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HomeMy WebLinkAbout194773 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 295900 Page 1 of 1 ONE CIVIC SQUARE T VINCENT HOSPITAL CHECK AMOUNT: $218.55 CARMEL, INDIANA 46032 E P 8401 HARCOURT ROAD CHECK NUMBER: 194773 INDIANAPOLIS IN 46260 CHECK DATE: 2/16/2011 DEPARTM ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION 1125 4340700 55233431 218.55 MEDICAL FEES 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 01/17/11 5- 20386066 Invoice #055233431 Carmel Clay Parks Recreation D Attn: Lynn Russell LIM 1411 E.116thStreet JAN :y. 2011 Carmel, IN 46032 BY:---.— 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 2011 February EAP Services 1 $72.85 2011 March EAP Services 1 $72.85 2011 purchase Description P oI G. L. a Bud get Line Descr Purchase pate�.�.�. Approval Total $218.55 For questions regarding this bill please call (317) 338 -4900. 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 invoices) or bill(s)) PO Amount 1117111 55233431 Employee Assistance Program Jan- Mar'11 218.55 Total 218.55 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 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 55233431 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 10 -Feb 2011 Signature 218.55 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund