HomeMy WebLinkAbout185411 05/11/2010 a CITY OF CARMEL, INDIANA VENDOR: 272800 Page 1 of 1
ONE CIVIC SQUARE RIVERVIEW HOSPITAL
CARMEL, INDIANA 46032 ATTN: EDUCATION CHECK AMOUNT: $28.50
395 WESTFIELD ROAD CHECK NUMBER: 185411
NOBLESVILLE IN 46060
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5651158 28.50 EMPLOYEE PENSIONS B
t
Hamilton County Health Department
18030 Foundation Drive, Suite A
Noblesville, In 46060
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Phone: (317) 776 -8500
Fax: (317) 776 -8506
Health Education Course Invoice
Invoice 5651158
Invoice Date 4/28/2010
Invoice To Information Educational Course Information
Contact: Joe Faucett Course Title: Heartsaver Adult/Child -AED
Bill to: Caren„ el Ut Course Date: 4/28/2010
Location: Carmel Utilities
Address: 9609 Hazel Dell Parkway
Indpls. IN 46280 Instructor: James R. Ginder,MS, EMT, PI,CHES
Cost per Student: $1.50
Billable Spaces: 19
Fee Amount: $28.50
Certification Cards will be mailed upon receipt of payment
.a; �O.fficial Use: °Only;:
Payment Received: (Date) Check Initial:
Please Make Payment To:
Rivei view Hospi�ai i
4 Send Payment with py of Invoice to k
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Riverew
595 Westfield Rd MAY
20
1 ,10 46 0
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Retain this portion for you records
Course
Course Date 4/28/2010 Certification Cards will be mailed upon receipt of payment
Fee $28.50
Printed: 412812010 15:3931
VOUCHER 105400 WARRANT ALLOWED
272800 IN SUM OF
RIVERVIEW HOSPITAL
l o d &4v i6 zAo6-
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5651158 01- 7042 -05 $28.50
Voucher Total $28.50
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
272800
RIVERVIEW HOSPITAL Purchase Order No.
PO BOX 220 Terms
NOBLESVILLE, IN 46061 Due Date 5!6/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/6/2010 5651158 $28.50
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
Date Officer