205288 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1
f ONE CIVIC SQUARE ST VINCENTS HOSPITAL CHECK AMOUNT: $275.00
CARMEL, INDIANA 46032 2001 W 86TH STREET
INDIANAPOLIS IN 46260
CHECK NUMBER: 205288
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 CARPARREF 275.00 EXTERNAL INSTRUCT FEE
St. Vincent Indianapolis
EMS Education
8220 Naab Road, Suite 200
Indianapolis, Indiana 46260 INVOICE NO: CARPARREF121911
DATE: 12/19/2011
Make all checks payable to: 48 Hour Paramedic Refresher
St. Vincent Hospital Prergistration $275.00
EMS Education On -Site Registration $325.00
2001 W. 86 Street
Indianapolis, Indiana 46260
Carmel Fire Department
2 Civic Square
Carmel, Indiana 46032
CLASS DATES TERMS
Paramedic Refresher Upon Receipt
Course Feb 2012 and
March 20, 2012
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 Bruce E Gipson 48 Hour Paramedic Refresher Course Preregistration $275.00 $275.00
Dates: February 24 and March 2, 2012 (1600 -2200)
February 25 26 and March 3 4 2012 (0800 -1700)
$275.00
If you have any questions concerning this invoice, call: 317 338 -7042.
THANK YOU FOR YOUR BUSINESS!
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))
CARPARREF 121 $275.00
911
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
St. Vincent Hospital
IN SUM OF
Indianapolis, IN 46260
$275.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 ICARPARREF1211 43- 570.04 I $275.00 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
JAN 4 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund