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HomeMy WebLinkAbout180239 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 363631 Page 1 of 1 ONE CIVIC SQUARE PHILLIP QUILLIN CARMEL, INDIANA 46032 2122 E 106TH ST CHECK AMOUNT: $1,645.00 CARMEL IN 46032 CHECK NUMBER: 180239 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 REIMB 1,645.00 OTHER EXPENSES The Shoulder Center 10801 NORTH MICHIGAN ROAD Zionsville IN 46077 317 802 -9686 November 30, 2009 Dear Mr. Higgins, Mr. Phillip Quillin has asked me to write you this, letter addressing his physical status. You may recall; he injured his shoulder 'and wristahis past winter and has struggled with rehab in every attempt to::avoid surgery. This, extended rehab has forced him to.'limit his golf. He underwent wrist surgery and is now scheduled for shoulder surgery that will prevent him from any, sport that involves the shoulder for approriimatcIv 4 -G months. i Vivek Agrawal, MD' www.TheShoulderCenter.com Ind* la> d Ce�ater 'Comprehensive Orthopaedic Care for the Shoulder, Elbow, Wrist and Hand 1 November 2009 William B. Kleinman, M:D, Yiill Hastings II, M:D Richard S. Idler M.D: Thomas J. Fischer, M D: BOb,HlgglriS. James J Creightonjr M.D., Alexander`D Mih, NI D: Brookshire Golf Club Robert M. Baltera; •M D ;Jeffrey A Greenbelt M.D. RE: Phillip QUillilT T. Thomas•D:- Kaplan M.D.:. Gregory A: Merrell_M D Dear Mr. "Higgins. ASSOCIATES Mn' Quillin lias been under our care since .12/2008 for right shoulder pain, Ian C Marrero Amadeo M:D requlring therapy, -,chronic lateral and medial tennis elbow, and for severe Tiinothy M D. IEayvonD,Izad;;Iv1.D wrist arhhritis -requiring-surgery Surgery was performed on 8L24/K� Dame R Iewrs, Mb involving::rep 4cement .of the distal ulna. Thomas J McDonald Ivl D During this period of time, from 12/2008 until present, we have advised LOCATIONS Mr.- Quillin that lie. should refrain froil' his golfing activities until he is `inaianapgi s recovered and-releaSe6 to return to, its activities -by our office: Avon •Indiana Uriivers4' Medical Center Kokomo Sincerely, Mooresville Terre Haute Sarah-L.. Scott, PA =C With Dr .H111.Hastings, II' 8501 IARCOURT ROAD INDIANAPOhIS,JM (800888-14,k ND, ;(317),875' -9105 Faz_(317).`875 -8638 w,ww:indi' nahandcen'te'r.com 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 I LD Purchase Order No. ��202 Z. /U 4 Terms Date Due a Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total ��v S 6V 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 4t t IN SUM OF ON CCOUNT OF APPROPRIATION FOR ,ZG C�GI�' &U .-2 ste Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or J'0 ,23 990 //9 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 ©j Sig tur Cost distribution ledger classification if itl claim paid motor vehicle highway fund