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HomeMy WebLinkAbout251225 11/04/15 Cqq CITY OF CARMEL, INDIANA VENDOR: 00350364 ® 41 ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES CHECK AMOUNT: $********38.83* CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK NUMBER: 251225 INDIANAPOLIS IN 46204 CHECK DATE: 11/04/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4340700 26512 38.83 MEDICAL FEES PublSafety Medical - INVOICE o Public Safety Medical Invoice Date: 09/02/2015 -. ? .. 324 E. New York Street Invoice# 00-26512 E Suite 300 Terms: Ir Indianapolis, IN 46204 ~ FSREEEP 0 8 2015 c . Carmel Clay Parks&Recreation/CARMELPARK Attn: Jeff Kramer m . 1411 E. 116th Street Carmel, IN 46032 Exclusively Serving Public Safety Professionals Since 9990. Date - Employee Description: Amount Balance Due 08/27115 Wri ht Paula A. Veni uncture $0.00 $0.0o Hep B Titer SAb-Quantitative Blood $38.83 $38.83 Total ,., Charges:- °: : $38.83 Total Payments Balance Due->- $0:00. $38.83 Please write invoice number on payment check. Our Federal Employer identification number is 35-2079797. We greatly appreciate the opportunity to serve you. If you have any questions regarding this invoice, please contact Debbie Pieper at 317-964-2330. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 00350364 Public Safety Medical Services Terms 324 E. New York Street, Ste 300 Indianapolis, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 9/2/15 26512 Medical Fees $ 38.83 Total Is 38.83 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 Voucher No. Warrant No. 00350364 Public Safety Medical Services Allowed 20 324 E. New York Street, Ste 300 Indianapolis, IN 46204 In Sum of$ $ 38.83 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members Rept# 1091 26512 4340700 $ 38.83 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 October 21,2015 Signature $ 38.83 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund