HomeMy WebLinkAbout218360 04/24/2013 CITY OF CARMEL, INDIANA VENDOR. 367078 Page 1 of 1
ONE CIVIC SQUARE I U HEALTH PHYSICIANS
CARMEL, INDIANA 46032 2568 RELIABLE PARKWAY CHECK AMOUNT: $250.00
_ CHICAGO e. 60686-0025 CHECK NUMBER: 219360
CHECK DATE: 4124/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 IC 12321 250 . 00 MEDICAL EXAM FEES
aIU Health Physicians INVOICE
Phone: (317)962-8832
Fax: (317)962-4384 Invoice Date Page
03/29/2013 1 of 1
Account Number
CA4603 Invoice No.
IC 12321
Bill To: CA4603
CARMEL POLICE DEPARTMENT
ATTN: CHIEF TIMOTHY GREEN MAIL PAYMENT TO: IU Health Physicians
3 CIVIC SQUARE 2568 Reliable Parkway
CARMEL IN 46032 Chicago, IL 60686-0025
Telephone: (317) 962-8832
Fax Number: (317) 962-4384
Item Item Description Net Amount
MARCH CHARGES
AR 3065 EAP SERVICES 250.00
EAP SERVICES
CARMEL POLICE DEPARTMENT$250 FOR
ASSESSMENT OF ONE OF THEIR EMPLOYEES ON
0 312 5/201 3
If you have any questions, please
contact Rebecca Meredith at
317-9624253.
BE SURE YOUR ACCOUNT NUMBER
OR INVOICE IS ON YOUR CHECK.
Please notify us of name or address
changes.
WELCOME TO IU HEALTH PHYSICIANS
" NEW PHONE#317-9624253"
NEW FAX#317-963-7801
IU Health Physicians
2568 Reliable Parkway
Chicago IL 60686-0025
Net Amount Due: $250.00
Prescribed by Stale 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))
03/29/13 IC 12321 assessment $250.00
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, WARRANT NO,
ALLOWED 20
IU Health Physicians
IN SUM OF $
2568 Reliable Parkway
Chicago, IL 60686-0025
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept INVOICE NO ACCT#/-rITLE r MOUNT Board Members
1110 IC 12321 43-407 01 $25000 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
Thursday, April 18, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund