HomeMy WebLinkAbout156330 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1
ONE CIVIC SQUARE ST VINCENT HOSPITAL
CARMEL, INDIANA 46032 ATTN: MVV SUITE 430 ACCT RPT CHECK AMOUNT: $1,740.00
10.130 N MERIDIAN ST
INDIANAPOLIS IN 46290 CHECK NUMBER: 156330
CHECK DATE: 216/2008
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
102 5023990 9739 1,740.00 OTHER EXPENSES
I
St. Vincent Hospital chi Healthcare Center, Inc. Invoice
Attn: Marilyn Wheeler, Acct Reporting
10330 N. Meridian St., Suite 430 North DATE INVOICE
Indianapolis, 46290 -1024 1/17/2008 9739
BILL TO
Carmel Fire EMS
Attn: Accounts Payable
2 Carmel Civic Square
Carmel, IN 46032
TtRMs
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased December 2007 billed in January 2008 1,740.00
Medical Supplies: 881.00
Respiratory Supplies: 192.00
Anesthesia: 111.00
Transfer Drugs: 556.00
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. Tote
Thanks! $1,740.00
Inquiries: Marilyn Wheeler
Phone: 317 -583 -3297
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
c
z 9
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same imp accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF o a
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Pp# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
ignature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund