HomeMy WebLinkAbout249903 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 360209
ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $""'4,943.59`
}•. _ CARMEL, INDIANA 46032 ATTN:KATREENA SHIREY CHECK NUMBER: 249903
10330 N MERIDIAN ST SUITE 430 CHECK DATE: 09/23/15
INDIANAPOLIS IN 46290
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 13625 2,033.35 SPECIAL DEPT SUPPLIES
102 4239011 13626 2,910.24 SPECIAL DEPT SUPPLIES
St. Vincent Hosp & Healthcare Center, Inc. Invoice
Attn: Carolyn Terry, Acct Rptg -
10330 N. Meridian St., Suite 430 North DATE INVOICE#
Indianapolis, IN 46290-1024 8/31/2015 13625
BILL TO
Carmel Fire EMS
Attn: Denise Snyder
2 Carmel Civic Square
Carmel, IN 46032
TERMS
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased July 2015 2,033.35
Medical Supplies: 2,033.35
Total supplies due July 2015.
46029-160085-65050. Please note invoice number Total $2,033.35
that you are paying on check/stub. Thank you!
Inquiries: Carolyn Terry Payments/Credits $0.00
CMTerry@stvincent.org Balance Due $2,033.35
St. Vincent Hosp & Healthcare Center, Inc. Invoice
Attn: Carolyn Terry, Acct Rptg
10330 N. Meridian St., Suite 430 North DATE INVOICE#
Indianapolis, IN 46290-1024 8/31/2015 13626
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 2015 2,910.24
Medical Supplies: 0.00
Transfer Drugs: 2,910.24
Total August due: $2,910.24
46029-160085-65050. Please note invoice number Total $2,910.24
that you are paying on check1stub. Thank you!
Inquiries: Carolyn Terry Payments/Credits $0.00
CMTerry@stvincent.org Balance Due $2,910.24
Drescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
rohom, 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))
13626 $2,910.24
13625 $2,033.35
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
$4,943.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 13626 102-390.11 $2,910.24 1 hereby certify that the attached invoice(s), or
1120 13625 102-390.11 $2,033.35 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
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Title
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claim paid motor vehicle highway fund