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Home My WebLink About248042 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 360209 ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $'"""4,108.88" CARMEL, INDIANA 46032 ATTN:CAROLYN TERRY ACCT.RPTNG CHECK NUMBER: 248042 y�M roN. .r• 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 07/28/15 INDIANAPOLIS IN 46290 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 13598 1,178.04 SPECIAL DEPT SUPPLIES 102 4239011 13599 2,930.84 SPECIAL DEPT SUPPLIES St. Vincent Hosp & Healthcare Center, Inc. Invoice Attn: Katreena Shirey Acct Rptg 10330 N. Meridian St., Suite 430 North DATE INVOICE# Indianapolis, IN 46290-1024 7/17/2015 13598 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies Purchased May 2015 1,178.04 Supplies Purchased - Medical Supplies Total $1,178.04 Inquiries: Katreena Shirey Payments/Credits $0.00 317.583-3324 katreena.shirey@stvincent.org Balance Due $1,178.04 St. Vincent Hosp & Healthcare Center, Inc. Invoice Attn: Katreena Shirey Acct Rptg 10330 N. Meridian St., Suite 430 North DATE INVOICE# Indianapolis, IN 46290-1024 7/17/2015 13599 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS I Due on receipt DESCRIPTION AMOUNT EMS Supplies Purchased - June 2015 2,930.84 Medical Supplies Purchased Total $2,930.84 Inquiries: Katreena Shirey Payments/Credits $0.00 317.583-3324 katreena.shirey@stvincent.org Balance Due $2,930.84 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)) 13598 $1,178.04 13599 $2,930.84 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 St. Vincent Hospital Attn: Carolyn Terry, Acct. Reporting IN SUM OF $ 10330 N. Meridian Street, Ste. 430 N Indianapolis, IN 46290 $4,108.88 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 13598 102-390.11 $1,178.04 1 hereby certify that the attached invoice(s), or 1120 13599 102-390.11 $2,930.84 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 JUL 2 7 2015 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund