158104 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00350782 Page 1 of 1
ONE CIVIC SQUARE RIVERVIEW HOSPITAL
CARMEL, INDIANA 46032 CHECK AMOUNT: $12.50
Al' "1'N' EDUCATION
'ti, o 395 WESTFIELD ROAD CHECK NUMBER: 158104
NOBLESVILLE IN 46060
CHECK DATE: 4/112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4357004 12.50 EXTERNAL INSTRUCT FEE
Hamilton County Health Department CFTVED
Gne Hamilton County Square, Suite 30
Noblesville, In 46060 FEB 2 6 2008
5l
f(. Phone: (317) 776 -8500
Fax: (317) 776 -8506
FER 2 7 2008
Health Education Course Invoice 1 3 G C
Invoice 4552270
Invoice Date 2/21/2008
Invoice To Informatio Educational Course Information
Contact: Jennifer S. Course Title: Heartsaver A,C,& I/ Pedric First Aid
Bill to:�7� Course Date: 2/21/2008
ivionon Center
Location: Carmel Parks
Address: 1235 Central Park Drive East
Carmel, IN 46032 Instructor: James R. Ginder,MS,EMT,PI,CHES
Cost per Student: $1.25
Billable Spaces: 10
Fee Amount: $12.50
Certification Cards will be mailed upon receipt of payment
Official Use`;,Only
Payment Received: (Date) Check Initial:
Please Make Payment To:
Send Payment with Copy of Invoice,to
y
kRive view Hosp I�
Attn
u a
q° e 395 Westfield Rd
m Noblesville." n 460
Retain this portion for you records
Course Heartsaver A,C,&
Course Date 2/21/2008 Certification Cards will be mailed upon receipt of payment
Fee $12.50
Printed: 2/21/2008 13:08:22
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.
Riverview Hospital Attn: Education
395 Westfield Rd. Date Due
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/21/08 4552270 CPR certification cards 12.50
Total 12.50
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
r
Voucher No. Warrant No.
Allowed 20
Riverview Hospital Attn: Education
i ,1 395 Westfield Rd.
Noblesville, IN 46060 In Sum of
12.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 4552270 4357004 12.50 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
25 -Mar 2008
Sig ature
12.50 Business e es Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund