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Home My WebLink About198762 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1 ONE CIVIC SQUARE ST VINCENT HOSPITAL CARMEL, INDIANA 46032 ATTN: MARILYN WHEELER, ACCT REPTNG CHECK AMOUNT: $2,784.81 10330 N MERIDIAN ST SUITE 340 INDIANAPOLIS IN 46290 CHECK NUMBER: 198762 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 12513 964.12 SPECIAL DEPT SUPPLIES 102 4239011 12518 882.55 SPECIAL DEPT SUPPLIES 102 4239011 12519 938.14 SPECIAL DEPT SUPPLIES St. Vincent Hospital Healthcare Center, Inc. Invoice Attn: Marilyn Wheeler, Acct Reporting 10330 N. Meridian St., Suite 430 North DATE INVOICE Indianapolis, IN 46290 -1024 4/1 /2011 12513 BILL TO Carmel Fire EMS Attn: Accounts Payable 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased. March 2011 billed in April 2011 964.12 Medical Supplies: $189.40 Transfer Drugs: 774.72 TOTAL: $964.12 See Attached Any questions regarding the above charges can be directed to: Pete Dillman, Program Director Emergency Medical Services Phone: 317-338-7272 1 -8766 -1464. Please notate invoice number that you Total $964.12 are paying on check/stub. Thank you!! Inquiries: Marilyn Wheeler Payments /Credits $0.00 Phone: 317 -583 -3297 Fax: 317 -583 -3285 Balance Due $964.12 -F St. Vincent Hospital Healthcare Center, Inc. Invoice Attn: Jeremy Zimmerman, Acct Reporting 10330 N. Meridian St., Suite 430 North DATE INVOICE Indianapolis, IN 46290-1024�W St.Vincent 5/1/2011 12518 BILL TO Carmel Fire EMS Attn: Accounts Payable 2 Carmel Civic Square Carmel, IN 46032 i TERIMIS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased April 2011 billed in May 2011 882.55 Medical Supplies: Transfer Drugs: 882.55 TOTAL: $882.55 See Attached. Any questions regarding the above charges can be directed to: Pete Dillman, Program Director Emergency Medical Services Phone: 317- 338 -7272 1- 8766 -1464. Please notate invoice number that you To $$$2,55 are paying on check/stub. Thank you!! Inquiries: Jeremy Zimmerman Payments /Credits $0.00 317.583.3223 jrzimmer @stvincent.org Balance Due $882.55 St. Vincent Hospital Healthcare Center, Inc. Invoice Attn: Jeremy Zimmerman, Acct Reporting 10330 N. Meridian St., Suite 430 North DATE INVOICE Indianapolis, IN 46290 -1024 St.Vincent 6/l/2011 12519 BILL TO Carmel Fire EMS Attn: Accounts Payable 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased May 2011 billed in June 2011 938.14 Medical Supplies: $148.16 Transfer Drugs: 789.98 TOTAL: $938.14 See Attached Any questions regarding the above charges can be directed to: Pete Dillman, Program Director Emergency Medical Services Phone: 317 -338 -7272 1- 8766 -1464. Please no /ate invoice number that you Total $938.14 are paying on check/stub. Thank you!! Inquiries: Jeremy Zimmerman Payments /Credits $0.00 317.583.3223 jrzimmer @stvincent.org Balance Due $938.14 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)) 12519 $938.14 12513 $964.12 12518 I I $882.55 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. ALLOWED 20 St. Vincent Hospital Attn: Marilyn Wheeler, Acct. Reporting IN SUM OF 10330 N. Meridian Street, Ste. 340 Indianapolis, IN 46290 $2,784.81 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 12519 102 390.11 j $938.14 1 hereby certify that the attached invoice(s), or 1120 12513 102 390.11 $964.12 bill(s) is (are) true and correct and that the 1120 I 12518 1 102 390.11 I $882.55 materials or services itemized thereon for which charge is made were ordered and received except JUN 2-.0 2011 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund