HomeMy WebLinkAbout168701 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1
ONE CIVIC SQUARE ST VINCENT HOSPITAL
CARMEL INDIANA 46032 ATTN: MARILYN WHEELER, ACCT REPTNG CHECK AMOUNT: $1,237.00
10330 N MERIDIAN ST SUITE 340
CHECK NUMBER: 168701
INDIANAPOLIS IN 46290
CHECK DATE: 2/4/2009
DE PARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 10599 V 1,237.00 SPECIAL DEPT SUPPLIES
A Vincent Hospital Healthcare Center, Inc. Invoice
Attn: Marilyn Wheeler, Acct Reporting
10330 N. Meridian St., Suite 430 North DATE INVOICE
Indianapolis, 46290 -1024 1/19/2009 10599
BILL TO
Carmel Fire EMS
Attn: Accounts Payable
2 Carmel Civic Square
Carmel, IN 46032
-I- TERMS-
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased December 2008 billed in January 2009 1,237.00
Medical Supplies: 906
Respiratory Supplies: 155
Transfer Drugs: 427
IV Irrigation Solutions: 49
TOTAL: $1,237
Any questions regarding the above charges can be directed to:
Pete Dillman, Program Director Emergency Medical Services
Phone: 317- 338 -7272
1.8766 1464.00. Please return one copy of invoice with payment.
Total
Thanks! $1,237.00
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))
10599 Misc. EMS Supplies $1,237.00
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
VOUCHiER NO. WARRANT NO.
ALLOWED 20
St. Vncent Hospital
Attn: Marilyn Wheeler, Acct. Reporting
IN SUM OF
10330 N. Meridian Street, Ste. 340
Indianapolis, IN 46290
$1,237.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 10599 102 390.11 $1,237.00 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
FEB 2 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund