189006 08/18/2010 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: 189006
INDIANAPOLIS IN 46260
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4340700 54589525 218.55 MEDICAL FEES
W St. Vincent Stress Centers
ST. VINCENT STRESS CENTER Amount Due: $218.55
ST. VINCENT EAP Amount Paid:
8401 Harcourt Road
INDIANAPOLIS, IN 46260
A/R Account 3 -1000- 1130 -00
Date Account Number
7/21/10 5- 20386066
Invoice #054589525
Carmel Clay Parks Recreation
Attn: Lynn Russell
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
July EAP Services 1 $72.85
2010
August EAP Services 1 $72.85
2010
September EAP Services 1 $72.85
2010
Purchase �f�
Description T
e
P.O. P or F
p T Bu 6 3 a
Budget
Line Descr
JUL Z' 8. 201 Purah !O
ApproY Date______
Total $218.55
For questions regarding this bill please call (317) 338 -4900.
To ensure proper credit to your account, please enclose top portion of this invoice with your payment.
v# 0 5 ZI SS qg �CNr iYx t
St. Vincent Stress Centers AIR 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
July EAP Services 1 $72.85
2010
August EAP Services 1
2010 $72.85
Sept September Sept
EAP Services
Purchase
Description
P.O. Pot f
G.L.
Bud g et
e� Line Decor
JUL 2 8 20 1 0 Purch IO
Approv Date
B7.
Total $218.55
For questions regarding this bill please call (317) 338 -4900.
00�IAAL�
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 (or note attached invoice(s) or bill(s)) PO Amount
7/21110 54589525 Employee Assistance Program Jul -Se '10 218.55
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
.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#TTITLE AMOUNT Board Members
Dept
1125 54589525 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
12-Aug 2010
Ak,bM9MM 11
Signature
218.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund