Task-Force One $0.00 $0.00 Med Opinion-Respirator $0.00 $0.00, Treadmill-Submax 182.69 $182.69 Body Fat Test-BIA elo-Sec Imp Analy 1 $16.73 $16.73. Vital Signs-HT WT BPP 0.00 $0.00 Vision-Acuity $31.06 $31.06 Pulmonary Function Test $39.42 $39.42 Audiometry $16, $15.73 EKG W1 Intern 23.89 $23. Urinal sls-Dipstick $3.60 $3.60 DeR ckere Matthew A. Comprehensive Physical Exam $117.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Pro ram $0.00 $0.00 Health Risk Appraisal edikee er 0.00 $0.00 Med O inion-Wellness $0.00 $0.00 Med O inion-Respirator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Test-B Bl -Elec Imp Analy) 6 3 Vital S' BP P R Acuity $31.06 31 0 1 PFT-Pulmonary Function Test 'tRQ-A2-- $39.4 2 Public.Safety Medical - INVOICE ` Public Safety Medical Invoice Date: 08129/2018 �= 6612 E.75th Street Invoice# 00-33522 '01 Floor 2 Terms: Indianapolis,IN 46250 0-0Z- Carmel Fire Department/CARMEFD t =?? Denise Snyder,Budget&Accred Mgr Y 9 9 - Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 9990. .r:os•t�•i::,��-- •M�� ::ry:g•'.;'•'a:r.�.�`^:,.��. .212"'A .ur,,... •-q L; Iia �!. - ';��,: •,.� SSe 5. k�$.`��rl��:�`:,..��,::,:.:?'�t, „a. ��tA�].QSUt..w.�,.. .y �/p(y t gg �r� :y .._..Zx!!!.41.�iY'FC'.in:.•--•�.F< n..��Ci71Ef".c.S_':•F"g. � -_,•-• .c. ..-.-.... Audiorneb $16.73 16 7 EKG W/Interp $23.89 $23.69 Urinalysis-Di stick $3.60 $3.60 Urine-Bladder Cancer Screen $53.76 $53.76 Drake Carl D. Audiomet 16.73 $16.73 EKG W/Interp $23.89123.89 Ur al sis-Di stick $3.60 $3.60 Urine-Bladder Cancer Screen $53.76 $53.7 Comprehensive Physical Exam $117.gZ $117.07 RespjraforlMedical e ' w $19,11911 OnMed Proararn 0:00 $0.00 Health RiskA isal 0.00 $0.00 Med 0 inion-Wellness $0.00 $0.0 Med Opinion-Respirator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.73 Vital Signs-HT WT BP P R $0.00 0.00 Vision-Acuity 31.06 $31.06 PFT-Pulmonary FuncUo Test $39.42 $39.42 Rsher.Gary L. Comprehensive Ph sisal Exam 17.07 $117.07 Respirator/MedicalReview S19.11 $19,11 OnMed Proaram0.00 $0.00 Health Risk Appraisal ed' ee er 0.00 $0.00 Med Oninjon-Wellness $0.00 $0.00 Med i -Respirator 0.00 Med Opinion-Hazmat $0.00 $0.00 Treadmill-Submax $182.69 182.69 Body Fat Test-BIA Blo-Elec Imp Anal 16.73 $16.73 Vital Signs-HT WT BP P R 0.00 $0.00 Vision-AW 31.06 1.06 PFT-Pulmonary Function Test $39.42 $39.42 Audlometry $16.7316 EKG W/Inteip $23.89 23.89 Urinalysis-Dipstick .60 $3.60 Holubik Steven W. Comprehensive Physical Exam $117.07 $117.0 Resnira Medical vi .1 19.1 00 Public Safety Medical - INVOICE IRIA Public Safety Medical Invoice Date: 0812912018 : 6612 E.75th Street Invoice# 00.33522 w;.. Floor 2 Terms: rN Indianapolis,IN 46250 him Carmel Fire Department!CARMEFD Denise Snyder,Budget&Accred Mgr iia Dsnyder@carmel.in.Gov(B) Exclusively Serving Public Safety Professionals Since 9990. w;=:,.�,y{..,,r •r!c:l: .;r�.r5e:='t.-? wm.!:Q�,_3,a:5r-•+te.„�,...„:v,lz:rs^;�'.•-�..i;.;%`z'``u€?3.^:?�I�?�.;.<,,.c-r:}�e�.ry:��i�18f,..,.�:;<•�Ai� =r•• f Yi,.. ::�..:- �°3S' e.�i"e.'q El:iiH��nr_• c..eh�i• � Ft e p �u�„ DU��..;§.�.._ yi]aY�� s�-�FK" >.u�Fl��g��_,,.r•. .N:Y int".�'r -•_d;1�•Si;ts»".i!....3 ,.Q.�,S�ta�}�S4�f'xt•�:E�_� .ears-+K� 4 ��.-. Health s { di $0.00 $0,0 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 $0.00 Med Opinion-Hazmat 0.00 .00 Treadmill-Submax 182.69 182.69 BodyFat Test-BIA Bio-Elec ImpAnal 16.73 16.7 Vital Signs-HT WT.B P R 0.00 0.00 Vision-Acuity1.06 1.06 PFT-Pulmonary,Function Test 9 42 9.42 Audiometry 6 3 EKG I to 23 9 $23.89 -Udnal 's-D' 3.60 SIN e Jared N. o e e ve sical xa $117,07 $117,0 Respirator/Medical Review $19.11 $19.11 OnMed Pro ram $0.00 $0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.QQ Med O inion-Respirator $0.00 $0.00 Treadmill-Subm x $182.69 $182.69 Body Fat Test- Bio-Elec I Anal 16. 3 $16.73 Vital Slqn -HT WT BPP R $0,00 $0.00 Vision-Acuity $31.08 S31.05 P -Pulmongy Function Test 39.4 9 Audiametry $18.73 $16.73 G W1 Jnte $23.89 $23.8 Urinalysis-Dipstick $3.60 $3.60 Love Joseph(Bradley) Comprehensive Physical Exam $117.07 $117.07 Res Irator/Medical Review $19.11 $19.11 OnMed Program 10.00 Health Risk Appraisal Medlke er .00 $0.00 Hemoccult $0.00 $0.00 Med O i !on-Wellness $0.00 $2.00 Med Opinion-Besolrator $0.00 $0.0 Med OU Ion-Hazmat 0.00 $0.00 Ireadmill-Submax S182.69 1 $1,82.69 Body Fat Test--BI (Bio- ec Imp A $16.73 73 I Vital s- Public Safety Medical - INVOICE Public Safety Medical Invoice Date: 08/29/2018 6612 E.75th Street Invoice#. 00-33522 IBES Floor 2 -terms: Indianapolis, IN 46250 11I :a Carmel Fire Department!CARMEFD Denise Snyder,Budget&Accred Mgr - Dsnyder@carmel.In.Gov(B) r�� r�5 i Exclusively Serving Public Safety Professionals Since 1990. ..•.K.:...............:, .. �.-s�.:,.___. ..rrr r s g.::.;:.r -•:;4�}p9t-.,:r ••e zri,;G°�: �'f-`�:8�?":ul'0f i:k1' - `:3i� r [•..w•;., r..t: :r-+w 'P15.5"07,711 P15 44' gars:. .0 ._:E•Lis w•:'r.uzr R•-:µi WIN ".T e.F r s�,r•� FR;a i. -rF acsr- ..fp4�.i�.. ..I- eee••S�n•:a,. i..ii:rn"tiiain��di4Ft"cf?�}'171•t°•'.r�:��3s l4'�,.,uF!�_[I•..nS51��iS'�eYi2�e�S.�^l.aA rlwy.s;�CT;I�i�!:1�=::i!'rc� �G_'e�ON VisioAcuity 0 1.06 PFT-Pulmonary Function Test $39.42 $39.42 Audiornefty $16.73 $16.73 EKG W1 Interp $Z.3.89 $23.89 Urinal is-Dipstick $3.60 3.60 Starr Gre o A. Comprehensive Physical Exam $117.07 $117.07 Respi r/Medlcal Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk A raisal ed ee er 0.0 $0.00 Med Opinion-Wellness $0.00 $0.00 Med Oninion-Respirator $0,00 $0.00 Treadmill-Su $182.69 $182.69 Boft Fat -SIA(Blo-Elec $18.73 Vital SI ns-HT WT BP P R $0.00 $0.00 Vislon-Aculty $31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.4 Audiornetry $16.73 $16.73 EKG W!Interp $23.89 $23.89 U ina sts-Di stick $3.60 $3.60 Webb Gregory A. Comprehensive Physical Exam $117.07 $117.07 es i ato/Medical Review 19.11 $19.11 On ed Pr-o-qraM $0,00 $0.00 Health Risk Aarraisal(Medikeener) $0.00 $0.00 Med 00nion-Wellness $0.00 $0.00 Med O i i - 0.00 Med O inion-Respirator $0.00 $0.00 Med O inion-Hazmat 0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 16.7 Vital Signs-HT WT BP P R $0.00 $0.00 Vision 1.06 $31.0 PFT-Pulmonary Function Test 39.42 139.42 A diome 1 .73 $L6.- EKG 16.E G W Into 89 3 8 Urinalysis-Dipstick $3.60 $3.60 U -BI dder Cancer Screen 53 6 53 i t IEa7n 7 Public Safety Medical - INVOICE Public Safety Medical Invoice Date: 08/29/2018 6612 E.75th Street Invoice# 00-33522 Floor 2 Terms: Indianapolis,IN 46250 Carmel Fire Departmen#!CARMEFD [ n, Denise Snyder,Budget&Accred Mgr Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. .sx'_c':i:t:� '.'!}ef.^s'.5❑'S'r..:...._,.c:, a{'e_,.,,;,f�;f!h-'. :.s-rtiij"?.+r�`. I ;pr. dr5.-:ca%.lt+:y'`.::g'9F:`•:�:�?i6s' " K'9•.":- BywCxflt.iSlf1 7s>,SaUt,:SfV`:.,�ie1-iPiu `r - 4518- -5. .b1rR.5? x Respirator/Medical R view 19.1 19. 1 OnMed Program $0.00 $0.00 Health Risk Appraisal Medlkee er $0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Task Force One 0.00 0.00 Med Opinion-Respirator 0.00 0.00 Treadmill-S ax 82.69 2. 9 Bodyt-BIA Bio-Elec ImpAnal 16.73 16.73 V Stn -HT WT B 0.00 0. Vision-A 1.06 .0 P -Pulmonary Function Test 39 39.42 Audlometry $16.73 $16, E i to 23.89 23 Urinal sis-Dipstick 53.60 $3.60 Zeller Michael J. Comprehensive Physical Exam $117.07 $117.07 Res irator/Medical Revlew $19.11 $19.11 OnMed Program 0.00 $0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Blo-Elec Imp Anal6.73 $16.73 Vital Sions-HT WT BP P R SOLD $0.00 Vision-Acuity 31.06 $31.06 PFT-Pulmonary Functlo Test 39 U9,42 AudioAudinmetry $16.73 $16.7 EKG W1 Interp $23.8923 Urinalysis-Di stick $3.60 3.60 Med Opinion-Wellness W117.07 0.00 Med Opinion-Respirator 0.00 0B/22/18 Anderson Donovan Co C. Comprehensive Physical Exam 17.07 Res irator/Medical Revlew 19.11 OnM Pro ra $0.0D Health Risk Appraisal Medi ee er 0.00 0.0 Hemoccult SO.00 $0.00 Med O Inlon- ellness $0.00 00 Med Opinion-Task Force One $0.00 $0.0 Med Opinion-Respirator $0.00 $0.00 Med Opinion-Hazmat- $0,00- Public Safety-Medical - INVOICE Public Safety Medical Invoice Date; 08/29/2018 MP'664 6612 E.75th Street Invoice# 00-33522 Sm Floor 2 Terms: *# Indianapolis,IN 46250 ,��1 x y Carmel Fire Department 1 CARMEFD I��{ Denise Snyder, BudgetA Accred Mgr R-:�,i Dsnyder@carmel.In.Gov(B) IRS` yINWHI Exclusively Serving Public Safety Professionals Since 9990. u:.:. :. ,_.s:v.�..�<..,.. .•:. •.i.�xi^:`! :TGw^G'tFic-=:�"a:q�r.'.iis'.Y:'i:�it�,> - Ro ^Y4u =ski':u:�s'�j :f'Eir.'t'- �f. ♦_'c�I- S39.42 ,Y`'.,Q� re II-Su 26Bad Fat Test-BIA Bio-Elec Im Anal $16.73Vital Si ns-HT WT BP P R 0.00Vision-Acu' 1.06PFT-Pulmona Function Test 39.42 Audiometry 16.73 $16.73 EKQ W1 Interp $23.89 $23.89 U'naI sis-Dipsfick $3.60 $3.60 Baskerville.Steven M. Comprehensive Physical Exam 7.07 $117.07 ResRirator/Medical Rayiew $19.1 $19.11 OnMed Program 0.00 $0.00 Health i k Aovralgl(Medikesper) .00 Mod O in o -Wel ss $0.00 $0.00 Med Opinion-Respirator 0.00 $0.00 Treadmill-Submax 182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 16.73 Vital Signs-HT WT BP P R $0.00 $0.,00 Vision-Act i 31.06 31.06 PFT-Pg1monary Fu cHon Test $39.42 $39.42 Audiometry 6.73 $16.73 KG Wt e $23.89 $23.89 U'naI 's-D' tick $3.60 Brisco Michael D Compre ensive Physical ExaMV17.07 117.0 ca e A 1 Oe ro Health Risk raisal Medikee er $0.00 Hemoccult $0.00Med O inion-Wellness $0.00 Med Opinion-Res irator $0.00 $0.00 Treadmill-Submax $182.69 182.69 Body Fat Test-BIA B o-Elec Imp Anal16.73 $16.73 Vital S' s-HT WT SP P R 10.00 $0.00 Vision-AcLdtv $31.06 931.06 P -PImonary Function Test $39.42 4 Aud o etry - $16.73 $16.73 EKG W1 Intem $23,89 $23.89 sok Public Safety Medical - INVOICE �`:�ry" Public Safety Medical Invoice Date: 08/29/2018 " f 6612 E.75th Street I Invoice# 00-33522 Floor 2 Terms: Indianapolis,IN 46250 ri Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr r Dsnyder@carmel.In.Gov(B) �34p��r Exclusively Serving Public Safety Professionals Since 9990. ___ "�:w�n:u?�x�:_.^��:r,^�„S,`-.='S.'F.�-":":�"�"'...... ...u:w�.,;:.r�ss:�;r.�-v..--l...:.;ti-'t.`i�';';:sa'-- - i.��x- .M.;... "'Ib ee ri,,tk;.:,,� ;. _s�Y,.._.,a4CY�scn ori,; z� ,_ FY: ; ;, QU f�l4a jaln3 ; _I.... _ �.G�� Z..l.y RIN ��4Y. buns,Andrew P. Comprehensive Physical Exam $117.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Program $0.00 0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 $0.0 Treadmill-Submax $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.7 Vital Signs-HT WT BE 0.00 $0.00 Vision-Acuity $31.060 PFT-Pulmonary FunctionTest 39 $39, AudlomeWj 116.73 $16, G W/Intem $23.892 Urinalysis-DI tick $3.60 $3.60 Hutchison Brian P. Comprehensive Physical Exam $117.07 117.07 Respirator/Medical Review $19.11 $19.11 OnMed Pro ram 0.00 X00 Health Risk A raisal Medikee er 0.00 $0.00 Med O inion-Wellness $0.00 $0.00 Med O inion-Task Force One $0.00 $0.00 Med O inio -Respirator $0.00 $0.00 readmill-Submax $182.69 $182,69 Body at Test-B1A(B'o-Elea Imp a 6. Vital S SP P R $0.00 Vision-Acuity $ 06 $31.061 PFT-Pulmonary Function Test $39.42 $39.4 Audlometry $16.73 $16.73 EKG W/Interp $23.89 $23.69 Urinalysis-Dipstick $3.60 $3.60 Johnson Jeremy S. Com rehensive Physical Exam $117.07 $117.07 ResdEatoriMedical Review $19.11 $19.111 OnMed Proaram $0.00 $0.00 Health Rik edi e e 0.00 $0.00 Med O ' o -Wellness $0.00 Med Opinion-Respirator -Treadmill-Su $182,69 $182.69 Body Fa Test-SIA Bi E Public Safety Medical - INVOICE , itxPublic Safety Medical invoice Date: 08129/2018 6612 E.75th Street Involve# 00-33522 Floor 2 Terms: Indianapolis,IN 46250 ' Carmel Fire Department!CARMEFD Denise Snyder,Budget&Accred Mgr Y 1� Dsnydera@carmel.In.Gov A Exclusively Serving Public Safety Professionals Since 9990. .. �,,,-.._,_ter-t.t•'p a;.��•-w� .. -�.-N�..k,.a�,y-( Z,,,, �.+,a a�ii;•c:_•:,:�:�ta>;�7pk`1�,.. t��68I�rSGP�dC3� .e',s"!�}.:�.iditr:a-.`.`�'-'�z:3. (�"s�.`Yi.'. r � Y�•�,'.`�Ap 0�'..'•c.�iit :r;-••J}r- - rr�:i'�a, "._ ..n..-:r• F �� iiT_nn},ra•:i::s•»!..�,•::::..;xi¢�r'�.s'y::::c�:�.. vital slana-H BP P R 0 Vision-Acui $31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.42 AudiometrY 16.73 $16.7,- $23-89 16.73 3.89 $23.89 Urinalysis-Di stick $3.60 $3.60 Lenze Jr Theodore A. Comprehensive Physical E am $117.07 7.07 Res ira or/Medical Review $19.11 $19.1j OnMed Pr $0.00 0 0 HeElIth Risk ApSMsal edike er 00 Mod Oninion-Weilness 00 $0.00 Med Oi 'o - es ' 0 $Q'00 Med O ' io -Hazmat $0.00 90.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $18.73 Vital Sims-HT WT BP P R $0.00 $0.00 Vision-Acui 4$39.42 .0 1.06 PFT-PulmonaryFunction Test 9.42 Aud'o a .73 16.E G W/Inte .89 2U'nal sis-Di st .60 3.60 Mulford,DaMd A. Comprehensive Physical Exam $117.0 1 .07 Rewlrator/Medical ReView 9 $J9.11 OnMed Program $0.00 $0.00 Health is 'sal a 'k a er 0 10,00 Med O inion-Wellness $0.00 $0.001 Med Opinion-Respirator $0.00 $0.00 Treadmill-Submax 182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $16. Vital SI ns-HT WT BP P R $0.00 0.00 Vision-Acuity 1.06 $31.0 FT-Pulmonary Function Test 9.42 $39.42 Audiometry 16 3 $16.73 EKGW/Joterp $23.89 $23.6 Urinalysis-D' s c $3,60 Mumhy.Johnny J. Health-Risk A sa Medikee .00 $0.00 Med i 0 Public Safety Medical - INVOICE ;Sili;r�''• 4 Public Safety Medical Invoice Date: 08129/2018 33522 6612 E.75th Street Invoice# 00 Floor 2 Terms: 10-Mi Indianapolis,IN 46250 N Po i Carmel Fire Department 1 CARMEFD 90 Denise Snyder,Budget&Accred Mgr Dsn der earmel.In.Gov B Exclusively Serving Public Safety Professionals Since 1990. mo: 41", MORE R-115 'i-0 aROOM ed Opinion-Resj&ator SD.00 10.00 Treadmill-Submax $182.69 $182.69 Bodv Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.73 Vidal Si ns-HT WT SP P R $0.00 $0.00 Vision-Acuity 31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.42 Audiometry 16. 3 $16.73 EKG W Interp $23,89 $23.89 Urinal sis-Dipstick $3.60 $3.60 Comprehensive Physical Exam 117.0 1 7.07 Respirator/Medical Review $19.11 $19.11 0nMjd Program00 Robinson,Bro G. Comprehensive Physical E a 07 17 07 Re irator/Medical Review $19.11 $19.11 On Med Program $0.00 $0.00 Health Risk raisal Medikee er 0.00 0.00 Med Opinion-Wellness 0.00 0.00 Med Opinion-'Res irator 182,6 0.00 Treadmill-Submax $182.6 B Fat Test-BI Bi Elec ImpAnal $16.731 Vital Signs- BP P R 0 0Visio - cut PFT-Pu o ction Tes 9 42 u io et sioza G W/Intem $23.8%- $23.891 Urinalysis-Dipstick $3.60 $3.60 Steurv.Kent C. Comprehensive Physical Exam $117.07 $117.G7 Respirator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health R sk A raisal Medikee r 0.00 0.00 Med Opinion-Wellness 0.00 -$0.00 Med Opinion-ResplEgtor $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body at Test-BIA(Bio-Elec ImpAnal 6.73 $16.73 Vital ins-HTWT BPP R $0.00 $U0 Vision- c " $31m 1 6 t $39.42 M942 Public Safety Medical - INVOICE Y1"WHI!, VM1Ji Public.Safety Medical Invoice Date: 0812912018, .i. 6612 E.75th Street Invoice# 00.33522 1AMa Floor 2 Terms: „E Indianapolis,IN 46250 ' 4-'. Carmel Fire Department 1 CARMEFD lO p a .... Denise Snyder, Budget&Accred Mgr Dsnyder@carmel.In.Gov(B) inn u, Exclusively Serving Public Safety Professionals Since 1990. ...:..