HomeMy WebLinkAbout196910 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00350364 Page 1 of 1
O ONE CIVIC SQUARE PUBLIC SAFETY MEDICAL SERVICES
CARMEL, INDIANA 46032 324 E NEW YORK ST SUITE 300 CHECK AMOUNT: $92.82
INDIANAPOLIS IN 46204
CHECK NUMBER: 196910
CHECK DATE: 412612011
DEPARTMENT ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 00 -14935 92.82 OTHER CONT SERVICES
INVOICE
�o Public Safety Medical Services
324 E. New York Street
E Suite 300
i Indianapolis, IN 46204
o Carmel Clay Communications 1 CARMCOM
Terms
31 First Avenue NW
PO# 27523 Invoice Date 04/13/2011
m
Carmel, IN 46032 Invoice 00 -14935
Date Employee Description Amount Balance Due
04/08/11 Layton, Matthew E. Audiornetry $14.28 14.28
Speech Discrimination $52.02 52.02
Vision Acuity 26.52 $26.52
Total Charges .$92.82
Total Payments &Balance Due $0.00 $92.82
Please write invoice number on payment check.
Our Federal Employer Identification Number is 35- 2079797
Balance due 15 days from invoice
date
VOUCHER NO. WARRANT N
ALLOWED 20
Public Safety Medical Services
IN SUM OF
324 E. New York Street, Ste 300
Indianapolis, In 46204
$92.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
-r
1115 I 00 -14935 I 43- 509.00 I $92.82 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
Wednesday, April 20, 2011
Director
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))
04/13/11 00 -14935 $92.82
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