HomeMy WebLinkAbout237181 09/16/14 SAA+, CITY OF CARMEL, INDIANA VENDOR: 360209
® 41 ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $*****2,635.83*
?� CARMEL, INDIANA 46032 ATTN:KATRINA SHIREY ACCT.REPORTING CHECK NUMBER: 237181
9M<roN' ` 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 09/16/14
INDIANAPOLIS IN 46290
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 13433 2,635.83 SPECIAL DEPT SUPPLIES
St. Vincent Hospital&Healthcare Center, Invoice
Attn:Katreena Shirey Acct Rptg
10330 N.Meridian St., Suite 430 North DATE INVOICE#
Indianapolis, IN 46290-1024 9/8/2014 13433
BILL TO
Carmel Fire EMS
Attn: Accounts Payable
2 Carmel Civic Square
Carmel IN 46032
TERMS
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies Purchased July 2014 2,635.83
Medical Supplies $679.44
Transfer Drugs $ 1,956.39
Total Due $2,635.83
46029-160085-65050. Please note invoice number Total $29635.83
that you are paying on check/stub. Thank you!
Inquiries: Katreena Shirey Payments/Credits $0.00
317.583-3324
katreena.shirey@stvincent.org Balance Due $29635.83
VOUCHER NO. WARRANT NO.
St. Vinc n Hospita
YALLOWED 20
IN SUM OF$
Attn: Garolyr �; Acct.1 Reporting
10330 N. Meridian Street, Ste. 430 N
Indianapolis, IN 46290
$2,635.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#IrlTLE AMOUNT Board Members
1120 13433 102-390.11 $2,635.83 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
SEP 5 2014
4 II
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
13433 $2,635.83
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