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HomeMy WebLinkAbout173044 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1 1 ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $686.00 s CARMEL, INDIANA 46032 ATTN: MARILYN WHEELER, ACCT REPTNG 10330 N MERIDIAN ST SUITE 340 CHECK NUMBER: 173044 INDIANAPOLIS IN 46290 CHECK DATE: 5127/2009 DEPART ACC OUNT PO NUMBER INVOICE N UMBER AMOUNT DESC 102 4239011 10925 686.00 SPECIAL DEPT SUPPLIES r} St. Vincent Hospital& Healthcare Center, Inc. Invoice Attn: Marilyn Wheeler, Acct Reporting 10330 N. Meridian St., Suite 430 North DATE INVOICE Indianapolis, 46290 -1024 5/18/2009 10925 BILL TO Cannel Fire EMS Attn: Accounts Payable 2 Cannel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased April 2009 billed in May 2009 686.00 Medical Supplies: 5239 Transfer Drugs: 392 W Irrigation Solutions: 55 TOTAL: $686 See Attached) 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 Total $686.00 with payment. Thanks! Inquiries: Marilyn Wheeler Payments /Credits $0.00 Phone: 317 -583 -3297 Fax: 317 -583 -3285 Balance Due $686.00 S 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, b9 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)) 10925 $686.00 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. WARRANT NO. ALLOWED 20 St. Vincent Hospital Attn: Marilyn Wheeler, Acct. Reporting IN SUM OF 1030 N. Meridian Street, Ste. 340 Indianapolis, IN 46290 $686.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 10925 102- 390.11 $686.00 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 MAY 2 2 2009 /7 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund