HomeMy WebLinkAbout156828 02/21/2008 „yf CITY OF CARMEL, INDIANA VENDOR: 295900 Page 1 of 1
0 ONE CIVIC SQUARE ST VINCENT HOSPITAL
CARMEL, INDIANA 46032 EAP CHECK AMOUNT: $218.55
8401 HARCOURT ROAD CHECK NUMBER: 156828
INDIANAPOLIS IN 46260
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1125 4122100 5- 20386066 218.55 DISABILITY INSURANCE
ST VINCENT EMPL. ASST. PROGRAM
8401 HARCOURT RD
INDIANAPOLIS IN 46260 Date Account Number Balance
01/16/08 5- 20386066 218.55
1
��,,�*CARMEL CLAY PARKS RECREATI JAN 2 4 2008
x,411 E 116TH STREET
CARMEL,IN 46032 z1cZ
Please enclose top portion with payment
Rate: 2.35 Number of Employees: 31
ACCT 5- 20386066 PATIENT: *CARMEL CLAY PARKS CHG AMT PAY /ADJ BALANCE
INVOICE 051962864
EMP PROVIDER
01/01/08 JANUARY 2008 72.85
01/01/08 FEBRUARY 2008 72.85
01/01/08 MARCH 2008 72.85
INVOICE BALANCE: 218.55
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Account 0 -30 days 31 -60 days 61 -90 days >90 days Balance Due
5- 20386066 218.55 0.00 0.00 0.00 218.55
PAGE: 1
ST VINCENT EMPL. ASST. M F 9a.m. to 4p.m.
8401 HARCOURT RD Ph: 317 -338 -4900
INDIANAPOLIS IN 46260
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.
St. Vincent Empl. Asst. Program Terms
8401 Harcourt Road Date Due
Indianapolis IN 46260
J-
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1116/08 5- 20386066 1 st Quarter charges 218.55
Total 218.55
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. Warrant No.
St, Vincent Empl. Asst, Program Allowed 20
8401 Harcourt Road
Indianapolis IN 46260
In Sum of
218.55
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 5- 20386066 4122100 218.55
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
13 -Feb 2008
=se 218.55 Busi Manager
Cost distribution ledger classification if Tit e
claim paid motor vehicle highway fund