193225 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1
ONE CIVIC SQUARE ST VINCENTS HOSPITAL
CHECK AMOUNT: $70.00
CARMEL, INDIANA 46032 2001 W 86TH STREET
INDIANAPOLIS IN 46260 CHECK NUMBER: 193225
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 CAR121510 70.00 EXTERNAL INSTRUCT FEE
St. Vincent Indianapolis
EMS Education IFWUKCT�
2001 W. 86 1h Street
Indianapolis, Indiana 46260 INVOICE NO: CAR121510
DATE: 1211512010
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
CLASS DATES TERMS
Medic 2012 Hobet Testing Upon Receipt
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 Bondurant, Jeff FHobetle�k_SQ 00- Arp#ieat+crt�- 35-0a $85.00
3S
1 Butts, Renee -(I1 Application 35.00) $85.00 -VL5-99--
�S
1 Frost, Bruce Application 35.00) $85.00
lt.youbave any questions concerning this invoice, call: 317 -338 -7042.
.-THANK YOU FOR YOUR BUSINESS!
VOUCHER NO. WARRANT NO.
ALLOWED 20
St. Vincent Hospital
IN SUM OF
2001 West 86th Street
Indianapolis, IN 46260
$70.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 CAR121510 43 570.04 $70.00 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
DEC 2 o min
Dj f 1
t
1
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)
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))
CAR 121510 $70.00
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