171093 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1
q 0 ONE CIVIC SQUARE ST VINCENT STRESS CENTER
CARMEL, INDIANA 46032 6401 HARCOURT ROAD CHECK AMOUNT: $218.55
INDIANAPOLIS IN 46260
CHECK NUMBER: 171093
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4340700 052880621 218.55 MEDICAL FEES
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�St. Vincent Stress Centers
ST. VINCENT STRESS CENTER Amount Due: $218.55
ST. VINCENT EAP Amount Paid:
8401 Harcourt Road
INDIANAPOLIS, IN 46260
A/R Account 3- 1000 1130 -00
Date Account Number
3/12/09 5- 20386066
Invoice #052 X21
Carmel Clay Parks Recreation
Attn: Lynn Russell
1411 E. 116' Street qR 1 8240
Carmel, IN 46032 9
To ensure proper credit to your account, please enclose top portion of this invoice with your payment.
St. Vincent Stress Centers A/R Account 3- 1000 1130 -00
Rate No. of Employees
ST. VINCENT STRESS CENTER $2.35 31
ST. VINCENT EAP
8401 Harcourt Road
INDIANAPOLIS, IN 46260
Date Description Units Amount
January EAP Services 1 $72.85
2009
February EAP Services 1 $72.85
2009
March EAP Services 1 $72.85
2009
Purchase
Description's j
P.O.# PorF
G.L. �(b �3 y 0 /10
D MAR 2, 4 2009
Budget l C �eQA v� c
Line escr
Purchase Date o� O
4oproval Date
Total $218.55
For questions regarding this bill please call (317) 338 -4900.
ACCOUNTS PAYABLE VOUCHER
a CITY OF CARMEL
An invoice of 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
295900 St. Vincent Stress Center
8401 Harcourt Road Date Due
Indianapolis IN 46260
Invoice Invoice Description Amount
Date Number
or note attached invoice(s) or bill(s)) PO
3/12109 052880621 Employee Assistance Program Jan,Feb,Mar'09
218.55
LEE Total 218.55
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
295900 St. Vincent Stress Center Allowed 20
s 8401 Harcourt Road
Indianapolis IN 46260
In Sum of
218.55
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund"
PO# or INVOICE NO. ACCT #/TITLE AMOUNT; Board Members
Dept
1125 052880621 4340700 21,8.55
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
8 -Apr 2009
Signature
218.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund