155490 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350782 Page 1 of 1
0 ONE CIVIC SQUARE RIVERVIEW HOSPITAL
CARMEL, INDIANA 46032 ATTN: EDUCATION CHECK AMOUNT: $15.00
395 WESTFIELD ROAD CHECK NUMBER: 155490
NOBLESVILLE IN 46060
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4357004 4115087 15.00 EXTERNAL INSTRUCT FEE
Hamilton County Health Department
One Hamilton County Square, Suite 30 1�1
JT
s, Noblesville, In 46060
Phone: (317) 776 -8500 DEC l 1 2007
Fax: (317) 776 -8506 r s
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Health Education Course Invoice FUN 40u
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Invoice 4115087 LINE
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Invoice Date 12/6/2007 DES
Invoice To Information Educational Course Information rMrll1Al
Contact: Jennifer Sewell Course Title: Heartsaver A,C I AED/ Pedric First AI
Bill to. Monon Center Course Date: 12/6/2007
Location: Monon Center
Address: 1235 Central Park Drive East
Carmel, IN 46032 Instructor: James R. Ginder, NiS MT ES
Cost per Student: $1.00
Billable Spaces: 15
Fee Amount: $15.00 l
Certification Cards will be mailed upon receipt of payment
�';30fficial UseOn[yr�
Payment Received: (Date) Check Initial:
Please Make Payment To:
Riverview Hospital
Send,Payment with Capy of Invoice to o
5I t k
r aRiverview, Hospital
Attn 'Education';.* P
`395 Westfieid Ra r
V
;N I n 46060 s
Retain this portion for you records
Course Heartsaver A,C I
Course Date 12/6/2007 Certification Cards will be mailed upon receipt of payment
Fee $15.00
Printed: 12/6/2007 13:11:56
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.
2e�5 V(/{ A tj �RA Date Due
NOV" vdAz- irj q"o
Or FJo_�5
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/07 4115087 Health Ed course 15.00
Total 15.00
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.
Allowed 20
���S i��/.►'T17v1 a� rte!
/Vo6uj ✓,ZU- 1N' 1 4 ,0 tO In Sum of
E�UG�'76Y1.
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# r NVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 4115087 4357004 15.00 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
6 -Jan 2008
A0
S0,40re
15.00 Busi ss erv� es Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund