HomeMy WebLinkAbout164411 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00350782 Page 1 of 1
ONE CIVIC SQUARE RIVERVIEW HOSPITAL CHECK AMOUNT: $6.25
CARMEL, INDIANA 46032 ATTN: EDUCATION
395 WESTFIELD ROAD CHECK NUMBER: 164411
NOBLESVILLE IN 46060
CHECK DATE: 9130/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4357004 4809924 6.25 EXTERNAL INSTRUCT FEE
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Hamilton County Health Department
One Hamilton County Square, Suite 30 P.O.• PorF
Noblesville, In 46060 aL
TAB 'i' are Ph
Ri ft one: (317) (317) 776 8500 Bud�t
cc s Fax: (317) 776 -8506
Date p O
A' I EIS
Health Education Course Invoice SE 0 2 208
Invoice 4809924 BY
Invoice Date 8/21/2008
Invoice To Information Educational Course Information
Contact: Jennifer Sewell Course Title: Heartsaver Ped FA
Bill to: Monon Center Course Date: 8/20/2008
Location: Monon Center
Address: 1235 Central Park Drive East
Carmel, IN 46032 Instructor: James R. Ginder,MS,EMT,PI,CHES
Cost per Student: $1.25 RECEIVED
Billable Spaces: 5 SEP 0 3 2008
Fee Amount: $6.25 BY:
Certification Cards will be mailed upon receipt of payment
Offical;UWOnly
Payment Received: (Date) Check Initial:
Please Make Payment To:
Riverview Hospital
Send °Paymen Copyoflnvoce to
s
x a 4S
Attn jEducation
395V1/estf tf eld�R a
uilleln 46060
Retain this portion for you records
Course Heartsaver Ped F
Course Date 8/20/2008 Certification Cards will be mailed upon receipt of pay
Fee $6.25 ment
Printed: 8/21/2008 11:47:00
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.
00350782 Riverview Hospital
Attn: Education Date Due
395 Westfield Rd
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/08 4809924 Educational course 6.25
Total 6.25
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Riverview Hospital Allowed 20
Attn: Education
395 Westfield Rd
Noblesville, IN 46060 In Sum of
6.25
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 4809924 4357004 6.25 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
15 -Sep 2008
Signature
6.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I