HomeMy WebLinkAbout330628 10/02/18 CITY OF CARMEL, INDIANA VENDOR: 00350364
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cl ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $.....***98.39*
CARMEL, INDIANA 46032 6612 E.75TH STREET CHECK NUMBER: 330628
ay��oN. SUITE 200 CHECK DATE: 10/02/18
INDIANAPOLIS IN 46250
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 100944 00-33664 98.39 OFFICER PHYSICALS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350364 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PUBLIC SAFETY MEDICAL SERVICES IN SUM OF$ 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
$98.39
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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 00-33664 43-407.01 $98.39 1 hereby certify that the attached invoice(s),or 9/20/18 00-33664 officer physicals $98.39
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
Tuesday, October 2,2018
&." E�4a�
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Public Safety Medical - INVOICE ,, w
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c- Public Safety Medical. Invoice Date: 09/20/2018
6612 E.75th Street
Invoice# 0033664
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Terms:
Indianapolis,IN 46250 "
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Exclusively Serving Public Safety Professionals Since 1990.
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09111/18 Cashjj.St Gen Radd (Blood)
Venipuncture $3.62 $3.62
Li id Panel Blood $24.42 24.42
CBC(Como Blood Count 20.80 20.80
MP(COMP Metabolic Panel 22.97 $22.971
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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.