The URL can be used to link to this page

158088 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00350364 Page 1 of 1 ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES .CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK AMOUNT: $1,874.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 158088 CHECK DATE: 41112008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DE SCRIPTION 1115 R4350900 16554 00 -08918 80.00 HEALTH SCREEN EVALUAT 1110 4340701 8881 500.00 MEDICAL EXAM FEES 1110 4340701 8919 1,294.00 MEDICAL EXAM FEES INVOICE 10. Public Safety Medical Services 324 E. New York Street ,E" Suite 300 Indianapolis, IN 46204 Carmel Police Department! CARMEPD Terms 3 Civic Square Carmel, IN 46032 Invoice Date 03/1812008 Invoice 00 -08881 Employee =Description'u T Amount Balance.Due4 03/10/08 Miller Michael G. Exec 1 Wellness Offsite $61.00 $61.00 03/11/08 Moore. Scott L. 10 Cities $234,00 $234,00 Treadmill (PFE $165.00 1165.00 Body Fat Check Bod Pod 23.00 $23.0 0 Flexibility Check $7.00 7.00 Waist/Hip Ratia 0.00 0.00 OnMed Pro 10.00 10.00 ram Total Charges i$500 00 i t'o _c. Totah ayments: Balance] be s3 x$0:00 ;w $500 Ot) Please write invoice number on payment check. Our Federal Employer Identification Number is 35- 2079797 INVOICE 'o Public Safety Medical Services 324 E. New York Street 'E: Suite 300 W Indianapolis, IN 46204 o Carmel Police Department I CARMEPID Terms 3 Civic Square Invoice Date 03/2412008 m.' Carmel, IN 46032 Invoice 00 -08919 'Date Employee: 4 °Deschption— Amount Balance,Due' 03117/08 Dixon Micheal R, 10 Cities $234.00 $234.00 Treadmill (PFE) $165.00 $165.00 Flexibility Check $7.00 $7.00 Waist/Hi Ratio $0.00 $0.00 OnMed Pro ram 10.00 $10.00 03119/08 Elliott John R. 10 Cities $234.00 234.00 Treadmill (PFE) $165.00 $165,00 Body Fat Check Bod Pod $23.00 $23,00 Flexibility Check $7.00 $7.00 Waist/Hi Ratio 0.00 $0.00 OnMed Program 1 0 110.0 0 03/21/08 Miller, Michael G. 10 Cities $234.00 $234.00 Treadmill (PFE) $165.00 $165.00 Body Fat Check Bod Pod $23.00 $23.00 Flexibility Check 7.00 7,00 Waist/Hi Ratio $0.00 $0.00 OnMed Pro ram $10.04 $10.00 T©tal Charges ;TotalRaymenYs:BBalanee�Due �'$Oi00 '$1;294:90 Please write invoice number on payment check. Our Federal Employer Identification Number is 35- 2079797 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Public Safety Medical Services Purchase Order No. 324 E. New York street, Suite 300 Terms Indianapolis, IN 46204 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/18/08 8881 payment for officer physicals 500.00 3/24/08 8919 payment for officer physicals 1,294.00 Total 1,794.00 1 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Public Safety medical Services IN SUM OF 324 New York street, suite 300 Indianapolis, IN 46204 1,794.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 8881 407 -01 500.00 bill(s) is (are) true and correct and that the 8919 407 -01 1,294. 0 materials or services itemized thereon for which charge is made were ordered and received except March 27 20 08 &W"U'e Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund INVOICE "o Public Saiety Medical Services 4.� 324 E. New York Street Suite 300 W Indianapolis, IN 46204 Carmel Clay Communications CARMCOM 31 First Avenue NW Terms Invoice Date 03/2412008 Carmel, IN 46032 Invoice 00-08918 Date �,Empibyee D escription �Ambuw Balance Due-. 03/21108 Underwood. Amy M. Vision Titmus $16.00 $16.00 Audjometry $0,00 $0.00 Audiornetry W/Discrimination $64.00 $64-00 `Tots I arges 'T t I n alance 0 Payme' ts,& B' Due" $om' Please write invoice number on payment check. Our Federal Employer Identification Number is 35-2079797 VOUCHER NO. WARRANT NO. ALLOWED 20 Pgblic Safety Medical Services IN SUM OF 324 E. New York Street, Ste 300 Indianapolis, In 46204 $80.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 16554 00 -08918 43- 509.00 $80.00 1 hereby certify that the attached invoice(s), or 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, March 27, 2008 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1 X95) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 1 An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/21/08 00 -08918 $80.00 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 Clerk- Treasurer