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Home My WebLink About333597 12/14/18 �� p"�• CITY OF CARMEL, INDIANA VENDOR: 360209 ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $*****1,947.37* s? ?�: CARMEL, INDIANA 46032 ATTN:DEBBIE NUN14ALLY CHECK NUMBER: 333597 .v i7roN"cam _ 4040 VINCENNES CIRCLE 4-NW-29 CHECK DATE: 12/14/18 INDIANAPOLIS IN 46268 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 14194 1,947.37 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 360209 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ST VINCENT HOSPITAL IN SUM OF$ CITY OF CARMEL ATTN: DEBBIE N U N NALLY An invoice or bill to be properly itemized must show:kind of service,where performed,dates service 4040 VI NCEN N ES CIRCLE 4-NW-29 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46268 Payee $1,947.37 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 14194 42-390.11 $1,947.37 1 hereby certify that the attached invoice(s),or 12/11/18 14194 EMS Supplies $1,947.37 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 Tuesday, December 11,2018 David Haboush Fire Chief 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 St. Vincent Hosp &Healthcare Center, Inc. Invoice ATTN Debbie Nunnally 4040 Vincennes Circle DATE INVOICE# 4-NW-29 12/11/2018 14194 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 Pharmacy Supplies -November 2018 1,947.37 46029-160085-65100. Please note invoice number Total $19947.37 that you are paying on check/stub. Thank you! Payments/Credits $0.00 Balance Due $19947.37 Pharmacy Orders 11/1/2018 through 11/30/2018 m --. -- ',CARMEL`FIRE 46 _ .029-704025 32154 TOM PAYNE t DEPARTMEN a 00000 417-571-2630 IT FIRE/AMB .._ (CC 32154) 'i Date Ordered Pharmacy McKesson# Generic Name Brand Name Strength Form Package Size EA Quantity Quantity Total Price 't Ordered Sent 11/9/2018 CAR-St Vincent 3590429 SODIUM NORMAL 0.9% INJ 30 EA 360 360 68.40 Carmel Pharmacy CHLORIDE 0.9% SALINE e FLUSH SYRINGE 10ML ;I 11/20/2018 CAR-St Vincent 2720621 EPINEPHRINE EPINEPHRINE O.1MG/ INJ 10 EA 40 40 160.00 Carmel Pharmacy O.1MG/ML ML 10ML j° 10ML SYRINGE (BRISTOJECT) 'i 11/23/2018 CAR-St Vincent 3241114 Ondansetron Zofran ODT 4mg tablet 30's NULL 150 150 55.50 - Carmel Pharmacy 4mg ODT 1 M t �4 11/23/2018 CAR-St Vincent 1451798 Diphenhydrami Benadryl 50mg/ml vial 25's NULL 25 25 14.00 Carmel Pharmacy ne 50mg/ml INJ 11/23/2018 CAR-St Vincent 1796010 Ipratropium/AI Duoneb 0.5mg/3 nebuliz 25's NULL 30 30 8.10 Carmel Pharmacy buterol mg ed soln 0.5mg/3ml neb 11/23/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 56 56 113.12 Carmel Pharmacy Chloride 0.9% Chloride IV bag 1000ml IV Bag 11/23/2018 CAR-St Vincent 2720340 ATROPINE ATROPINE 1 MG INJ Ea 10 10 72.40 Carmel Pharmacy 1.OMG SYRINGE 11/23/2018 CAR-St Vincent 3643731 AMIODARONE AMIODARONE 150 INJ 25 EA 25 25 19.00 ' Carmel Pharmacy 150MG/3ML MG/3ML VIAL 11/23/2018 CAR-St Vincent 3519857 GLUCAGON GLUCAGON 1 MG INJ Ea 10 10 1023.70 j Carmel Pharmacy 1MG KIT I' 11/23/2018 CAR-St Vincent 3601747 CEFAZOLIN 1 CEFAZOLIN 1 GM INJ Ea EA 25 25 13.75 Carmel Pharmacy GRAM VIAL ' 11/23/2018 CAR-St Vincent 2720621 EPINEPHRINE EPINEPHRINE 0.1MG/ INJ 10 EA 30 30 120.00 Carmel Pharmacy O.1MG/ML ML 10ML $$: { 10MLSYRINGE y (BRISTOJECT), Pharmacy Orders 11/1/2018 through 11/30%zois CARMEL FIIrE` 11/23/2018 CAR-St Vincent 1131093 NALOXONE NARCAN 2.MG/2M INJ 10 EA 10 10 279.40 DEPARTMEN Carmel Pharmacy 2MG/2ML L T FIRE/AMB'. SYRINGE 771 771 1947.37