HomeMy WebLinkAbout253760 01/22/16 4 4�gyf
CITY OF CARMEL, INDIANA VENDOR: 360209
s d ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $"'""""`986.60'
CARMEL, INDIANA 46032 ATTN:KATREENA SHIREY CHECK NUMBER: 253760
10330 N MERIDIAN ST SUITE 430 CHECK DATE: 01/22/16
INDIANAPOLIS IN 46290
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 5023990 13703 986.60 OTHER EXPENSES
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 12/31/2015 13703
BILL TO
Carmel Fire EMS
Attn: Denise Snyder
2 Carmel Civic Square
Carmel, IN 46032
TERMS
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased December 2015 986.60
Transfer Dru s __ $986.60
46029-160085-65050. Please note invoice number Total $986.60
that you are paying on check/stub. Thank you!
Inquiries: Carolyn Terry Payments/Credits $0.00
CMTerry@stvincent.org FBalance Due $986.60
-escribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
,hom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
13703 $986.60
1 hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
St. Vincent Hospital
Attn: Carolyn Terry, Acct. Reporting IN SUM OF$
10330 N. Meridian Street, Ste. 430 N
Indianapolis, IN 46290
$986.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 13703 102-390.11 $986.60 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
111-616-
J
u
17
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund