HomeMy WebLinkAbout330337 09/21/18 y_c,q
CITY OF CARMEL, INDIANA VENDOR: 00350364
ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $"""13,729.79*
CARMEL, INDIANA 46032 6612 E.75TH STREET CHECK NUMBER: 330337
MUTON�, SUITE 200 CHECK DATE: 09/21/18
INDIANAPOLIS IN 46250
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4340701 33567 12,378.89 MEDICAL EXAM FEES
1120 4340701 33617 1,350.90 MEDICAL EXAM FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00350364
PUBLIC SAFETY MEDICAL SERVICES IN SUM OF$ 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
$13,729.79
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
33617 43-407.01 $1,350.90 1 hereby certify that the attached invoice(s),or 9/14/18 33617 Firefighter Physicals $1,350.90
1120 101 1120 101
33567 43-407.01 $12,378.89 bill(s)is(are)true and correct and that the 9/14/18 33567 Firefighter Physicals $12,378.89
1120 101 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Monday, September 17,2018
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
, 20-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Public Safety Medical - INVOICE
t, Invoice Date: 09/0612018 •�
Public Safety Medical
6612 E.75th Street Invoice# 00-33567 �•-
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( Indianapolis,IN 46250
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Carmel Fire Department 1 CARMEFD
n.IN,;AM!° Denise Snyder, Budget&Accred Mgr
Dsnyder@carmel.In.Gov(B)
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Exclusively Serving Public Safety Professionals Since 1990.
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OnMed Program, $0.0 $0.00
Health Risk Appraisal Medikee er $0.00 $0.00
Med Opinion-Wellness $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 Si ns-HT WT BeP R $0.00 0.00
Vision-Acuity 31.06 $31.06
PPulmonary Function Test $39.42 $39.421
Audio et 16.73 $16.731
EKG W Interp $23.89 S23.89
Urina sis-Di stick 3.6 3.60
Henle A. Compr-ehensive Physical Exam $117. $117.07
Respirator/Medical Review $19.11 $19.11
OnMed Pro ram $0.00 $0.00
Health Risk Appraisal Medikee er .00 $0.00
Med Opinion-Wellness $0.00 $0.00
Med Opinion-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
Vision-Acuity 31.06 $31.06
PF -Pulmonary Function Test $39.42 $39.42
Audio et 16.73 16.
EKG W Interp $23.89 $23.8
Urinal is-Di stick $3.60 $3.60
McNair Travis L. Comprehensive Physical Exam $117.07 $117.07
Respirator/Medical Review 19.11 $19.11
OnMed Program $0.00 $0.00
Health Risk Awraisal Medikee er 0.00 $0.00
Med O inion-Wellness $0.00 $0.00
Med Opinion-Respirator $0.00 lo.00
Med O inion_Hazmat 10.00 $0.00
T ead it -Sub ax $182.69 182.6
Body Fat Test-BIA Bio-Elec ImR Analyl $16.73
Vital Signs-HT WIT BPR 0. 0 $O.00
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Public Safety Medical - INVOICE
s. .
�g, Public Safety Medical Invoice Date: 09106/2018
w°K 6612 E.75th Street Invoice# 00.33567 '
F Floor 2 Terms:
" z Indianapolis,IN 46250
_ Carmel Fire Department/CARMEFD
Denise Snyder,Budget&Accred Mgr
Dsn der carmel.In.Gov 6
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Exclusively Serving Public Safety Professionals Since 9990.
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PFT-PuImonary Funo' n Tet 39.4 $39.42
Audlometry $16.73 $16.73
EKG W/Interp $23.89 23.8
Urinalysis-Dipstick $3.60 $3.60
Medlen Michael J. Com rehensive Physical Exam $117.07 $117.07
Respirator/Medical Review $19.11 $19.11
OnMed Program $0.00 $0.00
Health Ris Appraisal Medikee er .00 $0.00
Med O inion-Wellness $0.00 0.00
Med Opinion-Resdrator SO.00 $0.00
Med Op! [an-Hazmat $0.00 $0.00
Treadmill-Submax 182.69 $1-82,M
Bodv FatTest-BI Bio-E ee Imp A 16.73 $16.
Vital.Si ns-HT WT BP P R $0.00 $0.00
Vision-Acuity 31.06 $31.06
PFT-Pulmonary Function Test $39.42 $39.4
Audiometry 16.73 $115.7
EKG W/Intero $23.89 $23.89
Urinal sis-Di stick $3.60 $3.60
Small,Thomas D. Corrimehensive Physical Exam $117.07 $117.07
Res irator/Medical Review $19.11 3191111.
OnMed.Program $0.00 $0.00
Health Risk Arwralsal Medikee er $0.00 $0.00
Med Coinion-Wellness $0.00 $0.00
Med-Opinion-Respirator $0.00 $0.0ol
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-Acuity 31.06 $31.06
PFT-Pulmonary Function Test S39.42 $39.42
Audiametry $16.73 $16.73
EKG W1 Intem 23.89 $23,89
Urinalysis-Dingfich $3.60 6
Sutton.Sean B Comprehensive Physical Exam $117.07 $117.07
PaQnIrntgrimarlit
O M d Pmtirqm so-00 $0.0
Public Safety Medical - INVOICE
"- Public Safety Medical Invoice Date: 09!0612018
.. .
6612 E.75th Street Invoice# 00-33567
x x Floor 2 Terms:
- -
Indianapolis,IN 46250
-`,C.CD, Carmel Fire Department/CARMEFD
-1 .R Denise Snyder,Budget&Accred Mgr
}:L
I
Dsnyder@carmel:In.Gov(B)
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Exclusively Serving Public Safety Professionals Since 1990.
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08127118 Benbow K
CMP Co tabolic P 22.86 22.86
CBC(Comp Blood Count $20.70 $20.70
Lipid Panel(Blood) $24.30 $24.30
Venipuncture $3.60 3.60
PSA-Prostate Specific Blood 41.81 $41.81
ButtsRenee L. Comprehensive Physical Exam $117.07 117.07
Res irator/Medical Review $19.11 $19.11
OnMed Pro ram $0.00 $G.00
Health Risk A raisal(Medikeeperl $0.00 $0.00
Med Opinion-Wellness M.00 1 $0.00
Med Oninion-Respirator 0.00 $0.00
Treadmill-Submax 2.69 .69
Body Fat Test-B A Bio-Elec Imp I 16. 16.73
Vital S1.ns-HT WT BP P R $0.00 $0.00
Vision-Acuity $31.06 $31.06
PFT-Pulmonary Function Test $39.42 09.42
Audiometry 16.73 16.73
EKG W/Inteiri $23.89 $23.89
Urinalysis-Di stick $3.60 $3.150
Cromlich Mark A. Com rehensive Physical Exam $117.07 $117.07
Res irator/Medical Review $19.11 $19.11
OnMed Proaram $0.00 $0.00
HealthRisk Anpraisal Medikee er 0.00 $0.00
Hemoccult 0.00 $0.00
Med O in' n-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 Fat Test-BIA Blo-Elec Im Analyj $16.73 $16.731
Vital Signs-HT WT BP P R $0.00 S0.001
Vision-Acuity $31.06 $31.06
PFT-Pulmonary Function Test $39.42 39.42
Audio et 16. $16.73
EKG W/Interp $23.89 23.89
Urinal 09-Dipstick 3.60 $3.60
Heavner.Joel S. Comi3rehensive Physical Ex 117.07 S117.07
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Public Safety Medical - INVOICE
sa Public Safety Medical Invoice Date: 09/06/2018
6612 E.75th Street Invoice# 00-33567
II Floor 2 Terms:
R Indianapolis,IN 46250
Carmel Fire Department!CARMEFD
Denise Snyder, Budget&Accred Mgr
SKi Dsnyder@carmel.in.Gov(B)
Exclusively Serving Public Safety Professionals Since 9990.
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He It $0.00
Med Opinion-Wellness $0.00 $0.00
Med Opinion-Task Force One $0.00 $0.00
Med O inion-Respirator $0.00 $0.00
Treadmill-Submax $182.69 $182.69
Body Fat Test-BIA Bio-Elec Im Anal 16.73 $16.73
Vital Si ns-HT WT BP P R $0.00 $0.00
Vision-Acuity 1.06 $31.06
PFT-Pulmonary Fu ct' n Test $39.42 $39.42
audiometry $16.731 16.73
EKG W/ me 23.89 $23.89
Urinalysis-DirAtick $3.60 .60
08128/18 Fa 'n Timothy D. Comprehensive Physical Exam 1 117.07
Respirator/Medical Review $19.11 $19.11
OnMed Program $0.00 $0.00
Health Risk Arwraisal Medikee er $0.00 $0.00
Med 00 ion-Wellness $0.00 $0.00
Med O inlon-SWAT $0.00 $0.00
Med Opinion-Respirator $0.00 $0.00
Treadmill-Su max $182.69 $182.69
Body Fat Test-BIA Bio-E ec Anal 16.73 $16.73
Vital Sl ns-HT WT BP P R $0.00 $0.00
Vision-Acuity $31.06 1.06
PFT--Pulmonary Function Test 9 2
Audlom $16,73 $16.73
EKG W/Interp $23.89 $23.89
Urinalysis-Dipstick $3.60 $3.60
Homer David W. Comprehensive Physical Exam $117.07 $117.07
Respirator/Medical Review $19.11 $19.11
OnMed Program $0.00 $0.00
Health Risk A raisal Medikee er 0.00 $0.00
Med O I lon-Wellness 0.00 $0.00
Med O inion-Respirator 0.00 $0.00
Treadmill-Submax 182.69 $182.69
Body Fat Test-BIA B'o-Elec Im Anal 16. 3 $16.7
Vital Si s- BP P R 0.00
1
Public Safety Medical - INVOICE
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x Public Safety Medical Invoice Date: 09/06/2018
�1¢'a�
11,•°= Invoice# 00-33567
v� � 6612 E.75th Street
Floor 2 Terms:
Indianapolis,IN 46250
NEER.
Carmel Fire Department!CARMEFD
Denise Snyder, Budget&Accred Mgr
Dsnyder@carmel.In.Gov(B)
a�K Abd
Exclusively Serving Public Safety Professionals Since 1990.
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FT-PulMnaly Function t $39.42
Audiometry $16.73 $16.73
EKG W/Interp $23.89 $23.89
Urina is-Dipstick $3.60 $3.60
Payne,Thomas C. ComDrehensive Physical Exam $117.07 $117.07
Respirator/Medical Review $19.11 $19.11
OnMed Program 0.00 $0.00
Health Risk Aporaisal(Medikeened 0.00 $0.00
Mod O nion-Wellness 0.00 $0.001
Med O inion-Res irator $0.00 $0.00
Treadmill-Sub ax $182.69 $182.69
Bodv Fat Test-BIA Bio-EI c I Analy) $11513 $16,
3
Vital S' -HT WT BP P R $0.00 $0.00
Vision-Acuity $31.06 $31.06
PFT-Pulmonary Function Test $39.42 $39.42
Audiometry $16.73 $16.73
EKG W/Intem $23.89' $23.89
Urinal s-Dipstigh $3.60 $3.60
Schnepp.Brent A. Comprehensive Physical Exam $117.07 $117.07
Respirator/Medical eview $19.11 $19.111
On ed Program $0.00 $0.00
Health Risk A raisal Medi ee er 0.00 $0.00
Med O inion-Wellness $0.00 0.00
Med O •nion-Resgitalor $0.00 $0.00
ead II-Submax $182.69 $182,69
Body Fat Test-BIA Bio-Flee Imp Anal $16.73 $16.73
Vital Sl ns-HT WT BP P R $0.00. $0.00
Vision-Acuity, 1.06 $31.06
PFT-Pulmonary Function Test 9.42 $39.42
Audlometry $16.73 $16.73
EKG W/Intero $23.89 $23.89
Urinal sis-Di tick $3.60 $3.60
Stindle Kevin P. Comprehensive Physical Exam $117.07 $117.07
Res lrator edical Review $19.11 19.11
O Med Pro ra 0.00
al R s A i I di ee er 0.0 0.00
Med o -
Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 09/06/2018
xG 6612 E.75th Street Invoice# 00.33567
�i Floor 2 Terms:
p�X Indianapolis,IN 46250
•:4
^ �= Carmel Fire Department/CARMEFD
Denise Snyder,Budget&Accred Mgr
Q
Dsnyder@carmel.In.Gov(B)
Exclusively Serving Public Safety Professionals Since 1990.
--erl.vn_ nyrt .:y; tiY•l^S:M•-.ltrlsfFYFl:::IF ':x;t" •J:^NA:;'Yr:;:�fr•s.. ^:)E:- e;:Jx; -- - - v:�»rtv _-
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Med O 'o -Resipirator $0.00 $0.00
Treadmill-Submax $182.69 $182.69
Body Fat Test-BIA Bio-Elec Imp AnaW $16.73 $16.7
Vaal Si ns-HT WT BP P R $0.00 $0.00
Vision-Acuity 31.06 $31.06
RFT-Pulmonary Function Test $39.42 $39.42
Audiometry 16.73 $16.73
EKG W/tnterp $23.89 $23.89
Urinalysis-Dipstick $3.60 $3.60
Vosku I Mak J. Comprehensive Physical Exam $117.07 $117.07
Respirator/Medical Review $19.11 $19.11
OnMed-Program $0.00 $0.00
ea th is I edikee er) $0.00 $o.00
Hemoccult $0.00 $0.00
Med O Inion-Wellness $0.00 $0.00
Med Opinion-Respirator $0.00 $0.00
Med O inion-Hezmat $0.00 $0.00
Treadmill-Submax $182.69 $182.69,
Body Fat Test-BIA Bio-Elec I Anat 16.73 $16.73
Vital Signs-HT WT BP P R $0.00 $0.00
Vision-Acuity 31.06 3106
PFT-Pulmonary Function Test $39.42 $39.42
Audiometry 16.73 $16.73
'EKG W lnterR $23.89 $23.89
Udnalysis-Di sti .60 .60
Watts Trent E. 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
Hemoccult $0.00 $0.00
ed Opinion-Wellness $0.00 $0.00
Med Opinion-Respirator $0.00 $0.00
Med O i ion-Hazmat $0.00 $0.00
Tread ill-Sub ax $182.69 182.69
B Bio-Elec Imp Anal 16.73 $16.73
Vital Si ns-HT WT BP P 13 $0.00 S0100
VI io - iR31.05 $31.0
Public Safety Medical INVOICE
MIR{ Public Safety Medical Invoice Date: 0910612018
6612 E.75th Street Invoice# 00-33567
fir! Floor 2 Terms:
L'•r
Indianapolis,IN 46250
Carmel Fire Department/CARMEFD
_ Denise Snyder,Budget&Accred Mgr
jCYC
�-r Dsnyder@carmel.In.Gov(B) i
Exclusively Serving Public Safety Professionals Since 9990.
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PFT-Pulmonary F n tion Test 9.4
Audiornetry $16.73 $16.7
EKG W/Interp $23.89 $23.8
Urinal sis-Dipstick $3.60 $3.60
08/29/18 Baskerville AnthonyA. Com re ensive Physical Exam $117.07 $117.07
Respirator/Medical Rev! $19.11 $19.11
OnMed Pro ram $0.00 $0.00
Health Ri§g Appraisal Medikee er 0.00 $0.00
Med 0 i io -Wellness $0.00 $0.00
Med Opinion-Respirator' $0.00 0.00
Treadmill-Submax $182.69 $182.69
Body Fat est-B A So-Elgic Imp Ana14 116.736.7
Vital Si s-HT=BP P R $0.00 $0.00
Vision-Acuity, $31.06 1 $31.0
PFT-Pulmonary Function Test $39.42 $39.4
Audiametry $16.73 $16.73
EKG W/Interp $23.89 23.8
Urinalysis-Dipstick t$3. .60
Butts Joseph A. Com rehensive Physical E am 117.0
Respirator/Medical Review 19.1
1
OnMed Program 0.00
Health Risk Appraisal edikee e
0.00
Hemoccult 0.00 $0.00
Med Opinion-Wellness SO.00 $0.00
Med ON !on-Respirator .0 0.0
Treadmill-Submax $182.69 $182.69
Body Fat Test-BIA Bio-Elec Imp Anal 16.73 $16.7
Vital Si ns-HT WT BP P R $0.00 $0.00
Vision-Acuity- 1.06 $31.06
P -Puf ona function Test $39.42 $39.42
Audiometry 7 16.7
EKG W/Interp $23.89 3.8
Urinal sis-Dipstick S3.60 $3.60
Edwards Daniel E. Comprehensive Physical Exam 117.07 $1117.071
Res irator/Medical Review $19.11 $19.11
OnMed Program $0.00 $0.00
Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 09/0612018
r
6672 E.75th Street Invoice* 00-33567
Floor 2
Terms:
Indianapolis,IN 46250
Carmel Fire Department/CARMEFD
Denise Snyder,Budget&Accred Mgr
:H! Dsnyder@carmel.In.Gov(B)
-
Exclusively Serving Public Safety Professionals.Since 9990.
+iii. -.a:•n.'..s._„="_5�:. .:n:e:,.e�.j...r^.i_h<.?'Fa __:�ir::e}_;La.�sa;: j:i�-t. J.. a.r,:R,.;:...-_ ..s;✓�l�izx�iitji':r:.t.w -8Fa[I��;.`,f1.4'.is
+'9'.k�'dt._P.,E� :.,c7�nH-'3,::-..�i`.�Htx�eip�O�E-(z.,'�;;F:•; �ide`3 •r.�,s.rr�e$_L"t;.p�..li�.?�a':::^a..-- - �'''.:--- -_.1':. -
Hemoccult $0.00 0.00
Med Opinion-Wellness $0.00 $9.00
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-Acuity 31.06 $31.06
PFT-Pulmonary Function Test $39.42 $39.42
Audiometry 16.73 $16.73
EKG W/Interp 123.89 $23.89
Urinal sis-Dipstick $3.60 $3.60
Urine-Bladder Cancer Screen 53.76 $53.7
Ellison,Christopher M. re ensive Physical Exam $117.07 $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 $0.00 0.00
Med Opinion-Respirator so.00 $0.00
Treadmill-Submax $182.69 $182.69
Body t Test-BIA Bio-Elec Imp nal 16.73 16. 3
Vital Sinns-HT WT BP P R $0.00 $0.00
Visio -Acuity $31.06 $31.06
Pulmonlry Function Test $39.42 $39.42
Audiomet 16.73 1 .73
EKG W1 Interp W$23.89 $23.89
Urinal sis-Di stick .60
Urine-Bladder Cancer Screen 53.76
F e Steven R. Com rehensive Ph sical Exam 117.0Res irator/Medical Review $19.11
OnMed Pr ram 0.00 $0.00
Health Risk Appraisal edikee 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
Med opinion-Haz at $0.00 $0.0a
Public Safety Medical - INVOICE ;, .
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Denise Snyder,Budget&Accred Mgr
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Body Fat Test-8 - $16,73 $16.73
Vital Signs-HT WT BP P R. $0.00 $0.00
Vision-Acuity 31.06 $31.06
PFT-Pulmonary Function Test $39.42 $39.42
Audiometry 16.73 $16.73
EKG W/Inte 3.89 $23.89
Urinalysis-Di stick $3.60 $3.60
g(iffin. rimothy M. Com rehensive Physical Exam $117.07 $117.07
Respirator/Medical Review $19.11 $19.11
OnMed Pro ram 000 0.00
Health Risk Appraisal edi ea er 00 $0.00
Med Opinion-Weaness 0.00
Med O In on-Respirator s0.00 $0.00
Treadmill-Submax 182.69 $182.69
BodyFat Test-BIA Bio-Elec ImpAnal 16.73 $16.73
Vital Si ns-HT WT BP P R 0.00 0.00
Vision-Acuity1.06 31.06
PFT-PulmonaryFunction Test 9.42 $39.421
Audiometry $16.73 16.73
EKG W/Inte 23.89 23.89
Urinal sis-Di 'ck 3.60 3.60
Ice Wes W. Comprehensive Physical Exam17.07 117.07
Res irator/Medicai Review 19.11 19.11
On ed P o ram 0.00 0.00
Health Risk A raisMl Me ' e $0.00 0.00
Med Opinion-Wellness $0.00 $0.00
Med Opinion-Respirator $0.00 $0.00
Treadmill-Submax 182.69 182.69
Bad Fat Test-BIA Bio-Elec ImpAnal 16.73 16.73
Vital Signs-HT WT BP P R 0.00 0.00
i - i 1.06 $31,0
PFT- ul ona u ctio Test .42 $39,42
Audlometry $16.73 $16.73
EKG W1 Interp 1 $23.89 23.89
Urinalysis-Dirmfick $3.60 .60
O bomeScott K. Comprehensive Physical Exam- $117.07 1 .0
Respirat Wediggi Review
Public Safety Medical - INVOICE
1100-
ice-• � Public Safety Medical
Invoice Date: 09/0612018
^��",l 6612 E.75th Street
Invoice# 00-33567
Floor 2
ti Terms:
Th Indianapolis,IN 46250
Carmel Fire Department 1 CARMEFD
0 Denise Snyder,.Budget S Accred Mgr
Dsnyder@carmel.In.Gov(B)
Exclusively Serving Public Safety Professionals Since 1990.
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OnMed Pro ram $0.00 $0.00
Health Risk A sisal Medikee er $0.00 $0.00
Med Opinion-Wellness $0.00 $0.00
Med O inion-Re 'rator $0.00 $0.00
Treadmill-Submax S182.69 $182.69
Bodv Fat Test-BIA Bio-Elec 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 16.73 16. 3
EKG W Marp3.89 $23.89
Urinal s s-Di ti $3,60- .60
Lucas M. Com rehe sive Physical Exam $117.07 $117.0
Res irator/Medical Review $19.11 $19.11
OnMed Program $0.0o $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
Med 0 i ion-Hazmat $0.00 $0.001
Treadmill-Submax 182.69 $182.691
Body Fat Test-BIA Bio-Elec Imp-Analyl $16.73Imp-Anal $16.7
Vital Si ns-HT WT BP P R $0.00 $0.00
Vision-Acuity 31.06 $31.0
P -Pulmonary Funcl:!ionCesj $39.42 S39.42
udlo et 6.73 $16-Z3
EKG W/Interp $23.89 $23.89
Urinalysis-Dipstick $3.60 $3.60
Schooley Dustin D. Comi3rehensive Physical Exam $117.07 $117.07
Respirator/Medical Review $19.11 $19.11
OnMed Program $0.00 $0.00
Health Risk A raise! Medikee er 0.00 1 $0.00
Med Opinion-Wellness $0.00 $0.00
Med O inion-Respirator $0.00 $0.00
Treadmill-Submax 1 L2. $182.69
Body Fat Test-BIA 1`1310-Elec Imp Analy) $16,73 $16.7
Vital Signs-HT WT BP P R 0.00 MQ,00
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Public Safety Medical - INVOICE
r Public Safety Medical invoice Date: 09/0612018
6612 E.75th Street invoice# 00-33567
Floor 2 Terms:
Indianapolis,IN 46250
� v P
° Carmel Fire Department/CARMEFD
{; Denise Snyder,Budget&Accred Mgr
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Dsnyder@carmel.In.Gov{B}
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Exclusively Serving Public Safety Professionals Since 9990.
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PFT-P m na FunctionTest $39.42 S39.42
Audiometry $16.73 $16.73
EKG W/Interp $23.89 $23.89
Urinal sis-Dipstick $3.60 $3.60
Stroup,Scott A. Com hensive Physical-Exam $117.07 $117.07
Res irator Medical Review $19.11 119.11
OnMed Program $0.00 $0.00
Heaitti Risk Appraisal(Medikeer)erl $0.00 $0.00
Hemoccult $0.00 $0.001
Med Opinion-Wellness $0.00 $0.001
Med ON ion-Task orce One $0.00 SO.00
Med in -Respirator $0,00 $0.00
Treadmill-Submax 8 $182.
Body Fat Test-SIA Bio-Elec Imp Anal $16.73 $16.73
Vaal 81.qns-HT WT BP P R $0.00 $0.00
Vision-Acuity, 31.06 $31.06
PFT-Pulmonary Function Test $39.42 $39.42
Audiometry $16.73 $16.73
EKG W Interp $23.89 $23.89
Urinalysis-Dipstick $3.60 $3.60
Young,Andrew S. Com rehensive Physical Exam $117.07ft$117.071Res irat /Medical eview 19.1OnMed ro ram 0.00eal h 's iso Medike er 0.
Med O nio -Wellness $0.130
Med Opinion-Respirator $0.00 $0.00
Treadmill-Submax $182.69 $182.691
BadFat 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 1.06
PFT-Pulmonary Function Test $39.42 $39.42
Audio et $16.73 $16.73
EKG W/Intern 23.89
Urinal is-Di stick 3.60 3.60
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Public Safety Medical - INVOICE
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*o;- Public Safety Medical Invoice Date: 09106/2018
5 a 6612 E.75th Street Invoice# 00.33567
Floor 2
Terms:
rs? Indianapolis,IN 46250
r' Cannel Fire Department 1 CARMEFD
ftj Denise Snyder,_Budget&Accred Mgr
Dsnyder@carmel.in.Gov(B)
is{v'ixji
Exclusively Serving Public Safety Professionals Since 9990.
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Please write invoice.number on payment check. Our Federal Employer identification number is 36-2079797.
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
FSR Public Safety Medical Invoice Date: 09/12/2018
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«. 6612 E.75th Street Invoice# 00-33617
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Indianapolis,IN 46250 Terms:
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Carmel'Fire Department I CARMEFD
'f~`ss Denise Snyder, Budget&Accred Mgr
=^✓i Dsnyder@carmel.ln.Gov(B)
Exclusively Serving Public Safety Professionals Since 1999.
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09/04/18 Mueller,WI(Jam C. Comprehensive Physical Exam $117.07 $117.07
Respirator/Medical Review $19.11 19.11
OnMed Prc ram $0.00 $0.00
Health RiskA raisal Medikee er 0.00 $0.00
Med Opinion-Wellness $0.00 $0.00
Med Opinion-Respirator $O.OD $0.00
Med O inion-Hazmat $0.00 $0.00
Treadmill-Submax 182.69 $182.69
Body Fat Test-BIA Blo-Elec Imp Analv) $16.73 $16.731
Vital Signs-HT WT BP P R $0.00 $0.001
'Vision-Acuity 31.06 $31.061
FT-Pulmonary Function est $39.42 $39.421
Audiometry $16.7316.7
EKG W/Interp $23.89 $23.89
Urinalysis-Di tick $3.60 $3.60
09/05/18 Bowles Orbie H. Comprehensive Physical Exam $117.07 $117.07
Res irator/Medical Review $19.11 $19.11
OnMed Program $0.00 $0.00
Health Risk A pralsal Medikee er 0.00 $0.00
Med Opinion-Wellness -$0.00 $0.00
Med Opinion-Respirator $0.00 $0.00
Med O inion-Hazmat $0.00 $0.00
Treadmill-Submax $182.69 $182.691
-Body Fat Test-BI (Bio-Elea IIMD Analy
$16.73 916.73
Vital Si -HT WT BP 0.
Vision-AcW $31.06 $31.06
PFT-Pulmonary Function Test $39.42 M.42
Audlometry $16.73 $16.73
EKG W/lnte 23. 9 $23.89
Urinal sls-Di stick $3.60 $3.60
RerwerL Ian T Com re enslve Physical Exam 117.07 $117.07
RespiratgriMedical Review $19.11 $19.11
OnMed Prom $0.00 $0.00
Health Risk A raisal Medikee er 0.00 $0.00
Med O i ion-Wel ess $0.00 $0.00
Med O inion-Resdrator 000 $0.00
Public Safety Medical - INVOICE
I
=r n" Public Safety Medical Invoice Date: 09/12/2018
a zf 6612 E.75th Street
. Invoice# 00-33617
E € Floor 2 Terms:
Indianapolis,IN 46250
Carmel Fire Department/CARMEFD
Denise Snyder,Budget&Accred Mgr
- z Dsnyder@carmel.in.Gov(B)
Exclusively Serving Public Safety Professionals Since 9990.
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Body Fat Test-BIA Bio-E ec Imp Anal 16.7 6. 3
Vital Signs-HT WT BP P R $0.00 $0.00
Vislon-Acuity $31.06 $31.06
PFT-Pulmonary Function Test $39.42 $39.42
Audiometry 16.73 $16.73
EKG W1 Intery $23.89 $23.89
Urinal sis-Di stick .60 3.60
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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.