184485 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 295900 Page 1 of 1
ONE CIVIC SQUARE ST VINCENT HOSPITAL
CARMEL, INDIANA 46032
EAP CHECK AMOUNT: $218.55
8401 HARCOURT ROAD CHECK NUMBER: 184485
INDIANAPOLIS IN 46260
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4340700 5397518/9 218.55 MEDICAL FEES
I !Vt. Vincent Stress Centers
S AP
T. VINCENT STRESS ,CENTER Amount Due: $218.55
ST VINCENT E" Amount Paid: 21 5
8'401 -Harcourt RoaD4626�
INGIANAPOLIS`I N
A/R Account 3 -1000- 1130 -00
i Date Account Number
0:/, 15/10 j 5- 20386066
Invoice #05397518
Carmel Clay Parks Recreation
Attn: Lynn Russell K'\P
1411 E. 116 Street
Carmel, IN 46032
To ensure proper credit to your account, please enclose top portion of this invoice with your payment.
St. Vincent Stress Centers A/R Account 3- 1000 1130 -00
Rate No. of Employees
ST. VINCENT STRESS CENTER $2.35 31
ST. VINCENT EAP
8401 Harcourt Road
INDIANAPOLIS, IN 46260
Date Description Units Amount
January EAP Services 1 $72.85
2010
February EAP Services 1 $72.85
2010
March EAP Services 1 $72.85
201 -0
Purchase QiT I y EA 1'
Descrip m
P.O.# Pore
Purct►aser
pPP�'�► Date
Total r$21 7
For questions regarding this bill please call (317) 338 -4900.
(YIq n
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
295900 St. Vincent Stress Center Terms
8401 Harcourt Road Date Due
Indianapolis IN 46260
Invoice Invoice Description
Date Number EEm (or note attached invoices) or bill(s)) PO Amount
1/15/10 539 5518/9 ee Assistance Pro ram Jan,Feb,Mar
218.55
Total 218.55
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
295900 St. Vincent Stress Center Allowed 20
8401 Harcourt Road
Indianapolis IN 46260
In Sum of
218.55
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 5397518/9 4340700 218.55
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
8 -Apr 2010
Signature
218.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund