HomeMy WebLinkAbout175906 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 295900 Page 1 of 1
ONE CIVIC SQUARE T VINCENT HOSPITAL CHECK AMOUNT: $218.55
CARMEL, INDIANA 46032 SP
8401 HARCOURT ROAD CHECK NUMBER: 175906
INDIANAPOLIS IN 46260
CHECK DATE: 8/6/2009
DEP ARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4340700 53394135 218.55 MEDICAL FEES
's
l
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 T-n.roice ors M� rfi sli
8401 Harcourt Road
INDIANAPOLIS, IN 46260 0533 q c� 135
Da-'Lp (on ra y1 q- SI i p) 7
T
Date Description Units Amount
July
2009 EAP Services 1 $72.85
August EAP Services 1 $72.85
2009
September EAP Services 1 $72.85
2009
Purchase IV'
i
Description
P.O. PorF
G. L. D CCU
Budget Cex
Line Descr
Purchaser Date
Approval Date
Total $218.55
For questions regarding this bill please call (317) 338 -4900.
ACCOUNTS PAYABLE VOUCHER
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.
295900 St. Vincent Stress Center Terms
8401 Harcourt Road Date Due
Indianapolis IN 46260
1
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/13/09 53394135 Employee Assistance Program Jul,Aug,Sep'09 218.55
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
8401 Harcourt Road
Indianapolis IN 46260
In Sum of
218.55
1,
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 53394135 4340700 218.55
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
30 -Jul 2009
2Llk D1/l m oh "I
Signature
218.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund