Loading...
HomeMy WebLinkAbout306407 12/21/16 �.'�,""'� CITY OF CARMEL, INDIANA VENDOR: 355031 i ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH WAW% AMOUNT: $'*'*****83.00* ,° CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 306407 ��ori ' CHICAGO IL 60677-7001 CHECK DATE: 12/21/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 474822 83.00 TESTING FEES Q « G § 3 z 0 2 2 ? 2 % ^ 0 C/) k O / :3q e -j -< z $ t < Z k z R m E �§ w n n 0 k O m E OD k m§ @ \ > O \ cn \ § / 3 r / \ # j > 2 & ® 2 0 m 0 > CD /_ / \ k 2 8 - \ | ■ \ 2 7 I § / / CD / � / $ 2 / ¢ \ ? ; k q a 7 _ k 2 $ 0 2 CL (a K ^ k CD \ CL \ 7 f m / ; ƒ \ ` k / m E } \ � % k 0 Z § - * ƒ § m 3 g 0 7 c = o a t Km § m § }ƒ 7 j m \ e(cr( CD \ > f {f ] \ 0 7 /� ( 0 0 } ° N) * m ƒ q MM. C 0E � � # Z / ° ° § / k \ m # eƒ \ D �S CDD )o ) a E �E � § / \m « n 2 } j U CD \ E ¥ 2 \ ] i E ! C: % C E C/ / p CD � / 2 _CD M \ c 8 m § CD k ca f , \ R.CDN \ _ \ CD . 2 7 k « ® \ Community Occupational Health Svs 7169 Solution Center Chicago, IL 60677-7001 Phone: 317-621-0341 FEIN: 35-1955223 Invoice December 02, 2016 Bill to: Accounts Payable For: Carmel Fire Department City of Carmel 11/16 1 Civic Square Carmel, IN 46032- Invoice# 474822 Proc Code Date Description QtV Char-ge Receipt Adjust Balance 80101 11/03/2016 Rapid 5 Panel UDS 1.00 51.00 51.00 82075 11/03/2016 Breath Alcohol Test 1.00 32.00 32.00 Stephen J Reeves XXX-XX-5084 Balance Due: 83.00 Invoice# 474822 Balance Due: 83.00 Please remit payment promptly Submitted To DEC 13 2016 Clerk Treasurer Cut and return with payment