HomeMy WebLinkAbout304768 10/31/16 q,�,cggMf CITY OF CARMEL, INDIANA VENDOR: 360209
® ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $'•"'2,550.62'
r. ?� CARMEL, INDIANA 46032 ATTN:KATREENA SHIREY CHECK NUMBER: 304768
10330 N MERIDIAN ST SUITE 430 CHECK DATE: 10/31/16
INDIANAPOLIS IN 46290
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 13839 2,550.62 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ST VINCENT HOSPITAL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ATTNXATREENA SHIREY IN SUM OF$ CITY OF CARMEL
10330 N MERIDIAN ST SUITE 430 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46290 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$2,550.62 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
13839 42-390.11 $2,550.62 1 hereby certify that the attached invoice(s),or 10/24/16 13839 $2,550.62
1120 /--1-02---, 1120 102
-- 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
Monday, October 24, 2016
U'ar __ZS-
David Haboush
Fire Chief
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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 10/10/2016 13839
BILL TO
Carmel Fire EMS
Attn: Denise Snyder
2 Carmel Civic Square
Carmel, IN 46032
TERMS
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased September 2016 2,550.62
Medical Supplies - September 1,820.15
Transfer Drugs - September 730.47
Total September due: $2,550.62
46029-160085-65050. Please note invoice number Total $2,550.62
that you are paying on check/stub. Thank you!
Inquiries: Carolyn Terry Payments/Credits $0.00
CMTerry@stvincent.org Balance Due $2,550.62