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HomeMy WebLinkAbout330639 10/02/18 CITY OF CARMEL, INDIANA VENDOR: 360209 ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $*******749.39* ® CARMEL, INDIANA 46032 ATTN:KRISTINE BROWN CHECK NUMBER: 330639 9M�TON�. 4040 VINCENNES CIRCLE 4-NW-31 CHECK DATE: 10/02/18 INDIANAPOLIS IN 46268 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 14146 749.39 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 360209 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ST VINCENT HOSPITAL IN SUM OF$ CITY OF CARMEL ATTN: KRISTI N E BROWN An invoice or bill to be properly itemized must show:kind of service,where performed,dates service 4040 VINCENNES CIRCLE 4-NW-31 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46268 Payee $749.39 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 14146 42-390.11 $749.39 1 hereby certify that the attached invoice(s),or 9/27/18 14146 Supplies $749.39 1120 102 1120 102 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, September 27,2018 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 St. Vincent Hosp & Healthcare Center, Inc. Invoice ATTN: Kristine Brown 4040 Vincennes Circle DATE INVOICE# 4-NW-31 9/24/2018 14146 Indianapolis,IN 46268 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased .August 2018 . August 2018 There were no supplies purchased Pharmacy Supplies -August 2018 749.39 46029-160085-65100. Please note invoice number Total $749.39 that you are paying on check/stub. Thank you! Payments/Credits $0.00 Balance Due $749.39 Pharmacy Orders 8/1/2018 through 8/31/2018 IcARMEL'FIRE 402§46402-5-A215-4' TdMT PAYNE DEPARTMEN I 1T FIRE/AMB 00000 ' 317 571-2630 (CC 32154) Fa te Ordered Pharmacy McKesson# Generic Name Brand Name Strength Form Package Size EA Quantity Quantity Total Price Ordered Sent i 8/13/2018 CAR-St Vincent 1000160 CYANOKIT 5GM CYANOKIT 5 GM INJ Ea 1 1 450.00 i Carmel Pharmacy INJ ' a 8/29/2018 CAR-St Vincent 1718659 ONDANSETRO ZOFRAN 4 MG INJ Ea 25 25 6.75 Carmel Pharmacy N 4MG INJ ' 8/29/2018 CAR-St Vincent 2434801 Albuterol Proventil 2.5mg/3 nebuliz 30's NULL 30 30 4.50 Carmel Pharmacy 2.5mg/3ml neb ml ed soln soln i 8/29/2018 CAR-St Vincent 2787505 Dextrose Dextrose 50% 50ml 10's NULL 10 10 65.50 Carmel Pharmacy Syringe 50% Syringe syringe I 50ml i 8/29/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 28 28 56.56 Carmel Pharmacy Chloride 0.9% Chloride IV bag i 1000ml IV Bag J 8/29/2018 CAR-St Vincent 1918101 Sodium Sodium 0.90% 500ml 24's NULL 48 48 89.28 Carmel Pharmacy Chloride 0.9% Chloride IV bag 500ml IV Bag j 8/29/2018 CAR-St Vincent 1796010 IPRATROPIUM/ DUONEB 0.5-3 MG NEB Ea 30 30 8.40 Carmel Pharmacy ALBUTEROL 3ML 8/29/2018 CAR-St Vincent 3590429 SODIUM NORMAL 0.9% INJ 30 EA 360 360 68.40 I Carmel Pharmacy CHLORIDE 0.9% SALINE j FLUSH SYRINGE 10ML 532 532 749.39