HomeMy WebLinkAbout174507 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1
ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $1,578.00
CARMEL, INDIANA 46032 ATTN: MARILYN WHEELER, ACCT REP TNG
10330 N MERIDIAN ST SUITE 340 CHECK NUMBER: 174507
INDIANAPOLIS IN 46290
CHECK DATE: 7/8/2009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMB AMO UNT DESCR IPTION T
102 4239011 10993 1,578.00 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 6/19/2009 10993
BILL TO
Carmel Fire EMS
Attn: Accounts Payable
2 Carmel Civic Square
Carmel, IN 46032
TERMS
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased May 2009 billed in June 2009 1,578.00
Medical Supplies: 64
Respiratory Supplies: 189
Anesthesia 60
Transfer Drugs: 1,210
IV Irrigation Solutions: 55
Intracompany Transfer:
TOTAL: $1,578
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 $1,578.00
with payment. Thanks!
Inquiries: Marilyn Wheeler Payments /Credits $0.00
Phone: 317 -583 -3297
Fax: 317 -583 -3285 Balance Due $1,578.00
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))
10993 $1,578.00
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. WA RRANT NO.
St. Vincent Hospital ALLOWED 20
Attn: Marilyn Wheeler, Acct. Reporting
IN SUM OF
10330 N. Meridian Street, Ste. 340
Indianapolis, IN 46290
$1,578.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 10993 102 390.11 $1,578.00 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
JUG �2nnu
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund