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HomeMy WebLinkAbout182094 02/03/2010 4'7 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1 ONE CIVIC SQUARE ST VINCENT HOSPITAL 1_y ATTN MARILYN HEELER, ACCT REPTNG CHECK AMOUNT: $843.98 C INDIANA 46032 W 10330 N MERIDIAN ST SUITE 340 CHECK NUMBER: 182094 !ros nwr" INDIANAPOLIS IN 46290 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 11437 843.98 SPECIAL DEPT SUPPLIES St. Vincent Hospital Healthcare Center, Inc. Invoice Attn: Marilyn Wheeler, Acct Reporting 10330 N. Meridian St., Suite 430 North DATE INVOICE Indianapolis, IN 46290 -1024 1/14/2010 11437 BILL TO Carmel Fire EMS Attn: Accounts Payable 2 Carmel Civic Square Carmel, 1N 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased. December 2009 billed in January 2010 843.98 Medical Supplies: $663.26 Transfer Drugs: 180.72 TOTAL: $843.98 See Attached Any questions regarding the above charges can be directed to: Pete Dillman, Program Director Emergency Medical Services Phone: 317 338 -7272 1- 8766 -1464. Please notate invoice number that you Total $843.98 are paying on check /stub. Thank you!! Inquiries: -Marilyn Wheeler Payments/Credits $0.00 Phone 317-583-3297 Fax: 317 583 -3285 Balance Due $843.98 ti. VOUCHER NO. WARRANT NO. ALLOWED 20 St. Vincent Hospital Attn: Marilyn Wheeler, Acct. Reporting IN SUM OF 10330 N. Meridian Street, Ste. 340 Indianapolis, IN 46290 $843.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 11437 102 390.11 $843.98 I 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 FED -1 2U1u 41: Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11437 $843.98 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