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HomeMy WebLinkAbout188529 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1 ONE CIVIC SQUARE ST VINCENTS EMPLOYEE ASSISTANCEACK AMOUNT: $2,845.50 CARMEL, INDIANA 46032 8461 HARCOURT ROAD 4,, off Eo INDIANAPOLIS IN 46260 CHECK NUMBER: 188529 CHECK DATE: 8!312010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 054272576 2,845.50 GENERAL INSURANCE ST VINCENT EMPL. ASST. PROGRAM 8401 HARCOURT RD INDIANAPOLIS IN 46260 Date Account Number Balance 07/21/10 5- 20376299 2845.50 *CITY OF CARMEL. LAMB,BARB CITY HALL 1 CIVIC SQUARE CARMEL,IN 46032 Please enclose top portion with payment Rate: 1.75 Number of Employees: 542 ACCT 5- 20376299 PATIENT: *CITY OF CARMEL. CHG AMT PAY /ADJ BALANCE INVOICE 054272576 EMP PROVIDER 04/08/10 APRIL 2010 948.50 04/08/10 MAY 2010 948.50 04/08/10 JUNE 2010 948.50 05/13/10 COMPANY PAYMENT 2845.50 INVOICE BALANCE: 0.00 INVOICE 054589551 EMP PROVIDER 07/13/10 JULY 2010 948.50 07/13/10 AUGUST 2010 948.50 07/13/10 SEPTEMBER 2010 948.50 INVOICE BALANCE: 2845.50 AUG 0 2 2010 By Account 0 -30 days 31 -60 days 61 -90 days X90 days Balance Due 5-- 20376299 2845.50 0.00 0.00 0.00 2845.50 PAGE: 1 ST VINCENT EMPL. ASST. M F 9a.m. to 4p.m. 8401 HARCOURT RD Ph: 317- 338 -4900 INDIANAPOLIS IN 46260 VOUCHER NO. WARRA NO. ALLOWED 20 St. Vincent Employee Assistance Program IN SUM OF ,8401 Harcourt Rd Indianapolis, IN 46260 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO, ACCT# /TITLE AMOUNT Board Members 1205 054272576 I 43- 475.00 I $2,845.50 1 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 Friday, July 30, 2010 Director, Administratio 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)) 07/21/10 I 054272576 I I $2,845.50 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