HomeMy WebLinkAbout330201 09/19/18 03"21.1
CITY OF CARMEL, INDIANA VENDOR: 00350364
ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $"**14,511.80*
CARMEL, INDIANA 46032 6612 E.75TH STREET CHECK NUMBER: 330201
SUITE 200 CHECK DATE: 09/19/18
INDIANAPOLIS IN 46250
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100944 00-33618 14,511.79 OFFICER PHYSICALS
1110 R4340701 100944 00-33618 .01 OFFICER PHYSICALS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350364 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PUBLIC SAFETY MEDICAL SERVICES IN SUM OF$ CITY OF CARMEL
324 E NEW YORK ST SUITE 300 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46204
Payee
$14,511.80
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
100944 00-33618 43-407.01 $14,511.80 1 hereby certify that the attached invoice(s),or 9/12/18 00-33618 officer physicals $14,511.80
1110 101 1110 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, September 13,2018
Jim Barlow
Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Public Safety Medical - INVOICE
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Public Safety Medical Invoice Date: 09112/2018
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N Floor 2 Terms:
Indianapolis,IN 46250
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Respirator/Medical Review $19.21 $19.21
Health Risk Appraisal Medikee er .00 $0.00
Comprehensive Physical Exam $117.64 $117.64
Med Opinion-Wellness sozo $0.00
Med inion-Respirator S0.00 $0.00
WalstfHiD Ratio $3.62 3.6
Body Fat Test-BIA Bio-Flee Imp 16.81 16 81
Treadmill-Submax $183.59 $183.59
Mus r Strength Enduran ce $31.21 S31.21
Flexibilityest 912.01 $12.01
p ital
Urinalysis
EKG W/Interp24.01 $24.Oi
Audlomeja $16.81 $16.81
PFT-Pulmonary Function Test $44.62 $44.62
Vision-Acuity
1.21 31.2
Vital Signs-HT WT BP P R $0.00 $0.00
Rabczak.Brian M. OnMed Program .0D
Res ' for/Medical Re\dew $19.2 $19.21
Health Risk Appraisal(Medikeeper) 00 $0.00
Comprehensive PhyI Exam
Med Opinion-Wellness .00 $0.00
Mad O i i for
Ho $3.621 $3.62
Body Fat Test-BIA Bio-Elec Imp Anal 16.81 18.81
Treadmill-Submax $183.59 183.59
Muscular Stre th Endurance Test $31.21 $31.21
Flexibility Test 12. 1 $12.01
Che -R -PAfLAT Ql i I 2.02 $72.021
Udnal is-D' tick 13.62 $3.62
EKG W1 Intern 2
q 16.81 $16.81
PFT-Pulmonary Function es 62
Vision-Acuity $31.21 $31.21
Vital Si BP $0.00 10,001
Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 09/1212018
6612 E.75th Street Invoice# 00-33618
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Floor 2 Terms:
Indianapolis,IN 46250
Carmel Police Department 1 CARMEPD
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e M dicEd Rmdew $19.21 $19.21
Health Risk Isal Medikee r $0.00 $0.00
Comprehensive Physical Exam 117.64 $117.6
Med Opinion-Wellness SO.00 $0.00
Med Opinion-SWAT $0.00 $0.001
Med Opinion-Respirator $0.00 $0.00
walstfft Ratio .62 S3.62
Body Fat Test-BIA Bio-Elea Imp Anal16.81 $16.81
Tree -Sub ax $183.591 $183.59
Musmlar Strerat EnduranceTest $31. S31.211
ext est $12.01 $12.01
Chest X Ray- (Digital) 72.0 $72.02
-UrJna( i -DI 6 2
EKG W/Interp $24.01 $24.01
Audlometry $16.811 $16.81
PFT-Pulmonary Function Testq131.21
62 44.6
Vision-Acu 1.21
vital Si s-HT WT BP P R 00 .00
G thler dward B. nMed ram 00 $0.00
Respirator/Medical Review 9.21 19.21
Health Risk sal(Medlkeeperli $0.00 $0.00
Comp he s' a Physical Exam 17. $117.6
Med 012inlon-Wellness $0.00 $0.00
Med Opinion
Wed Opinion r $0.00 $0.00
Waist/Hi Ratio $3.620$872.02
BodyFat Test-BIA Bio-Elea ImpAnal 16.81
Treadmill-Submax $183.69
Muscular Stre Endurance Test 31.
F xlblli Test 12.01
Chest X-Ra - T Di 1tal
llrl -p 3.62 $3.62
EKG Intern $24,01 $24.01 .
Audiometry 6, $15.81
PFT-Pulmonary Function Test $44.62-, $44,62
Vision Amjb 1.21 $21.21
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Vital Slans-HT
Public Safety Medical - INVOICE
Y. invoice Date: 0911212018
art3_ai Public Safety Medical
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6fi12 E.7551 Street Invoice# 00-33618
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Indianapolis,IN 46250
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Andrew P. OnNed Program
Respirator/Medical Review $19.21 $19.21
Health Risk raisal Medikee er 0.00 $0.'00
Comore ensive Physical Exam $117.64 tj17.64
Med Opinion-Wellness 0.00 so.001
Med O i n-Res irator $0.00 $0.00
WalatlHip Ratio $3.62 $3.62
.139-dy Fat Test-SIA(Blo-Elec Imp An 16.81
Treadmill-Sub 183. $183.59
muscularstrength Endurance Test $31.21 $31.2111
Flexibility 01 112.011
Chest X-Ra -PAIL i ' 72
U -Bladder Cancerficreen E 0.00
Urinalysis-Dipstick $3.62 a62
EKG W/Into4.01 $24.01
Audlametry $16.81 $16.81
PFT-Pulmonary Function Test $44. $44•6
Visl n-Aculty $31.21 $31.21
Vital Signs-HT WT BP R R $0.00 .00
Grose Jam-go E. OnMed Program -Lo.00 $D.
ResolratorlMedical Review 19.21 $19.21
Health Risk edikee 0.00
Com re iv Ph ice 11 4
Med nio - .00 0.00
Med O i lrator $0.00 to.00
Walst/Hip Ratio $3.62 $3.62
Body Fat Test-BIA Bio-Elec Imp Analyl $16.81 $16.81
Treadmill-Submax 183.59 $183.69
MusetAlar Strep th Endurance Test $31,21 21
Flexlblli Te§t $12.01 $12.01,
Urinalysis-Dipstick .62 $3.621
EKG W1 Interp- 1 $24.01
Audio et 16.81 $16.81
PFT-Pulmonary Function
Vision-Aculty $31.21 131.21
V _HT WT Bp P R $0.00 $0.00
Chest X-Ray-P-A/LAT(131gitall S72.021 S72.DA
Public Safety Medical - INVOICE
rs Invoice Date: 09/12/2018
A Public Safety Medical
6612 E.75th Street Invoice# 00.33618
Floor 2 Terms:
Indianapolis,IN 46250
Carmel Police Department I CARMEPD
G Pyoung@carmel.In.Gov(w)
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Exclusively Serving Public Safety Professionals Since 9990.
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Respirator/Medical Review 19.21 19.21
Health Risk Ap2ralsal Medikee er 0.00 $0.00
Hemoccult $0.00 $0.00
Com rehens ve Physical Exam $117.64 $117.
Med Opinion-Wellness 0.00 $Q.00
Mod Opinion-Respirator 0 00 $0.00
Walstfflip Ratio $3.62 $3.62
Body Fat Test:BIA Bio-Elec Imp Analyl $16. 16.81
Treadmill-Submax $183.69 $183.59
Muscular Strength EndurAnce Test $31.21 $31.21
FleAbilh Test $12,OA--
Chest - T $72.02 $72.021
Urinalysis-Dipstick $3.62 s3.r,21
EKG W/Interp $24.01 $24.01
Audiome 16.61 $J6.81
PFT-Pulmonary Function Test $44.62 $44.6
Vision-Acuity 1.21 $31.21
tat Signs-HT WT BP E R $0.00 0.00
Wn on David M. OnMed Pr ram 0.00 $Q,Q
RespiratorNedcal Review 19.21 $19.21
Health Risk Aripralsal(Mgdwkeeperl0.00
Comprehens've'Physical Exam 1117.64 117.64
Mgd Minion-Wellness $0,00- 0.00
es r
WalstlHi Ratio $3.62 $3.62
Body Fat Test-BIA Blo-Elec Imp Anal 16.81 $16.81
Treadmill-Submax $183.59 $183.59
Muscular Strength En uranoe Test $31.21 1.21
ReAbilTest $12.01 $12.01
Chest X-Ray-PA/LAT D' ltai 72.02 $72.02
Urinal s' -Dipstick $3.52 $3.6
EKG W1 Inte 4.01 $24.01
Audiometry 8 16
FT-Pulmonary Function t W.62 S44.62
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Public Safety Medical - INVOICE
. Public Safety Medical Invoice Date: 09/12/2018
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6612 E.75th Street Invoice# 00-33618
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` Floor 2 Terms:
Indianapolis,IN 46250
ff- Carmel Police Department I CARMEPD
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Pyoung@carmel.ln.Gov(W)
Exclusively Serving Public Safety Professionals Since 1990.
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Respirator/Medical Review $19.21 $19.21
Health Risk Appraisal Medikee er 0.00 $0.00
ComDrehensive Ph Mcal Exam $117.64 117.64
Med 0 inion-Wellness $0.00 $0.00
Med Opinion-Respirator so.00 10.00
WalsWip Ratio $3.62 $3.62
Body Fat test-BI Bla ec I Anal 16.81 $16.81
Treadmill-Submax $18a. $183,59
Muscular Strength Endurance T $31.21 $31.21
FleAbili 01 $12.01
Chest -Ra -PAILAT(0igRall $72. $72.0
Wflnglysistlek $3.62 $12
EKG W/Intery $24.01 $24.01
Audlornetry $16.81 $16.81
PFT-Pulmonary Function Test 44.62'
Vision-Acuity 31.2 $31.21
Vital Si ns-HT-WT BP P R 90.00 .00
SchmidL Brian E. OnMed Proaram $0,00 $0.0
Respirator/Medical Review $19.21 $19.211
Health Risk Aporalsal(Medikeimed $0.00 $0.00
Qrnehensive I Exa
Mad O -Wellness .00 $0,00
Mad inion-Respirator $0,Qo $0.00
Waistfflio Ratio3.B
Body Fat Test-BIA Bio-Elec Imp Anal $16.81 $16.81
Treadmill-Submax 183.59 183.59
Muscular Strength Endurance Test $31.21 $31.21
Flexibilltv Test $12.01 $12.01
Chest X-Ray-PA/LAT(Digital) 72.02 $72.Od
Uriolysis-Dl tido 93.62 $3.62
EKG Intern $24.01 U4.01
AudiMtry $16.81 $16.81
PFT-Pulmonant Functiont
Vision-ftuity 131.21
Atal Signs-HT WT RP P R $0,00 $0.00
V trDustin-A $0,001
Public Safety Medical - INVOICE
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rator I Revi 1 .21
Health Rlsk Appraisal Medikee er 0.00 $0.00
Comprehensive Physical Exam 117.64 117.64
Med Oolnlon-Wellness $0.00 $0.00
Med Opinion-Respirator $0.00 $0.00
Waist/Hi Ratio $3.62 $3.62
QodvFat lest-BIA B'o- I c Imp Anal 6.81 $16.81
Tmdlnlll-Subma ;183.59 $183.59
Muscular Stmnath Endurance T 1.21 $31.21
Fiexibil Tast $12,01 $12.01
Urinalysis-DI36 $3.62
EKG 2 0 .0
AudiomeTj $16.8i 1 .81
PFT Pulmonary Function Test $44.62 .62
Vision-Acid 1.21 $31.21
Vital Si ns-HT WT BP P R .00 $0.00
09/06/18 Dewald Gre S. OnM Pr ram 0.00 0.0
Res 'rator/Medical Review $19.21 19.21
Health Risk ra'sai M dikes er 0.00 $0.00
Comprehenslve Physical Exam $117.64 $117,
Med O Ini -Wellness 0 S0.0
Mad Opinion- 00
WaiattHla Ratio2 $3.62
Fat T -BIA(Blo-Eleclimpal 6
Tread x 3.59 $183.59
F.leAbili Test $12.01 $12.01
Chest X-Ray-PAILAT Di ital 72.02 $72.02
Udna sls-Dipstick $3.62 $3.62
EKG W/Interp $24.01 424.011
Audlometry $16.81 $16.811
PFT- ulmonary Function Test S44.62 $44.62
Vision-Acuity 31.21 31.2
Vital S' ns- WT BP P R .00 0.00
Morrow.6mft A. QnMed Program 0.00 $0.00
Resplrator/Meftalv'ew $19.21-- 19.
Health is 0
domprehensive RWMicalExaF17
Public Safety Medical - INVOICE
1310 Publlc Safety Medical Invoice Date: 0911212018
c�� 6612 E.75th Street Invoice# 00-33618
Floor 2 Terms:
F1aW.ll;
Indianapolis,IN 46250
`
Carmel Police Department/CARMEPD
Pyoung@carmel.In.Gov(W)
Exclusively Serving Public Safely Professionals Since 9990.
-a 00-110
_ n0s �NA rig
Med Opinion-Wellness $0.Q0 $0.0
Med O inion-Respirator $0.00 $0.00
Waist/Hi Ratio $3.62 $3.62
Body Fat Test-BIA Blo-Elec Imp Anal 16.81 $16.81
Treadmill-Submax $183.59 $183.59
Muscular Stren th Endurance Test $31.21 $31.21
Elexibility Test 2.01 $12.01
Chest X-Ray-MLAT(Digital) 72.02 $72.
Urina s-Dipstick .62
EKG to 1 $24.01
Aucliometry $16.81 $16.81
PFT na Test 62 $0.62
Vision-Acuity 931.21 $31.21
Vital Sims-HT WT BP P R $0.00 $0.00
Remolds.Jamie N. OnMed Program $0.00 $0.00
Res irator edical Review 19.21 19.21
Health Risk ralsal edik er 0.00 $0,00
Com rehensive Physical Exam 117.64 117.
Med O inion-Wellness 0.0 .00
Med Opinion-Res irator $0.00
-WaistfHIP Ratio $3.62 $3.62
Body Fat Test-BIA Bio Imp-Anal 18 1
TreadMill-Submax $183.59 183.59
Muscular tre cs Test $31.21 $31,21
Rexibifily Test $12. $12.01
Unna is-Dipstick .62 $3.62
EKG W1 Inte 24.01 $24.01
AudlomeV $16.81 $16.81
PFT-PulmonM Function Test $44.62 $44.62
Vision-A 31.21 1.21
Vital Signs-HT BP P R 0.00 0.00
Vand David R. O Program 0
Res irato edlcal Review 19.21• 9.21
Health Risk dikee er 0 0. 0 00
Hemoccult . $0,00
Comprehensive s $117.64 $117AA
WellnessMed Opinion-
Public Safety Medical - INVOICE
Public Safety Medical Invoice Date: 09/1212018
a" 6612 E.75th Street . Invoice# 00-33678
Floor 2 Terms:
Indianapolis,IN 46,250
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Mod inion-SWAT $0,00gm.62 Med 0 inion-Res irator 0.00 Walst/Hi Ratio $3.62Bo Fat Test-BIA Bio-Eleo Im Anal 16.81
Treadmill-Submu 9183.59 $183.59
Fle)dbility Test $12.01 $12.01
Chest X-Ray-PA1LA7(Digital) 2. $72.02
Uriis-Dipdck $3.623.62
EKG W-1 Interip $24.01 $241.01
Audiometry 6.81 16.81
P -Pulmonaly FtinrWn Test S44.62
Vision •2
1 S31.2
Vital s-HT P $0.00
09/07/18 1 Broadnax Matthew L. OnMed Program $0.00 $0.00
Re irator/Medical Review $19.21 $19.21
Health Risk raise! Medikee r .00 $0.00
Cornmehensive Physical Exam $117.64 $117.64
Med 0 inion-Wellness $0.00 $0.00
Med Opinion-Res tar 10.00 $0.00
Waistfft Ratio $3.62 $3.62
Body Fat Test-BI B o ec Imp Ana .81 $16.81
j=dmill-Submax 1183959 $183.59
Musgiler StrengthEndurance Test S31.21 $31.21
Flexibility S12.01
Chest X-Ray-P D} Ital 72.02 • $72.0
Urinal is-Dipstick 13.62 $3.62
EKG W/Interp $24.01 $24.01
Audiometry 16.81 $16.81
PFT-Pulmonary Function Test $44.62 .62
Vision-Acuity 1.21 31.21
Vidal Signs-HT WT SP P R $0,00 0.00
Goss* Lucas A. O MedProararn $0.00- 0.
Respirator/Madigal Review 919.21 919.21
Health Aporalsal(Medikeeper)
Comp
rehensive Phy ical Exam $117.64 J117.64
Med inion-Wellness 0
Med QW01on--Respirator
Public Safety Medical - INVOICE �-
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g� Public Safety Medical Invoice Date: 09112/2018
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N Indianapolis,IN 46250
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Body Fat Test-BIA Bio-Flee Imp Anal 16.81 $16.81
Treadmill-Submax $183.59 183.59
Muscular Stren th Endurance Test $31.21 $31.21
ReAbillty Test 12.01 12.01
Urinalysis-Di stick 3.62 $3.62
EKG W/Intern $24,0124.01
Audlomatry $16.81 $16.P1
P -Pulmonary Funefion Test HA.62 $44.62
s'o - 31. $31.211
Wal Slans-HT WT RP P R $0.00 $0.0a
Chest T I 2.0
Harris.Robert P OnMed Froaram MOO S0,00
Respirator/Medical Review $19.21 $19.21
Health Risk Appmisal Medikee r 0.00 $0.00
comprehensive Physical Exam $117.64 $117.
Med Opinion-Wellness 0.00 $0.00
Med Opinion-Respirator $0.00 $0.00
Wals i 3.62 _
Body F t Test-BIA to-Flee Imp ai 6.81 $16.81
Treadmill-Submax $183.59 183.5
Muscular Strength Endurance
$31.21---
FlexIbIlltyIest $12.01 $12.01
Chest - LAT Migitall 872.020
U I a s-Qlpsfick $3,62 $3,62
EKG WI Interp 24.01 $24.01
Audiometry $16.81 16.81
PFT-Pulmonary Fundon Test $44.62 $44.62
Vlsion-Acuity 31.21 $31.211
vitalcins-HT WT BP P R $0.00 $0.00
Lodse.Robert E. OnMed Pro-gram $0.00 $0.00
Respjrator/Medical Review $19.21 $12.21
Health Risk Appraisal Medikee 0.00 go.00
Comorehensive Physical E $117.64 17.64
Med 'on-Wellness $0.00 M00
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Public Safety Medical - INV®ICE ,
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Public Safety Medical Invoice.Date: 09/1212018 a�
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6612 E.75th Street Invoice# 00-33618
Floor 2 Terms:
I; ., Indianapolis,IN 46250
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g::� Carmel Police Department/CARMEPD
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Exclusively Serving Public Safety Professionals Since 1990.
.. h 3$31.21
iit'o �°"P;�Wai tfo 6Bod Fat Test-BIA Bio-Elec Im Anal $16.81Treadmill-Submax 183.59Muscular Stren th Endurance Test 1.21
Rexi 'I Test $12.01 $12.01
Chest X-Ray-P T Di -tai 72. $72.02
Urinalysfs-Dipstick 3 62 S3.62
EKG W!Intem $24.01 $24.01
hudlometry $16.81 $16.81
PFT-Pulmonary Function T .62
n_q 1.21 3
Vital -H $0,00 $0,00
Richard A. OnMed Pro 00
Respirator/Medical Review $19.21 $19.21
Health Risk Appraisal Medikee er 0.00 $0.00
Comprehensive Physical Exam $117.64 $117.64
Med 0 inion-Wellness 0.00 $0.00
Med Opinion-Respirator $0.00 $0.00
els do $3.62 $3,62
Body Fat Test-B A Bio-Elec Ima Analyl $16.81 $16.81
Treadmill-Submax .59 $183.59
Muscular Strencith Endu t .2
ReAbility Test g12,01 $12.01
Chest X-Ray-P-A&M(Djaitall $72.0 $72.02
U• s-Dlt)stick $3.62
EKG W/Interp $24.01 $24.01
Audiometry $16.81 $16.81
PFT-Pulmona Function Test $44.62 $M.62
Vision-Acuity 931.21 S31.21.
Vital Si ns-HT WT BP P R $0.00 $0.00
Lytle-Blake A. OnMed Program $0.00 0.00
Res irato t lcal Reylayl $19.21 $19.21
Health Risk AnDmIsal(Medikeeper) 00 10.00
Comorehenshte Physical Exam $117.611
Med-OlAnlon-Wellnels $0.00 .00
Mad nion-Respirator 0.0
Waist/Hin Ratio S3,1652
Public Safety. Medical - INVOICE
;d Public Safety Medical
Invoice Date: 09/12/2018
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6612 E.75th Street Invoice# 00.33618
0;11'R' Floor 2 Terms:
9' Indianapolis,IN 46250
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F A3��' Cannel Police Department/CARMEPD
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Body F -BA B' n Imp A 16.8
Treadmill-Submax $183.59 $183.59
Muscular Strength Endurance Test 1.21 1.21
Flexibility Test 12.01 $12.01
Chest X-Ray-PAA-AT(Digital) 72.02 $72.02
Urinal sis-Di stick $3.62 $3.62
EKG W/I .01 $24,01
Audiometry 16.8 $16-81
PFT-Pulmonary Function Test $44.62 4:
Vision_AmAty $31.21 $31.21
Vital Slans-HT WT BP P R $Q.Q0 S0.00
Daniel M, OnMed D.0
Re dical Review $19,21 $19.21
Health Risk Appraisal(Medikeeparl $0.00 $Q.00
Comprehensive Physical Exam $117.64 1 $117.64
Med O inion-Wellness $0.00 $0.00
Med Opinion-Res Irator $0.00 $0.00
Chest X-Ray-PAILAT(Dinkel) 72.0 72.0
Urinalvats-D' 2 43.62
EKG W1 Interp24. 1 $24.01
Audio a 16.81 jj16.81
EFT-Pulmonary U00on Test $A4.62 $44.6
Vision- 31.21 $31.21
Vital Signs-H R
Waistfflip Ratio $3.62 $3, 2
Body Fat Test-BIA Bio-FJec Imp Anal 16.81 16.81
Muscular Strength Endurance Test $31.21 $31.21
Morley,Michael W. OnMed Pro ram $0.00 $0.00
Res irator edical Review $19.21 $19.21
Health Risk Anpralsal(Medikeeperl 0.00 $0.00
Cam rehensiv ' $117• $117,64
Med Opinion-Wellness S0.00 $9.00
Med Opinion-Res for $0.00 $0.00
WalstlHip Rati.Q $3.62 $3.62
Body- -BIA io- Anal 16.81 $16.81
Treed
I 1
Public Safety Medical - INVOICE
Invoice Date: 09/1212018
°h° Public Safety Medical
6612 E.75th Street Invoice# 00-33618
yg„. Floor 2 Terms:
Indianapolis,IN 46250
Carmel Police Department 1 CARMEPD
yrs
Pyoung@carmel.In.Gov(W)
SL3 ,
Fj•
Exclusively Serving Public Safety Professionals Since 1990.
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FlaxIbIlity Test $12.01 $12.QJ
Urinalysis-Dipstick $3.62 $3.62
EKG W/Interp $24.01 $24.D1
Audiorrieky $16.81 $16.81
P -PulmonaryFunction Test .62 .62
Vision-Acuity 31.21 $31.21
Vaal Signs---HT WT BP P R Sn.00 .00
Morris,James D. OnMed rogram $0,00 $0.00.
Resolrator/Medical Review $19.21
Health Mk Agyralsaledikeener) $O.OQ $0.00
Coinnrehensive Physical Exam 1117.64 $117,64
Med in ess $0.00 $0.00
Med Minion-R r S0.00
WaisUHi Ratio $3.62 $3.62
Bogy Fat Test-BIA io-Elec Imp Anal 16.81 $16.81
Treadmill-Submax $183.59 $183.59
Musoular Strength Endurance Test $31.21 $31.21
Flexibility Test 12.01 12.01
Chest X-Ray-PAILAT D' tai 72.02 2.02
U' Isis-Dipstick .62 .62
EKG W/ 01 24.01
e 16 8 16.
FT- Fu Test 2
Visign- 12 31
Vit - T R .00
Rush Michael T. OnMed Program $0.00 0.00
Res rator/Medical Review 19.21 19.21
Health Risk Appraisal Medikee er 0.00 .00
Comprehensive Physical m 117.64
d Opinion-Wellness 0.00
Med Opinion-Res irat r 00
0.0
Walstfft Raflo $3.62
Body Fat Test-BIA i ec Imp I 6.81 $16.81
Treadmil -Stibmax 83. 9
muscul Stren th Endurance Test $31.21 .21
ReAtAllity Test $12M JJ2.01
Public Safety Medical - INVOICE
MENPublic Safety Medical Invoice Date: 0 911 2/2 0 1 8
"j 6612 E.75th Street Invoice# 00-33618
Floor 2 Terms:
Indianapolis,IN 46250
It RN
Carmel Police Department/CARMEPD
x
Pyoung@carmel.In.Gov(VII)
w•ic'_
Exclusively Serving Public Safety Professionals Since 9990.
t ,. MEN -w- U-0
UrinaWlaDipstick •6
EKG W/Inte 4.01 $24.01
Audiome 16.81 $18.81
PFT-Pulmonary Function Test $44.62 $44.6
Vision-Aculty $31.21qS31.211Vdal Ins-HT BP P R 0.0S fii R. Scott On ram 0.00es i or I Revie .21H h Risk i Medik er 0.
Comnrehensive a 17.64 $117.64
Mod Opinion-Welings so-go S0,00
Med i i for 90.00 $0.0-0
Ratio $2.62
Body Fat Test-BIA Bio-Elec Imp Anal 16.81 $16.81
Treadmill-Submax $183.59 $183.591
Muscular Strencith Endurence Test 121 $31.21
Flexibility Test $12.01 $12.01
Chest X-Ray-PA/LAT(Dialtall V2.02 $72.
Uriis-Digiflck $3.62 S3.62
EKG W1 Interp $24.01 24.0
Audiometry 16.81 16.8
EFT-Pulmonary o est 2 6
sio 3 . 3
I S' B P 0.00 0 00
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