HomeMy WebLinkAbout161091 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1
0 ~ii ONE CIVIC SQUARE ST VINCENT HOSPITAL
CARMEL, INDIANA 46032 ATiN: MW SUITE 430 ACCT RPT CHECK AMOUNT: $1,230.00
1033014 MERIDIAN ST CHECK NUMBER: 161091
INDIANAPOLIS IN 46290
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 10070 1,230.00 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, 46290 -1024 6/16/2008 10070
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 2008 billed in June 2008 1,230.00
Medical Supplies: $656
Transfer Drugs: $574
TOTAL: $1,230
Any questions regarding the above charges can be directed to:
Pete Dillman, Program Director Emergency Medical Services
Phone: 317 -338 -7272
18766 1464.00. Please return one copy of invoice with payment. Total
$1,230.00
Thanks?
Inquiries: Marilyn Wheeler
Phone: 317 -583 -3297
Prescribed by State Board of Accounts i ':ity Farm 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))
06/16/08 10070 EMS Supplies $1,230.00
I 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. !!VARRANT NO.
ALLOWED 20
St. Vincent Hospital
Attn: Marilyn Wheeler, Acct. Reporting
IN SUM of
1 :0330 N. Meridian Street, Ste. 340
Indianapolis, IN 46290
$1,230.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO ACCT #ITITLE AMOUNT Board Members
1120 10070 102 390.11 $1,230.00 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund