HomeMy WebLinkAbout183467 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00351114 Page 1 of 1
ONE CIVIC SQUARE ST VINCENT HOSPITAUPHARMACY SEq
CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 ATTN: MIKE DAVIS
o 2001 W. 86TH ST CHECK NUMBER: 183467
INDIANAPOLIS IN 46260
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 CARPI030110 200.00 EXTERNAL INSTRUCT FEE
1
5
St. Vincent Indianapolis
EMS Education
2001 W. 86 th Street
Indianapolis, Indiana 46260 INVOICE NO: CARP1030110
DATE: 03/0112010
1
Make all checks payable to:
St. Vincent Hospital
EMS Education
2001 W. 86 Street
Indianapolis, Indiana 46260
Carmel Fire Department
2 Civic Square
Carmel, Indiana 46032
Attn: Mark Hulett
CLASS DATES TERMS
April 5 -9, 2010 Upon Receipt
Primary Instuuctor
COURSE
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 Primary Instructor Course Gary Fisher $400.00 $400.00
Affiliate Discount 50% ($200.00) ($200.00)
$200.00
If you have any questions concerning this invoice, call: 317- 338 -7042.
THANK YOU FOR YOUR BUSINESS?
VOL,CHER NO. WARRANT NO.
ALLOWED 20
St. Vincent Hospital PAL
IN SUM OF
2001 West 86th Street
Indianapolis, IN 46260
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# f Dept. INVOICE NO. ACC741TITLE AMOUNT Board Members
1 120 CARP 1030110 43- 570.04 $200.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
MAR 15 2010
d
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)
4
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))
CARP1030110 $200.00
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