HomeMy WebLinkAbout169633 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1
ONE CIVIC SQUARE ST VINCENT HOSPITAL
i CHECK AMOUNT: $2,793.00
CARMEL, INDIANA 46032 ATTN: MARILYN WHEELER, ACCT REPTNG
y, 10330 N MERIDIAN ST SUITE 340 CHECK NUMBER: 169633
INDIANAPOLIS IN 46290
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 10688 2,793.00 SPECIAL DEPT SUPPLIES
St. Vincent Hospital Healthcare Center, Inc. Invoice
Attn: Marilyn Wheeler, Acct Reporting
10330 N. Meridian St., Suite 430 North DATE INVOICE
Indianapolis, 46290 -1024 2/12/2009 10688
BILL TO
Carmel Fire EMS
Attn: Accounts Payable
2 Carmel Civic Square
Carmel, IN 46032
TERMS
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased January 2009 billed in February 2009 2,793.00
Medical Supplies: 690
Respiratory Supplies: 303
Transfer Drugs: 1,772
IV Irrigation Solutions: 28
TOTAL: $2,793
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. Total
Thanks! $2,793.00
Inquiries: Marilyn Wheeler
Phone: 317 -583 -3297
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))
10688 $2,793.00
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
VOl!CHER NO. WARRAN NO.
ALLOWED 20
St. Vincent Hospital
IN SUM OF
Attn: Marilyn Wheeler, Acct. Reporting
10330 N. Meridian Street, Ste. 340
Indianapolis, IN 46290
$2,793.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1 10688 102- 390.11 $2,793.00 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
MAR
G U�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund