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HomeMy WebLinkAbout200632 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1 ONE CIVIC SQUARE ST VINCENT HOSPITAL CARMEL, INDIANA 46032 CHECK AMOUNT: $556.65 ATTN: J ZIMMERMAN, ACCT REPTNG 10330 N MERIDIAN ST SUITE 340 CHECK NUMBER: 200632 INDIANAPOLIS IN 46290 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4239011 12633 556.65 SPECIAL DEPT SUPPLIES 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 8/11/2011 12633 BILL TO Carmel Fire EMS Attn: Accounts Payable 2 Carmel Civic Square Carmel, M 46032 I TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased 2011 billed in 2011 556.65 Medical Supplies: $191.20 Transfer Drugs: 365.45 TOTAL: $556.65 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 $556.65 are paying on checkl5tub. Thank you!! Inquiries: Jeremy Zimmerman Payments /Credits $0.00 317.583.3223 jrzimmer @stvincent.org Balance Due $556.65 VOUCHER NO. WARRAN NO. ALLOWED 20 St. Vincent Hospital Attn: Jeremy Zimmerman, Acct. Reporting IN SUM OF 10330 N. Meridian Street, Ste. 340 Indianapolis, IN 46290 $556.65 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO, I ACCT #l71TLE I AMOUNT Board Members 1120 I 12633 1 102 390.11 I $556.65 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 7 11 Fire Chief 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)) 12633 $556.65 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