�..._.. .. ...v:x: .ia+..�..�nr^n•2.'-Sr op'+F..:.:^tirys;+,"�'.:iiiC:; __ z:ii%_h'nr'• a=,J�i'�3I :njw fE`�•{_q��yj--- �7-'a '(�' r�e i2F•i...�...f Wit_....Ld]. if_.2..-.ii:?r::�L.,. ...4iIJ.�� 4.... v ^�[t.".:G{ i+Ci:.i�I •1'l.Vi[.ItT�=�:,l:�GLQ1'-`.` Audlometry $16.73 $16.7 EKG WI Interp $23.89 $23.89 Urinalysis-Dipstick $3.60 $3.60 Wendzel Jason D. Comprehensive Physical Exam $117.07 ,4$117.0 Res lrator/Medical Review 19.11 OnMed Program 0.00 Health R's raisal Medikee r .00 Med 0 inion-Wellness .00 Med Opinion-Res Irator $0.00 Treadmill-Subm V82.69 $182.69 Wy FatTest-BIA Bio- ec I Anal $16.73 6.7 Vital i P slon-Acuity $31.06 PFT-Pulmonary Function Test $39.422 39.42 Audlometry $16.73 $16.73 EKG W/Interp23.89 23.89 Urinalysis-Dipstick 92.60 $3.60 08/23/18 Collins.TonvA. Corrorehensive Physical Exam 117.07 $117.07 R irator/Medical Review $19.11 $19.11 OnMed Pro ram so'go $0.00 Health Kjak Appraisal edikee er .00 00 Med Opinion-Wellness . 0.00 $0.0o Med Opinion-Res irator $0.00 DO Treadmill-Submax 182.69 82 Body Fat Test-B Bi -Elec IMn Analy) 6.73 6 3 Vital S! ns-HT WT BP P R $0.00 $0.00 Vision-Acuity $31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.42 Audio try 16.73 $16.73 EKG W/Interp 23.89 $23.89 Urinalysis-Di stick $3.60 $3.60 Cox Justin M. Med Opinion-Wellness $0.0 $0.00 Med Opinion-Resolrator 0.00 0 0 Med OpInlon-.Ha at $0.00 $0.0 Comprehensive Physical Exam $117.07 $117.0 R ! ed' l Reew '419,11 $19.11 OnMed 0 Public Safety Medical - INVOICE �f n ;x Public Safety Medical Invoice Date: 08/29/2018 _ 6612 E.75th Street Invoice# 00-33522 t r�i Floor 2 Terms: -4.03-, Indianapolis,IN 46250 MINE Carmel Fire Department/CARMEFD Denise Snyder,Budget&Accred Mgr y Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. _ .:p•-. -.[�'b»SEtn :F •ilt:?L' -_ _:ci_'W- _ .:rg,n•-••Y•a-J:i�:ii•7!sE'.2-,`.E''.:1.`.:iriSf�.1.g .� '.a7!9?-�-cu �6�.•;_ csr•-•I.+si ,, .., ,; tiJ4rr.m.. =f•s :.,c .c._..;:.`i_(.S''F"•4-•. '�Q 2'..v"`.. ....�: t a�r�:i :v,• :S�'."�}-- iu''�E(iDU�,t.'`�en; .�+4c1taFZ�e; �ii 'alv'n .±• ,R..: Ftp_ ,. ,N a i._f«i st v" e Q)}i e. _:s5...r.v '•r-�.��'.._._.u,�_ -t'��-.�-.,.. ._ P. Y�.. _x�:..,...ti�:.�!�_..._... .e.mc,...,rL.aitEc..:..:... P�i:.. ,t. Health I M dikee er 0 EQ.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elea Imp Anal 16.73 $16.73 Vital Si ns-HT WT BP P R $0.00 $0.00 Vision-Aculty $31.06 $31.06 FT-Pulmonary Function Test $39.42 $n.42 Audlometry $16.73 $16.73 EKG W1 Intern $23.89 $23.89 Urinalysis-Di stick DeCrastos RichardComprehensive Phygical Exam $117.077 RespiretoWedical Review $19.11 $19-11 OnMed Program 00 $0,00 Health- 'sk An-graisal Wedikeeper) 0 Med Opinion-Wellness $0.00 $0.00 Med 0 inion-Respirator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Bodv Fat.Test-BIA Bio-Elea Imp Ana 16.73 $16.73 Vital Si ns-HT WT BP P R 0.00 $0.00 Vision-Acui $31.06 $31.06 Pulmonary Function Test M$23.89 9.42 Audiometry 16.73 G to 23.89 in sls-D' sti Do r a es E. Co r e s've Physical Exam .13esdrator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med O inion-Respirator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA(Bio-Elec Imp Anal $16,73 16.73 Vital Si ns-HT WT 13P P R $0.00 $0.00 Vision-Acui1.06 $31.06 P -Pulmoneiv Function Test 9 9.42 Audiometry 16 3 3 GWlte 9 38 -D' ti Public Safety Medical - INVOICE . , ` Public Safety Medical Invoice Date: 08/29/2018 6612 E.75th StreetInvoice# 00-33522 Floor 2 Terms: I� Indianapolis,IN 46250 i 166 y Ir Carmel Fire Department!CARMEFD = �y; Denise Snyder,Budget&Accred Mgr - Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 9990. _ ,c,t, ice','r.•.w•::ar-aar34 •-r:.eY' .esvn AMR ;,�ti`r• sca: ::q3;.z'�� - 'r.✓x% -.v 3�,�Y.iE�,ru.u:_`�:• �:vrrtly^^' - .rg.�'na.�-r Ea �1::��"�ts! s'; v, �, uo� -:�J'e..3.._ P•,t�.�h�..�. .r. - •q r_ -�. •ailira..: ?t_......t,�F....:[: ...r..r., Edwards, eve L. Comofebensive Physical Exam $117.07 Res lrator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medike er 0.00 $0.00 Hemoccult $0.00 so.00l Med Opinion-Wellness S0.0o $0.00 Med Opinion-Respirator 0'00 $0.Q0 Treadmill-Submax $182.69 $182.69 Body Fat Test-BI Bio-Elec Imo An I 16.73 $16.73 \Atal Signs- BP P R W.00 $0.001 s o -Acuity '$31,06 $al. eulmonary FunctionTest 2 Audiornetry 16, $16.73 EKG W/Interp $23.89 $23.89 Udna{ Is-Dipstick $3.60 $3.60 Greiner.Brandon J. comprehensive Physical Exam $117.47 117.07 Res irat r edical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Aporalsal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Res to 0:00 $0,00 Tre d i -Subma 82. 9 $182.6 Body Fat Test-B (No-Elea I $16.73 Vital S' s-HT WT RP P R $g.0000 Vision- cuity S31.06cu' 06 PFT-Pulmonary Function Test $39.42 $39.42 Audlometry $16.73 $16.73 EKG W/Interp $23.89 $23.89 Urinalysis-Di stick $3.60 $3.60 Holden Adam D. Comore ensive Physical Exam $117.07 $117.071 Respirator/Medical Review $19,11 $19.11 OnMed Proaram $0.00 Health Risk isal er) $0 0 0.00 Hemoccult 000 000 Med O i ion-Wellness $0.00 $0.00. Med Opinion-Respirato 0.00 0 Treadmill Submgx $182,69-1 $182-691 Pub.11c Safety Medical - INVOICE -. v, Public Safety Medical Invoice Date: 08/2912018 6612 E.75th Street Invoice# 00-33522 1211 Floor 2 Terms: 'Indianapolis,IN 46250 s ,9:K FR'` Carmel Fire Department l CARMEFD z +' Denise Snyder, Budget&Accred Mgr ; r�.� Dsnyder@carmet.In.Gov(B) Exclusively Serving Public Safety Professionals Since 9990. •' . �KS S a.kt°nk�tte- �y,��F:N�'• _ ,r.�es = _-- ::LtY. 1K '„yi�r t Y.•!k• - lYl .k..f fSt i.4'!Yi yt'.t:}: •L�Z C! c?L i""'�Li:/i7 _ .._E- ._ .;t i a� �4r` :r:r• n.. W- y Fat Test-BI B c-Elec imr-)Analyl $16.73 3 Vital Si ns-HT WT BP P R $0.00 $0.00 Vision-Acuity 31. $31.06 PFT-Pulmonary Function Test 39.42 $3.9.42 Audlometry $16.73 $16.73 EKG W/Int 23.89 $23.89 Urinalysis-Dipstick 3.60 $3.60 Hoover Anthonyon B. Comprehensive Physical Exam $117.07 $117.07 Res i ator/Medical Review $19.11 19.11 OnMed Program $0.000.00 Health Risk Anoralsal(Medlkeever) 0. 0.00 Treadmill-S bmax $1,82.69 $182.6 Bo -B B' ec Imn Analy) 6 .7 Vital Signs-HT WT BP P R $0.00 0.00 Vision-Acuity 31.06 $31.061 PFT-Pulmonary Function Test 39.42 $39.42 Audlometry $16.73 $16.73 EKG W/Interp $23.89 $23.89 -Urinalysis-Di stick $3.60 t3.60 Med Opinion-Wellness $0.00 $0.00 Med OrAnion-Resolrator $0.00 $0.001 Martin.David D Comorehensive Physical Exam $117.07 $117.07 es 'a o ed cak Review $19.11 $19.11 OnMed Proaram $0,00- 0.00 Health Risk Appraisal edikee er) $0.00 $0.00 Hemoccult $0.00 0.00 Med 0 inion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 $0.00 Treadmill-Submax M911812.69 182.69 Bod Fat Test-BIA Bio=Elec Im Anal 16.7Vital Si ns-HT R 0.00Vision-Acui 1.06 PFT-PulmonaryTest 9.4 9.42 Audiometry 16.7 16.73 EKG W/!nterp $23.89 $23.8 Urinalysis-Qigstick $3.6Q $3,60 McNab-John D. 7 7 Public Safety Medical - INVOICE M=a Public Safety Medical Invoice Date: 08129/2018 �f-- FS 6612 E.75thStreet Invoice# 00-33522 7115,111 15,11 Floor 2 Terms: �- Indianapolis,IN 46250 Carmel Fire Department I CARMEFD Denise Snyder,Budget&Accred Mgr Dsnyder@carmel.in.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. - •"r,�-t5.: '_ +i;-°: - 'cvria'cfii•ii"e'Cii•�. Fi7^,;�i..ic'"=tYJiSt`ri.�i�.r rsb�?i:."4`..`i�5 r`Ti'i�r'ti �:#Ir.::,r-c'=-':x•i+4'c`.._ kn� rar:c 4-,;,.��-�' i 'i� li) ee�-:ia...n.,��`••i�. � � ,z•-�aTal_3_e;_s io r.�,_ �r� /1�`b�"nf:��?�' �r�,�`��1� „'� .=- ..t-Y.=lc�'if'�iki..=`t`•..._-_.C_�....._,. c ..=..n.=.t..`?� t✓•n..!?i_-'"_t;�___ ��5 1-+-�..;'3'}_ »":r.'.'.._:a3r _ ResdratoriMedicall Review $19,11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA B'o-Elec Imp Anal $16.73 $16.73 Vital SI ns-HT WT BP P R $0.00 $0.00 Vision-Acuity 1.06 1 $31.06 Pu monary Function 39 $39.42 Audiometry 6.73 16 EKG W1 Intelp9 $23,89 -Urinalysis-DiostIck 3.6 $3.60 McNeelv.Michael W. Comprehensive Physical Exam $117.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal(Medikeeparl $0.00 $0.00 Med Opinion-Wellness $0.0g $0.001 Med Opinion-Respirator $0.00 $0.00 Mad Opinion-Hazmat $0.00 $0.00 Treadmlll-Submax $182.69 $182.69 Body Fat Test-BIA fBio-Elec Imp Ana 16 $16,7 Vital S 0.00 $0.00 Vis -Acuity 131.08 $31.06 PFT-Pulmonary Fundon Test 3 4 Audlometry $16.73 $16.7 EKG W/Into $23.89 $23.89 Urinalysis-DI stick M$117.07 .60 Utzi Todd T. Comprehensive Physical Exam 117.07 Res irator/Medical Review 19.11 OnM Prora 0 0Health Risk raisal Medikee er . $0.0o Hemoccult $0,00 0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 0.00 Mad-Opinion-Ha t $0.00 0.00 S182.69 Public Safety Medical - INVOICE U Public Safety Medical Invoice Date: 08/29/2018 6612 E.75th Street Invoice# 00-33522 )r Floor 2 Terms: Indianapolis, IN 46250 , °rya Carmel Fire Department!CARMEFD ��•-• Denise Snyder,Budget 8 Accred Mgr Dsnyder@carmel.In:Gov(B) Exclusively Serving Public Safety Professionals Since 9990. :'ii' >3J'ev!i:d:.'• - -::�.:::x�.:`H„ v. .y?;'are n - watr.;- fn. v• _: PERU- �r: M" ,'•Fc-�.•'W- - _ _ ��.l:�I��r"}3..'.`'i't>'�ciA T�i".F3'.5�''�'i�ti.GI N�lnlT i3h..a-ra.-o cr TiX•��:.ES4S!y�T�;i.3_'42�,\y..•,�?'.�U �."�,�:rP.°s'`:'u1:�14iy.i,�L'..r.:i�i�au=.:Ja-:�'E!d�r1�`gs.'7 uk?POR�'_• PS,'.. Elody Fat s -BI B'o-Elec Imp Analyl $16.73 $i6 A Vital Si ns-HT WT BP P R $0.00 $0.0 Vision-Acuity $31.06 31.0 PFT-Pulmonary Function Test $39.42 $39.4 Audiometry $16.73 16.7 EKG W/Interp 923.89 $23.8 Urinal is-Dipstick $3.60 $3.60 08/24118 Baskerville,Steven P. Com re ensive Physical Exam 117.07 $117.07 es i ator edical Review 1911 $19.11 OnMed Program $0.00 $0.00 Health isk Avivalsal(Medikeeperl .00 $0,0 M 0 $0.00 Med 0olnion-Res 'rator $Q.Q0 SO.00 Med O inion-Hazmat $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.73 Vital Si ns-HT WT SP P R $0.00 $0.00 Vision-Acuity $31.06 $31.06 PFT-Pulmonary Function Test $39.42 $99.42 Audlometry $16.73 16.73 EKG W/IgteM $23.89 $23.8 Urinalysis-Dipstick $3.60 13.60 Benbow S. Comprehensive Physical Ex $117.07 7.0 Respirator/Medical Review 9.11 $19.11 O Med Program $0.00 Health Risk A raisal Medlkee er 0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal $16.73 $16.73 Vital Signs-HT WT BP P R 0.00 0.00 Vislon-Acui 31.06 1.06 PFT-PulmonaryFunctionest 39.42 9.42 Audiomet 16.73 6 3 EKG W/Intern 3.89 $23.89 Urinalysis-Di stick S3.601 $3,60 Med O ' ' -Wellness 0 00 $0.00 ed Opinion-SWAT S0.00 $0.00 Med-Opinion-Respirator ao 0.00 Public Safety Medical - INVOICE I. j Public Safety Medical Invoice Date: 08/29/2018 ` 6612 E.75th Street Invoice# 00.33522 y Floor 2 Terms: Indianapolis,IN 46250 MME 01-11 Carmel Fire Department!CARMEFD Denise Snyder, Budget&Accred Mgr ' Dsnyder@carmel.in.Gov(B) RX i` Exclusively Serving Public Safety Professionals Since 9990. e�cb•i;.,,,4,i,_�,�Rr]..�.�sef�:.1.�}:r.e:�•.�y:•._' d•..:�"'��:YL"i�Esia:':"ih?f$:S:!i15P'rirn.4r.m.q,•i..i.a-...ia_., �iL"�.G4F:aswua, .t•tY,: ��'r•i.;:p,a5�1^cr.>...: -yy___ _.-mar 1Sd ......'RSy?as- Cuiutliif.'�T.,."•itM•..FP'�.i'.i:�;-ir{eli;e�iMl�°S:9i?.� ,.L^e.�ii::i'ti:lr� ll.�Y_r1�:F7j=Zy,�`i� Qailay.Robert ComprehensivePhysic-a[ 117.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med 00 ion-Respirator $0.00 $0.00 Med Opinion-Haz at $0.00 $0.00 Treadmill-Submax 182.6 182.69 Bodv Fat Test-BIA Bio-El c 916.73 Vital Signs-HT WT BP $0,00 $0,00 Vsion-Acuity $31.06-- PF7-Pulmonary Function Te $39.42 Audlometry S16.73 16. 3 EKG W/Interp $23.89 $23.89 Urinal sls-Dipstick $3.60 $3.60 Urine-Bladder Cancer Screen $53.76 M.76 Manors Jeremy B. Comprehensive Physical Exam $117.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Pr ram 0.00 $0.00 Health Risk A ralsal Medikee V $0.00 0.00 Mad Opinion-Wellness $0.00 $0.00 Mad O i ion-Respirator $0.00 $0.0 Mad O ' lc -Hazmat $0.00 $0.00 Treadmill -Submax 82 69 9182.69 -Body-Eatst-BIA(Bin-ElacirngAnaly) $16.73 $16.7 -E Vital Si ns-HT WT BP P R $0.00 $0.00 Vision-Acuity $31.06 $31.0 PFT-Pulmonary Function Test $39.42 $39.42 Audlornetry $16.73 16.7 EKG W Into 3.89 23 .8 Urinal sls-Di stick .60 Michael A. Comprehensive Physical E Resoirator/Medical Review1 911 S19.111 OnMild Pim-gram 0 Health i e ' e e 0 eo o - as0 t 0.0o a Public Safety Medical - INVOICE Tf Public Safety Medical Invoice Date: 08/29/2018 • k 6612 E.75th Street Invoice# 00-33522 I r Floor 2 Terms: Indianapolis,IN 46250 yipry ta� 1- Carmel Fire Department/CARMEFD .� Denise Snyder,Budget$Accred Mgr ya Dsnyder@carmel.ln.Gov(B) Exclusively Serving Public Safety Professionals Since 9990. a ._...,..;y„+„... ....... .....�. �.a•t= . .:.:.}a:.'«`.x.:e a:�r.t•yay .•:_�- .r � WON'T:��:e D:.e.�i.el�.a.A;r..'."1a•?x'Ae;::{rwss.;r,�•�+k?;:-:<.`-' .�ayf,i�!... I�iQ.-Y.i @�.rm:i..=,:i.A:e:a f:.;..:�+.�Y:gym:.�r: e''.��!�•Y.iJnki::ir:?Tf �-r _b-_� cfiiEh7•"-;�i3;r.n,EJEI[I .y" :k' Treadmill-Sub a 982.6 182.69 Body Fat Test-BIA Bio-Elec Imp Anal $16.73 $16.73 Vital Signs-HT WT BP P R $0.00 0.00 Vision-Acully $31.06 $31.06 PFT-Pulmonary Functlon Test $39.42 $39.42 Audiome $16.73 $16.7 EKG W/Intero $23.89 $23.89 Urinal sis-Dipstick $3.6Q $3.60 Marian Richard A. Comprehensive Physlcal Exam 117.0 $117.07 Respirator/Medical Review $19.11 $19.11 OnMedPr-ogram $0.00 $0.00 HAalth RiskAppraisal e ' so-00 $0.00 Hemoccult 0.0 0.00. Med O inion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Bodv Fat Test-BIA Blo-Elec Imp Anal 16.73 $16.73 Vital Signs-HT WT BP P R $0.0o $0.00 Vision-Acuity $31.06 S31.06 PFT-Pulmonary Function Test $39.42 $39.42 Audlometry S16.73 $16.73 EKG J Intern $23.89 23.89 Urinalysis-Unstick .60 $3.60 Sharp.Adam C. CompMhenslve PhysicalExam 07 $117.07 Respirator/Medical Review 19 $1911 OnMed Program $0.00 $0.00 Health Risk Appraisal Medikee er 0.00 0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 $o.00 Treadmill-Submax $182.69 $182.69 Bodv FatTest-BIA Bio-Elec Imp Anal 16.73 $16.73 Vital Slans-HT VVT BP P R $0.00 $0.00 Vision-AcWtv $31.06 $31.06 PFT-P lmonary Function Test 39. 2 $39.42 Audlometry $16.73 $16.73 EKG K Intero. $23.89 $23.89 rin -D' Public Safety Medical - INVOICE Y q Public Safety Medical Invoice Date: 08/29/2018 i nii�FiS .7 we 6612 E.75th Street Invoice# 00.33522 Floor 2 . Terms: as Indianapolis,IN 46250 01 Carmel Fire Department/CARMEFD h `N Denise Snyder,Budget&Accred Mgr Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. a '-"r'-:;.•;. .-..,:.'.:w=e:-._..•.............„4 ,u. vKy,, .uf M .':;.azi<:ti,.-.LL�a'i!a?. - - - -;t i4�:i-.:-.�.�i:.�'�' s ---Ca�e-�;5.6_ _ __ • ! n'�^1'2 .,t., ^_ .., ye�TS dt dk•'['igy 'E i.•',.-yiiw;'c• .,..,.m D nCi�r P :;. :�-ru:�rt.�,;Fj�F�G��..�•- .:��-� '.�,� ��. `�=��)9s`CFi"�f[ci�, ..,ri__ Q�141�e� r.., r:.—i ...=,w,p. a-a�-.. �zt.,a•»•.,c.,• - c.ugari.''32_3:%.c-Elio@I�`:.��2"•� tignd:te..e;,•}S1»%.Y';`1>�f:�r__ _ - �„+,':a4,i 4 :d:8?:._.>.eu'.�^��.':idi:i?i 5u6t�iCSZi r._ g'°-;.;'dcr?= ��yy-.G..n�ti=,^ t.--.tl�,,f. 3:.u;S^-.3..'•7'i5:z'3il•:i ;i'...fax ..-`•�`r-, .... ._�`-!. i.>w•.:ao.Li,r2..,..�.v c'• .e-y •� a^tie,..,.,&�.vv�§." -,f!i ,s�r�'-rS_'...`im�FeSi�c.�r.ar.�i •.v--k�- -�+-T'].VAO��i�1a� ..�,!,iYl' �►["t n:-, �u�,i�;�v'F� :els+.�_cL.,.4.a ke:al:i.--a.>-at,!�k'4D-a ,:^ .. - .�s-... ,,. ,.._ ..... ro.! •• 3i in:m:c..,. P'i.:..�-:i'ris,3r^r•i.r.. t• ::�* --.-.ysE'•:4L r Ii r . -•y T-i5^?:"t �•5r 3.r; •i.A�Cvt��»"�.7.+ j, .4F imp,_ ,�:;��er�;, ' s....•.•.... �.-..... r..;ic_a , �r�r^�4. n t+33- } T• : F'f'a t .xru s e. y.. S,l._�, "1 i�.s�...4'aG_. U.��/ `W dt S2� : -r n mac^__ ,as..' ,a`d'i.��iti.-..—di?;• .:r 'fid` IXIe �a e�iQe e .��•::_ ass.�:f:�:. 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 ii�i� :'�i � tW Public Safety Medical Invoice Date: 08/22/2018 t 6612 E.75th Street Invoice# 00-33486 U Floor 2 Terms: Indianapolis,IN 46250 4 1 Carmel Fire Department/CARMEFD ON R Denise Snyder,Budget&Accred Mgr Dsnyder@carmei.In.Gov(B) R:ic��i f Exclusively Serving Public Safety Professionals Since 9990. qngOY .dn 08113118Physical derson C en ive s cal Exam 1 07-1 $117.07 Res Irator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Awralsal Medikee er 0.00 0.00 Med Opinion-Wellness 0.00 0.00 Med Opinion-Respirator 0.00 0.00 Med O Ion-Hazm t 0.00 10.00 Tread II-Submax 182.69 $182.69 Body Fat Test-B Bio-E ec Imn Analyl 916.73 $16.73 Vital Signs-HT VV7 SP P R gmn $0.00 Vision-Acuity 31. 6 $31.0 Pulmooery Function Test 39 AudiomeU S16.731 EKG W/Interp $23.89 $23.89 Urinalysis-Dipstick S3.60 $3.60 Bondurant Jeff S. Comprehensive Physical Exam $117.07 117.07 Res irator/Medical Review $19.11 $19.11 OnMed re ram $0.00 $0.00 Health Risk Appraisal(Medikeeperl $0.00 $0,00 Med O inion-Wellness $0.00 $0.00 Med Opinion-Resdrator so.00 $0,00 Treadmill-Submax 8 9 $182.69 Bodv Fat Test- ec I $16.73 CMP(Como MetabolirPanel)-' 2 B6 $22.8 BCCmp.Blood Count) U id Panel Blood $24.30 $24.30 Veni uncture $3.60 $3.60 PSA-Prostate Specific A Blood 41.81 $41.81 Vital Signs-HT WT BPP 0.00 $0.00 Vision-Acuity 31.06 $31.06 PFT-Pulmonary Function Test $39.42 39.42 Audiometry 16.7 16.73 KG WI-Interp $23.89 $23.89 U'nal s's-D' stick $3,60- 3.60 Brandt,Gary D. -Comprehensive Physical Exam $117,07 $117.0 oReview $19.11 OnMed Public Safety Medical - INVOICE 4 # Public Safety Medical Invoice Date: 08/22/2018 6612 E.75th Street Invoice# 00-33486 K Floor 2 Terms: Indianapolis,IN 46250 eR . Carmel Fire Department/CARMEFD Denise Snyder, Budget&Accred Mgr i=0 Dsnyder@carmel.in.Gov(B) grr�.mgrj Exclusively Serving Public Safety Professionals Since 9990. -- -�ax.s,.,..;;r.:aG4.• .ST'.S!':i...x.i • 1:m%i_:,�•t3.a�''.u7.ii".�i�.�.,.��.sm..0;•es-r."�'r-?��p`.�..�e` ��:k -:--,:..:u.'.c_.r'.s�l r.a:�.j:_ �: AlKQ1,�::��yI,z>�2,S�.�sSi.a�i -',r.:�?.'T/:�V.�i.�1iXh�!i{F�c�=fi '''1�Y,lCe`��,I.J•x.�- i - - - eie e Hemoccult $0.00 $0.00 Med Q inion-Wellness $0.00 $0.00 Med O inion-Task Force One $0.00 $0.00 Med Opinion-Respirator $0.00 $0.00 Mad O inion-Hazmat 0.00 0.00 Treadmill-Submax 182.69 82.69 Bodyat Test-BIA Bio-E ec Im Anal 16.73 16.7 Vital S' ns-HT WT BP R 0. D 0.00 Vision-Acui 1.06 $31.06 PFT-Pulmonary Function Test 139.42 $39-42 lom-eicy $16.73 EKG Inte02 $23.89 23. 9 Urinal is-Dipstick $3.60 S3.601 Freer Keith T. CMP mp Metabolic Panel 22.86 $22.86 CBC(Comp Blood Count 20.70 $20.70 Li Did Panel Blood 24.30 $24.30 Veni uncture $3.60 $3.60 S -Prostate Specific A Blood) $41.81 $41.81 Figymaker.Samuel K. Comorehensive Physical Exam $117.07 slim Respirator/Medical Review $19.11 $19.11 OnMed P o 0. so.00 Health 's s 1(Medikeeverl $0.000.0 Hemoccult MW OpInion-Wellness $0.00 $0.00 Med Op! ion-Res irator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal $16.73 16.73 Vital SI ns-HT WT BP P R $0.00 $0.00 Vislon-Acuity 31.06 3 .O6 PFT-P tmonary Function Test S39A2 $39.42 Audiometry 16.73 $16.73 EKG W/Interp $23.89 $23,89 Urinalysis,D' tik 3.60 $3,60 . Hughe&Chad L Comprehensive Physical Exam 07 $117,07 RespiratortMedical Review 1 Public Safety Medical - INVOICE , Public Safety Medical Invoice Date: 08/22/2018 •x 6672 E.75th Street Invoice# 00.33486 r;== Floor 2 Terms: s HI i� �� IndianaP olis,IN 46250 ME Carmel Fire Department!CARMEFD . FIRM Denise Snyder,Budget&Accred Mgr t :u= Dsnyder@carmel.In.Gov(B) 01, 10 Exclusively Serving Public Safety Professionals Since 9990. . .,..-,:,,.....,. .c;:aa•:' .....-.....-....ce 9":?,.Y=' t.F :1Y N 5i:'w:":'.ii:Dri3�'. T�t7I C-81 e; y,,y�. ;-��:i:;,...,.,,;:: .;... f;u .: 'r.-• -R r .7 -,-"^s,'c-',1ifF.'ar�E..,"•'..darvl'.s's'ar,+��.r!1 't!_Y�.i.9.:,_c••`:,S'Rr..,r„.,:,n>......... ... rii•_•iniF:��1��tib�„.Health Risk Annralsal(MedikeeperlU $0.00 Hemoccult $0.00 $0.00 Med 0 inion-Wellness 0.00 $0.00 Med Opinion-Respirator 0.00 0.00 Med Opinion-Hazmat $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Body at Test--BIA Bio lec Imp An $16.73 $16.73 Vital Ss-HT WT BP P R $0.00 $0.00 Viso -Acuity 131.06 31.0 P -Pulmonary Fu on Test $39-42 &32.42 Audiometry 6 3 $16.73 EKG W1 Interp $23.89 $23,89 Urinaivsis-QIpstick3. 6 Mitchell .lames C. Comprehensive Physical Exam $117.07 $117.07 Res irator•/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal(Medikeeperl $0.00 $0.L0 Med Opinion-Wellness 0.00 $0.00 Med Opinion-Respirator 0.00 $0.00 Tre - ubmax $182.69 $182.69 Bodv Fat Test-BIA Bio-Elec Imp Anal 6.73 $16.73 V991 Slqns-HT WT BP P R $0.00 $0.00. sio -Acuity $31,06 3 6 P -Pulmonary Fundon Tet 9,42 39 Audiornetry 916.73 EKG W/Interp $23.89 $23.89 Urinalysis-Di stick $3.60 $3.60 Weaver Vir it L. Comprehensive Physical Exam $117.07 $117.07 Res irator/Medical Review $19.11 '$19.11 OnMed Pro ram $0.00 $0.00 Health Risk Appraisal Medike r 0.00 Tre I-Subma 182.69 18 Body t Test-BIA(Bio-Elec Imp Analy) 516.73 Vital S' -HT WT BP 0.00 Vision-Acuity 0 1 0 PUlmonary Fundon Test $39.42 $39. Public Safety Medical - INVOICE i•�;-.ty;aii � Invoice.Date: 08!2.12018 mss; Public Safety Medical RI6612 E.75th Street Invoice# 00-33486 Floor 2 Terms: Indianapolis,IN 45250 Carmel Fire Department/CARMEFD W- �;! s Denise Snyder,Budget&Accred Mgr �-�-R Dsnyder@carmel.in.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. EKG W1 Interr) $23,89 23. Urinalysis-Dipstick $3.60 $3.60 Med Opinion-Wellness $0.00 $0.00 Med O inion-Respirator SO.00 $0.00 Young,Kevin M. Comprehensive Physical Exam 9117.07 $117.07 Res ira r/Medical Review $19.11-- $19.11 -OnMed Program $0,00 $0.00 Health Risk Aonraisal(Medikeeper) $0.00 $0.0 Mad O in' -Well ss $0.00 0 ed O ion-Resoirator So.00 Mad O ' ion-t1azmat $0.00 $0.00 Treadmill-Submax $182,69 $182,69 Body Fa Test-BI o-EI c Imp Anal1613 $16.7 Vital Si ns-HT WT BP P R $0.00 $0.00 Vision-Acuity $31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.42 Audiomeby $16.73 $16.73 EKG W!Interp S23.89 $23.89 Urinalysis-D1 stick $3.60 $3.60 Urine-Bladder Cancer Screen $53.76 $53.76 08/14/18 Capshaw,Jeffrey A. Com re a sive Physical Exam 7.07 $117.07 RespiratodMedical Review .11 $19.11 OnMed p ra 0.00 $0.00 Health Risk i t a 'kee e 0 0.0 Mad Opinion In§21- $0.00 $D.QO Med Opinion-Respirator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Bodv Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.73 Vital SI ns-HT WT BPP 0.0 $0.00 Vision-Acuity 1.06 $31.061 PFT-Pulmonary unction Test $39.42 $39.42 Audio $16.73 $16.73 E G W1 Intern 23.8 23 89 U' a ss-Di tic 3. 0 S300 Essex.Cory C Comprehensive Physical Exam $117.07 1 17,07 Res or/Medical Revi $19.11 91 Public Safety Medical - INVOICE ASI � 5 Public Safety Medical invoice Date: 08/2212018 1141, z 6612 E.75th Street Invoice# 00-33486 '+. �' Floor 2 Terms: ' Indianapolis,IN 46250 3 lug PF'p, Carmel Fire Department/CARMEFD s ;aid! Denise Snyder, Budget&Accred Mgr Dsn de oarmel:in.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. ,.:., ....:�-:'i;':`7;.�• 'aS°3:q `�"�.-:�. .�:;...<ws.._ vrw3.:if:�a;1'r.%^wa�?tT.�.!�';€`r;�?'r.'✓� { p Health Risk_APr)Lai§al _.,iii: ..a.:p.., rrui....ui � � 7'?i %- .r .��r�^a. tl ��yr d✓.��C1Uf1k '� ',BSA"n,�ew.1_.,PtSi, .j�'Iffk%{J„;,i�.o�d!: 1:}1:�_�=1�!-lN��•��+i➢XR.••-�-`�r=.'.i'.4FTi.r,T ...4iii r`.i�11.:_.s - e Bee 0 $0.0 Med Opinion-Wellness $0.00 $0.00 Med O inion-Respirator $0.00 $0.00 Treadmill-Submax 182.69 $182.69 Bodv Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.731 Vital Signs.-HT WT BP P R $0.00 $0.001 Vision-6culty31.06 $31.06 PFT- ulmon Function Test $39.42 $39. 2 Audlo-metnt $16,73 $16, 3 EKG W1 Interp23. 23.89 U' lysls-Dir)sfick $3.60 $3.60 Frenzel,Edo C. Comix-ehensive_Ehysical Exam $117.0 ReSDiratorNedical Review9 OnMed Program $0.00 $0.00 Health Risk Appraisal Medike er 0.00 $0.00, Med Opinion-Wellness $0.00 so.0ol Med 0131nion-Task Force One $0.00 $0.00 Mad O Inion-Respirator $0.00 0. 0 Med O E Ion-Hazinat $0.00 $010 Treadmill-Su ax $182.69 $182.69 Body Fat Test-BI (Bio- le Imp-Anal $16.73 $16.73 Vital Si p p $0.00 0 Vision-Acuity 131.06 $31,06 u io e 6 $16,La EKG Wt Int $23-89 $23.8 Urinalysis-Di stick $3.60 $3.60 Gehlbach Marc A. Com rehensive Physical Exam $117.07 117.0 Res iratorlMedical Review $19.11 $19.11 OnMed Program 0.00 $0.00 Health Risk Appraisal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.001 $0.00 Med Opinion-Respirator $0.00 $0.001 Med O in'o -t4az at $0.00 $0.00 Treadmill-Submax $182,69 $182,6 Body Fat Test-BI 'o-Elec Im $16.73 $16, Vital Si P P R $0,00 Public Safety Medical - INVOICE iInvoice Date: 08/22/2018 Public Safety Medical RK 1 6612 E.75th Street Invoice# 00-33486 Floor 2Terms: u% Indianapolis,IN 46250 FST.r Carmel Fire Department/CARMEFD NOR � Denise Snyder,Budget St Accred Mgr Dsnyder@carmel.in.Gov(B) - Exclusively Serving Public Safety Professionals Since 1990. :1:;n �y-�..- -Y4.: - •?i;Y?�; _ -ve:.+ .,y,.. _iciii?'a�,'.ii�^?^iN� y- -y. t•y:r�;�.v_.: .,�-a_ .,• r ;.;- �ca• ;�I'; ��. ,�� ,�."Fa�,. P.S`�i'1'..�0 �r:. _ '=S� d01 "F+e!.Q?¢r.' 'c �:e:t?- �M 7=...E+-•ta •._.F Mme. � YPFr- .,RulmonaN Function Test $39.42 $39.421 Audlomet $16:73 $16.73 EKG W/Interp $23.89_ $23.89 Urinal sis-Di stick 117 60 3.60 Graves Glenn C. Comprehensive Physical Exam 07 117.07 Res irator edical Review 11 19.11OnMed roram 00 0.00 Heath isk A raisal Medik er 0D $0.00 Med Opinion-Wellness $0.QV $0.00 Med O info -Respirator $0.00 00 Tread mI-Submax $182.69 $182,69 -Body Fat Test g al 916.73 $16.73 i al Slans-HT WT BP P R S0.00 Vision-Aculty $31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.4 Audiometry 16.73 S16.73 EKG W1 Interp $23.89 $23.89 Uririal sis-Dipstick $3.60 $3.60 Joehl Carson M. Comprehensive Physical Exam $117.07 $117.07 Res i for Medical Review $19.11 $19.11 On ed Pro ram $0.00 0.00 Health Risk AnDralsal edikee er $0.00 $0.00, Mod O in on-Wollness $0.00 $0.00 Med Opinion--Resoirator $0.00 $0.0 Treaftill-Subma $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.73 Vital SI ns-HT WT BP P R $0.00 $0.00 Vision-Acuity $31.06 1 $31.06 PFT-Pulmona Function Test $39.42 $39.42 Audlometry $16.73 $16.73 EKG W1 Interp $23.89-- $23-89 Urin I sls-D' stick $3.60 3.60 Martin,QaAd D. OM Metabolic ane! 2.86 22 CBC(Qomp Blood Count) 920.70 -- $20.70 Li 'd Pan $24.30 $24.30 VeDIRU ature $3,60 PSA-Prostate ftegite An(Blood) $41-J8 Public Safety Medical - INVOICE rangy. a: Public Safety Medical invoice Date: 08/2212018 6612 E.75th Street Invoice# 00-33486 Floor 2 Terms: �• sn Indianapolis,IN 46250 l)i{,ItixY . 1Q.4-TI`i Carmel Fire Department/CARMEFD Denise Snyder,Budget&Accred Mgr Dsnyder@carmel.ln.Gov(B) Exclusively Serving Public Safety Professionals Since 9990. m:rj�teG:rr.i�-�'��..''_rfi'r.. r, a$:.ca :,..:1•'ssefk-iraiticF.s,. =wi'}r�. •�^.� .':;i/ �z;✓a Dt..yr_-c�e•:O:gr+f,-;•;i 'k�"P FWris;';;"i�r;`".�'MAW `Y.,•�.c':_�+-_np��i-�.;� "�51e.!7::,. �.>,rs�ttui:,.., r _��1fR11�__..�'.:.� �"n�n_ Y. _ - PhIllin"ichael J. Comprehenshne Physical Exam 1117.07 1 07 Respirator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medikee r 0.00 $0.00 Med Opinion-Wellness 90.00 $0.00 Med Opinion-Reselrator $0.00 $0.00 Ireadmill-Su max $182.69 $182.69 Bodv Fat Test-BI Bio-Elec Imp Ana 16.73 $16.73 Vital Signs-HT VVT BPP 0 0 Vision-acuity $31. 0 P -PLj monaryFunction Test S39.42 .42 u o $16.73 G W $23.8 389 Urinalysis-Dipstick $3.60 $3.60 Price Jose h P. Comprehensive Physical Exam $117.07 $117.07 Res irator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medik er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Res irato 0.00 $D.00 Med Opinion-Hazmat $0.00 $0.00 Vital Si s-HT WT BP P $0,go $0.00 Vis on-Acuity $31,06 F -Pulmonary Function Testo 49.42 AudisAudiamefty S 6.73 $16. 3 EKG W/Interp $23.89 $23.89 Urinalysis-Dipstick $3.60 $3.60 Treadmill-Submax $182.69 $182.69 Body Fat Test--131A Bio-Elec Imp Anal $16,73 $16.731 Re olds She J. Comprehensive Physical Exam 117.07117.07 es irator! edicai Review 1 .11 19 OnMed Pro ram 0 0 0.00 HealthR's raisal edikee e $0.00 .00 ed O ion-LNellness $D,00 $0.00 Med Q inion-Resoirator 00 $0.00 Treadmill-Sub ax 82 '69 I Body Fat Test- ai Public Safety Medical - INVOICE . Invoice Date: 08!2212018 RIt Public Safety Medical `•. � 6612 E.75th Street Invoice# 00-33486 2 Floor � Terms: '044" Indianapolis,IN 46250 `��0�`11 Carmel Fire Department!CARMEFD RANDenise Snyder,Budget&Accred Mgr pDsnyder@earmel.In.Gov(B) I ION Exclusively Serving Public Safety Professionals Since 1990. ......n ._n-z.:r.y;:,�,:::«......:am•r'?Ts"9¢f�:'ie: "�ifd. e.- -• ,.r',w s r.a+y` a;r• y 10. =moi'�,t�;?iti=��.,,••w'.�.,1;.-n, Fp�d�,4.- Vital Signs-HT VV7 BP 0.00 soxid Vision-Acu $31.06 $31.061 PFT-Pulmonary Function Test 39.42 $39.42 Audiometry 16.73 16.7 EKG W/InteW $23.89 $23.89 Urinalysis-Dl tick $3.60 $3.60 Smith.Brian E. Comprehensive Physical Exam $117.07 17.0 Respirator/Medical Review 19. 1 1911 OnMed Pro ram 0.00 $0,00 Health Risk-Anvalisal Wedikeeperl .000.00 Med O inion-Wellness $0.00 - 0.00 Med Opinion Resnirator $0,00 $0.00 Med O f i -Hamat 0.0 0.00 Treadmill-Submax $182.69 $182.69 Bodv Fat Test-BIA Blo-Elec Imp Anal 16.73 $16.73 Vital Signs-HT WT BP P R $0.00 $0.00, Vision-Acuity 06 $31.06 PFT-Pulmonary Function Tet $36.42 $A3 .42 udio 6.73 $16.73 EKG IN Inte $2,38-9 2169 Uri al sis-Dipstick .60 UtA Chad M. Comwehensive Physical Exam $117.07 $117.07 Resdrater/Medical Review 19.1119 O Med 0,00- $0, Healthis 'sal ed ee 0.00 0.0 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Respirator $0.00 .00 Med O inion-Hazmat .00 .00 Treadmill-Submax 182.69 182.69 Body Fat Test-BIA Bio-Flet I Anal 6.73 16.73 Vital Signs-HT WT BP P R 0.00 0.00 Vision-Acifity $31.06 $311.061 FT-Eulmonary Function Test $L9.42 S39A Audiometry 16. 3 $16.7 KG W/Intern 3.89 S23.89 U' gsis-Dinstick $3.60 36 Voskuhl,Mark J. CMP fCamp Metabolic Panell $22.8.6 $22.8E Public Safety Medical - INVOICE Public Safety Medica! Invoice Date: 0812212018 �• (� siu gin°`� 6612 E.75th Street Invoice# 00-33486 ' 7 Floor 2 Terms: Li Indianapolis,IN 46250 Carmel Fire Department!CARMEFD Denise Snyder, Budget&Accred Mgr R41 Y 9 9 ` Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals.Since 1990. ar-- a.010.0 i F_.c•= �' .,,te a"::} Rr'Y F �''•sC 9 liittF.-R-} i"'I,:{{ -"�F-"eie.�.•;y.,u"'M � -p 5. !'S?.r,. =3° 4S,q,� `:I. 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Body Fat Test-BIA Blo-Elec Imp Analyj $16.73 $16.731 Vital Si ns-HT WT BP P R $0.00 $0.001 Vision-Audly $31.06 1.06 PFT-Pulmonary Function Test $39.42 $39.42 Audiornetry $16.73 $16.73 EKG W1 Intery $23.89 23.89 Uri is-DirAfirk $3.60 $3.60 HarrinoWn.Adamcomnrehensive Physical Exam $117.01 $117.0 es i to edicReview9 1 9.1 OnMed-Prociram $0.00 $0.00 kealth R s Medikee er $0.00 0 Public Safety Medical - INVOICE Invoice Date: 08122/2018 Q Public Safety Medical P ` 6612 E.75th Street Invoice# 00-33486 .21"" Floor 2 Terms: Indianapolis,IN 46250 't Carmel Fire Department/CARMEFD Denise Snyder,Budget&Accred Mgr Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. _._., .....awe..'aP;w..,r�,:..;: Sg��hs�ry.,u.•;;•r[-'-'"--a`•tt:•-�3i:..i;r#-kt - - - - :r c ri" .=...s .... r CT��rB�y/1�p:.. :!...ta:x ,,l..,_ n.,yT,:.. 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Comprehensive Physical Exam $117.07 $117.07 Res irator/Medical Review 19.11 $19.11 OnMed Program $0.00 0.00 Health Risk Anoralsal Medikee er 0.00 0.00 Hemoccult $0.00 0.00 Med Opinion-Wellness $0.0Q $0.00 Med Opinion-Respirator $0.00 $0.00 Treadmill-Submax $102,69 S182.69 Body at Test-BI Bio-Elec Imp Anal 16. $16,7 Vital Signs-HT WT BP P R $0.00 0.Asio00 n-Acully $31.06 $31.0 -Pulmonary Eunction2 Public Safety Medical - INVOICE fw Invoice Date: 08122/2018 rs� Public Safety Medical 19,PUM1111 6612 E.75th Street Invoice# 00-33486 =1=: Floor 2 Terms: 38411 ` r{�� Indianapolis,IN 46250 } Carmel Fire Department/CARMEFD T a Denise Snyder,Budget&Accred Mgr Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 9990. 0 , ` .N�F•. }..__•.zS:�?fnt::�ii:.':�B (!fj.�y{.'1(�'i_/G__�.. _�y! I[ .,:.... Audiometry 73 EKG W1 Interp $23.89 $23.89 Urinalysis-Dipstick $3.60 $3.60 Marcum BradleY D. Com rehensive Ph sical Exam $117.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Program $0.00 $0.00 Health Risk A raisal Medike er 0.00 $0.00 Med O inion-Wellness $0.00 $0.00. Med O inion-Res irator $0.00 $0.00 Mad O inio -Hazmat $0.00 0.0 Treadmill-Sub ax 182 69 $182.69 Soft Fat Test-BIA Bio-Elec I na 16.73 $16.73 Vit s-HT WT BP P R Q.00 0.00 Vision-Acuity 31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.4 Audiome 16.73 $16.73 EKG W Interp $23.89 23.89 Urinal sis-Di stick $3.60 S3.601 Plu er Cha es J. Com a ensive Physical Ex 117.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Program $0.00-- 0 Health Risk a'sa e ' ee er 0.00 Mad OrAnion-Wellness $0.001 Mad Opinion-Respirator so.00 $0,00 Med O ' ' -Hazmat 10.00 0 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.73 Vital Signs-HT WT BP P R $0.00 $0.00 Vision-Acul 1.06 $31.061 PFT-Pulmonary Functlon Test $39.42 $39.421 udiome 16.73 $16.73. EKG W1 Interp $23.89 $23.89 Urinalysis-Dlpstick $3.60 $3.60 Reeves ell P Comprehensive Physical al Exam $117.07 $117,0 es 'ato ed ca Re-view $19 1 9.11 OnMed Program $Q-90 .$0.001 Health 1 (Medikeene so-00 S0.001 Public Safety Medical - INVOICE G Invoice Date: 0812212018 w Public Safety Medical `��.`• 6612 E.75th Street Invoice# 003486 �� Floor 2 Terms: Z P Indianapolis,IN 46250 p Carmel Fire Department 1 CARMEFD Denise Snyder,Budget&Accred Mgr H Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. :K. �� -•yA v'4iM- - �S a'-a5�(n�%eiuJS;tini- "-(J'n�r mi i•:Ba�.�la�,P: �e- r... •..:..; .._. .;c-�-n-a a',,"-iw-.•Xi'r'... .. :•.: IN Me r:::a•...FjrHYnx,+4?a��i^+��.+«'laF;�i7i..s t ....q�U,r.;,'.,�. 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Com rehensive Ph ical Exam $117.07 $117.07 Respirator/Medical Review $19.11 $19.11 OnMed Program S0.00 $0.00 Health Risk A raisaledikee er 0.00 0.00 Med Opinion-Wellness 0.00 0.00 Me nion-Respirator .00 .00 Treadmill-Submax 82.69 18 69 Bo at Test- B IA 'o-EI c i A a 16. 3 3 Vital Sions-HT WT B P .00 Vision-Acuity .$31.06 1.0 PUlmonary FunctionTest $39.42 $39.42 Audiometry 1 Public Safety Medical - INVOICE T=9y Public Safety Medical 10Invoice Date: 08/2212018 6612 E 75th Street Invoice# 00-33486 Floor 2 Terms: Ls Indianapolis,IN 46250 t= ; Carmel Fire Department/CARMEFD Denise Snyder,Budget$Accred Mgr ggj Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. .-:.,_.,.. .. ...vv.•::si._rr_. - -r-rTiERi ii'ir T<:EW{:Kn'.�v'�'µ ivd:'Ery y�� ;« ...�: .,....:.•• iY•• --'slw:t-:: _..?i}-Mi.;..Ycxi,^.Y.•.. ::C?Y�«Y.1 v ! - A� n{.s { i:Gl W-�:,/, �? ,,.' s!. -..t �..-r.� •' wic:•:, r.,�}F:?•rj' r' S. 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PFT-Pulmonary Function Test $39.42 $39.42 Audlometry $16.73 $16.73 EKG WI Interp $23.89 23.89 Urinalysis-Dipstick S3.60 $3.60 Deitsch Marc W. comprehensive Physical Exam 117.07 $117.07 Respirator/Medical Review 19.11 $19.11 OnMed Proararn 10.00 $0.00 Health Risk A raisal Wedlikeeoerl 90.00 $0.00 Med Opinion-Wellness 0.00 0.00 Med 0minion-Respirator 10.00 $0.00 Med bponion- az t $0.0D_ $0.00 -Treadmill-Suhmax $182.6982 Body Fat Test-BIA Bio-Elec Imp Ana{ $16.73 $16.73 Vital Si ns-HT WT BP P R $0.00 S0.001 Vision-Acuity $31.06 $31.061 PFT-Pulmonary Function Test $39.42 $39.421 Audlometry 16.73 S16.13 EKG W1 Interp $23.89. $23.89 Urinalysis-Di tick $3.60 $3.60 Eischen Kyle J. Comprehensive Physical Exam $117.07 $117.0 Res •ratorl a •cal Review 119.11 19. 11 OnMed Progra $0.00 $0.00 He I Is I Me ee 0 0 Med nWilness $0.00 - Public Safety Medical - INVOICE sNs� Public Safety Medical Invoice Date: 08/2212018 6612 E.75th Street Invoice# 00-33486 y� Floor 2 Terms: Y-C a Indianapolis,IN 46250 RON Carmel Fire Department!CARMEFD k>f Denise Snyder,Budget&Accred Mgr Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. _ _ - - ::wa r.•• }.yr i:4-"r-'n' S ' -':c'-'.roe; - - •:3:tt�wsYtKi'E' k+ti'•,'n.;ri5'..i: `�. .-aK siitf;:P-.�i(�'..FG3; Med Opinion-R02irgtor $0.00 00 Treadmill-Submax $182.69 $182.69 Body Fat Test-BIA Blo-Elec Imp Anal $16.73 $16.7 Vital SI ns-HT WT BP P R SO.00 $0.00 Vislon-Acuity 1.06 $31.06 PFT-Pulmonary Function Test $39.42 39.42 Audiometry 6.73 $16.73 EKG W/I to 23.89 $23.89 Urinalysis-Di tIck $3-60-L_ 0 Fuchs,Jeffeu W. Com re ensive_Physical Exam S117.07 $117.0 Res irato/Medical Review S19.11--- 1 OnMed Program $0.00 $0,00 Healthisk A i t ed' e e $0.00 $0.00 Hemoccult 0.00 $0.00 Med Opinion-Wellness 90.00 $0.00 Med O inion-Res irator $0.00 $0.00 Med Opinion-Hazmat $0.00 $0.00 Treadmill-Submax 182.69 $182,69 Body Fat Test-BIA Bio-Elec Imp Ana 6.73 $16.73 Ral S' -HT WT V P R $0.00 $P.00 Vis o -Acuity $31.06 .06 P -Pulmonary Fu ctlo Test $59,42 9 Audiomehy S16.73 $16.73 EKG W/Intery $23.89 $23,89 Urinalysis-Dipstick 3 60 $3.60 Camre $117.07 $117.07 Grimes Jeffre A. Respirator/Medical Review $19.11 $19.11 OnMed Proram $0.00 $0.00 Health Risk Appraisal(Medikeeperl $0.go $0.00 Hemoccult $0.00 $0.00 Med Minion-Wellness •00 0•Q Med O inion-Respirator 0.00 .00 Med Opinion- azm 0.00IM-no Treadmill-Sub x 62.69 $182.6 BodyFat Test-BIA Bio-E ec Im A ai 16. -3 6 3 Ybil Si ns- 0.0 0 V 'o - Public Safety Medical - INVOICE tT•:t>:i'M � r °x Invoice Date: 08/2212018 9 Public Safety.Medical 6612 E.75th Street Invoice# 00.33486 °k Floor 2 Terms: ii Indianapolis,IN 46250 R'r� ni pg Carmel Fire Department!CARMEFD r Denise Snyder,Budget 8 Accred Mgr 01 Dsnyder@carmel.in.Gov(B) Exclusively.Serving Public Safety Professionals Since 1990. 2^:• :nu:.•Sti`c%^:a ::5§r:`._ _ rar s«ir.?3'.V'�=:w`�.'f•`:;i.•1Y'_sa?I.1'r -Yi:'.'�z`. � e• �.__....,. 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Comprehensive Phys1cal Exam $117.07 7.07 Respirator/Medical Review $19.11 $19.11 O Med Program $0.00 $0,00 Health Risk rais f edi e e $0.00 $0.00 Med O 'ni -Wellness $0.00 $0,00 Med Opinion-Respirator $0.00 $0.00 Treadmill-Submax $182.69 $182.69 Bodv Fat Test-BIA Blo-Elea Imp Anal $16.73 $16.73 Vital Signs-HT WT BP P R $0.00 0.00 Vlsion-Acuity 31.06 $31.06 PFT-Pulmonary alio est $39.42 39. 42. Aud'o at $16.73 $16.73 EKG W1 Interp 923.89 38 Urinalysis-Di stick 3.60 3. 0 P •Ili sCraig rehensiv Physical Exam 9117.07 $117.07 es irato ed'cal Beylew $19.1111 a Public Safety Medical - INVOICE ffig', Public Safety Medical Involce Date: 08/2212018 6612 E.75th Street Invoice# 00-33486 i Floor 2 Terms: a� Indianapolis,IN 46250 rf�i f M?y1. Carmel Fire Department(CARMEFD ��:.,x . Denise Snyder,Budget&Accred Mgr t��lJ Dsnyder@carmel.In.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. ..__ "•e .•. ..:..•.�':^i:iK:.F'.^.4 G..•.."..ry.:..lii'.u- f�...;?Z9IXf:.. s 'r,i^fK_..i<z':^.i '"�^•iF �i.R >7a1, 00%!n.iel;..r b.:is.�rtg i. e3iF.•:�.:.i:f:nr•y i S;r:qui4�:•G 3 '+i:; ...� �. :a10%RB:Ts%F'1'i fi3??'t ....F� ._ ,. Health is 'sal Me ikee e $P'00 0.0 Med Opinion-Wellness $0.00 $0.00 Med 0 inion-Respirator $0.00 $0.00 Med Opinion-Hazmat $0.00 $0.00 Treadmill-Subma g82.69 182.69 BodyFat Test-BIA Bio-Elec Imp-Anal 16.7 s-HT BP R 0 00 Vision- cui $31.0 PFT-P on Function Test .42 $39.42 Audiorrietry $16.73 $15.7 G W1 Interp123.89 2 •8 Uri I s's-Di stick 93.60 $3,60 Reese.Aamn P. Cqmprehensive Physical Exam $117,07 $117.07 Res irator/Medical Review $19.1119.11 OnMed Program $0.00 $0.00 Health Risk Appraisal Medikee er 0.00 $D.00 Med Opinion-Wellness $0.00 0.00 Med Opinion'-Task Force One $0.00 $0.00 Med Opinion-Respirator $0.00 S0.00 Treadmill-Submax 182.69 $182.69 Body Fat Test-BIA Bio-Elec Imp Anal 6.7 $16.73 Vital S s-HT WT BP P R $0.00 $0. Vision-Amitv $31.06-- S31..00 -Pulmonary Funct'o st $39.42 SM.42 Auftmetry 6 EKG W/InterP $23.89 $23.89 Urinalysis-Dipstick $3.60 Robinson Mitchell L. Comprehensive Physical Exam $117.07 $117.07 Respirator/Medical Review $19.11 19.11 OnMed Program -00 $0.00 Health Risk AnDmisal Medikee r . $0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Resolrator $0.00 $0.00 Tread -Sub ax $182.69 $182.69 Body Fat Test-e Bio- al 16. 3 $16.731 Vital Signs-HT WT BP P R 0.00 $0,00 Vis 6 31 Public Safety Medical - INVOICE 14F ..61 Public Safety Medical Invoice Date: 0812212018 6612 E.75th Street Invoice# 00.33486 L' 0 Floor 2 Terms: Indianapolis,IN 46250 sf� Carmel Fire Department/CARMEFD U Denise Snyder,Budget&Accred Mgr IN =r i Dsnyder@carmel.in.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. L w "•^F•:::G3....-.e.t:f�'.:.i!it'.v7=� ,V.:y`T"K, S�:{�� `=m' - :ie." '.F� .: :::.- s.�.. .. . 4 fi•� ty n..,l4¢.'^`. �•Li:4}H::•['ji1.•.,, �is�'�t•uha. 1 X �lY...f�:,s,l^k::..........!..�w -?r� �,[•' E}.. fr..-t,�:._sln ',iM..�Q�•,,:i•....r.:a:�'..r,..,y...: �rr.:�_:n .....:��:.`.. _ __ Pulmonary ctio 9 Audiometry 16.73 $16.73 EKG W/Intem $23.89 $23.89 Urinal sis-Dipstick $3.6D $3.60 Thomas Nathan C. Comprehensive Physical Exam 1117.07 $117.07 Respirator/Medical Review $19.11 $19.11 nMed Program $0.00- $0.00 Health isk Aporaisal(Medikeeper) 0.00 0.00 Mad O inio -Wellness 0.00 0.00 Med O " ion-Respirator sg,00 $0.00 Treadmill-Submax $1$2 69 82.69 Body at Test-B A(Bio-Elec Imp.Analy $16,73 $16.L3 Vital Signs-HT W1 BP P R $0.00 10.00 Vision-Acuity 31.06 $31.06 PFT-Pulmonary Function Test $39.42 $39.42 Audlomatry $16.73 $16.73 EKG W/Interp $23.89 $23.89 Urinalysis-Dipstick 93.60 $3.60 08/17 8 Andres Jr.Victor S. Com rehens"ve Physical Exam 117. 7 $117.07 Respirator/Medical Re aw $19.11 $19.11 OnMed Program $O.QV $D.00 Health Risk AppraisalM dikes er 00 0. Med Opinion-Wellness $-0.00 $0.011 Med 012inioo-Respirator $0.00 moo Mad Oil -H a 0.00 0 Treadmill-Submax 3269 $182.69 BodyFat Test-BIA Bio-Elec ImpAnal3 $16.73 Vital Si ns-.HT WT BP P R 0 .00 Vision-Acuity 6 31.0 PFT-Pulmon Function Test 2 39.42 Audiometry 3 16.73 EKG W/Inte 9 23.89 Urinal sis-Di stic 0 3.60 Cond &le E. Comprehensive Ehysical Exam $117.07 $117.07 Respirator/Medical Beview 19.11 19. 11 OnMed Program $0.00 $0.00 Health i 1 .00 Public Safety Medical - INVOICE Invoice Date: 08122/2018 A=- Public Safety Medical •w 6612 E.75th Street Invoice# 40-33486 Terms: Floor Indianapolis,IN 4625.0 1 ,:Wr, Carmel Fire Department!CARMEFD Denise Snyder, Budget&Accred Mgr 00�• 1 Dsnyder@carmel.ln.Gov(B) Exclusively Serving Public Safety Professionals Since 1990. ....o....r.::r,..._..._ .....,�.:;..:: m r+=i'S».;cy:,;:i�:ru• :+Y2: ar 'rc. 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Vision-Acuity $31.06 $31.061 PFT-Pulmonary Fu coon Test9.42 9.42 udlo et 16. 3 $16.73 E G W to 23.8 23 Uri Isis-[lipstick .60 0 ltelsheimer Troy W. Comprehensive Physical Exam $117.07 $117.07 Res iratorNedical Review $19.11 $19.11 OnMed Pro ram $0.00 $0.00 H991th Risk raisal Medikee er 0.00 $0.00 Med Opinion-Wellness $0.00 $0.00 Med Opinion-Eespirator $O.OQ $0.00 0121nion-Hawat $0.00 $0.00 Treadmill-S borax 182.69 $182.6 Body Fat Test-BIA(Bio-Ele Anal 73 $16.7 Vita S' ns-HT WT SP P 0.00. 0. 00 Vision-Acuity $31.06 t 42 .42 Public Safety Medical - INVOICE 1,111 ,11 1IN Invoice Date: 08122!2018 �:a :rQPublic Safety Medical = Invoice# 00-33486 6612 E.75th Street T{ Floor 2 Terms: Indianapolis,IN 46250 BONN; Carmel Fire Department I CARMEFD 1 Denise Snyder,Budget 8 Accred Mgr IR l Dsnyder@carmeLln.Gov{B} Exclusively Serving Public Safety Professionals Since 1990. �� :.',',-,U � .:�'.;*x��sx AudiolMetry 16.73 $16.73 EKG W/Interp $23'89 $23.89 Urinalysis-Di stick 3.60 $3.60 Mowery,Anthon W. Com rehensive Physical Exam 117.07 117.07 Respirator/Medical Review $19.11 19.11 OnMed Program $0.00 $0.00 Health Risk-Appraisal(W( SO.00 $0.00 Med Ojj1nlon-Wellness $0.00 0.00 Med 0 inio -ResoiMtor 0 red ill-Sub ma 2 9 $182,69 Body-Fat Test-8 Bio-E ec Im Anal 16.73 S16.731 Vital. s- T. BP P 0 0 0 ol Vision--Afufftv $31.06 931.061 PFT-Pulmonary Function Test 39.42 $39.42 Audiornetry $16.73 $16.73 EKG W/Inte 23.89 23.89 Urinalysis-Dipstick $3.60 $3.60 Rohr Christopher M. Com rehensive Physical Exam $117.07 $117.07 Res Irator edical Revigg 919.11 $19.11 O Med Program $0.00 $0.001 Health Risk Appraisal Medikee er 0.00 0 00 Med Opinion-Wellness 0.00 0.00 Med Opinion- es 'razor 0.00 0• Treadmill-Sgubmax $182, $182,B Body Fat Test-BlA(Blo-Flec ImI2 AnakL_ 16. Vital Signs-HT WT BP P R $0.00 $0.00, Vision-Acuity 1.06 $31.061 PFT-Pulmonary Function Test $39.42 $39.42 Audlornetry $16.73 $16.73 EKG W/Interp $23.89 $23.89 Urinal sis-Dipstick $3.60 an Christo her D. Co rehe sive Physical Exam 117.07 117 07 Res ator/Med cal Review 19. 19.11 ' OnMed Pr ra 0.0 00. Health RiskArwralsel edi S0,0 0.0 Med O 1 Ion-Wellness 10,00 1$0.0 00 Public Safety Medical - INVOICE 19, Public Safety Medical invoice Date: 0812212018 x nw 6fit2 E.75th Street Invoice# 00.33486 rr Floor 2 Terms: hy:x Indianapolis,IN 46250 �gx �3E��i�ST=r yPL h• �� Carmel Fire Department CARMEFD c INAN Denise Snyder, Budget&Accred Mgr 1-=E=-1- Dsnyder@carmel.In.Gov(B) Ti, i Exclusively Serving Public Safety Professionals Since 9990. .y...:,_ .... .�:..,,:.yt-.a�:__�=:t:,:-=_•=r-�•`•.`r�a�=�=��„•.^-�?v::; ifJ-. "=r�,Iz =�!r�r�;_fats i';acstEllltidFl��-;�,i:..�{:.-�..._?rt__.... 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