HomeMy WebLinkAbout228708 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 360209 Page 1 of 1
ONE CIVIC SQUARE ST VINCENT HOSPITAL CHECK AMOUNT: $3,277.26
CARMEL, INDIANA 46032 ATTN:CAROLYN TERRY,ACCT REPTNG
10330 N MERIDIAN ST SUITE 430 CHECK NUMBER: 228708
INDIANAPOLIS IN 46290
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 13301 2 , 185 . 26 SPECIAL DEPT SUPPLIES
102 4239011 13305 1, 092 . 00 SPECIAL DEPT SUPPLIES
St. Vincent Hospital & Healthcare Center, Invoice
T_..
Attn: Carolyn Terry, Acct Rptg
10330 N. Meridian St., Suite 430 North DATE INVOICE#
Indianapolis, IN 46290-1024 1/22/2014 13301
BILL TO
Carmel Fire EMS
Attn: Accounts Payable
2 Carmel Civic Square
Carmel,IN 46032
TERMS
Due on receipt
DESCRIPTION AMOUNT
EMS Supplies purchased December 2013, billed January 2014 2,185.26
Medical supplies: $720.28
Transfer-Drugs: 1,464.98
December total: $2,185.26
1-8766-1464. Please notate invoice number that you Total $2,185.26
are paying on check/stub. Thank you!!
Inquiries: Carolyn Terry Payments/Credits $0.00
317.583.3301
cmterry@stvincent.org Balance Due $29185.26
St. Vincent Hospital& Healthcare Center, Invoice
T«
Attn: Carolyn Terry,Acct Rptg
10330 N. Meridian St., Suite 430 North DATE INVOICE#
Indianapolis, IN 46290-1024 1/22/2014 13305
BILL TO
Carmel Fire EMS
Attn: Accounts Payable
2 Carmel Civic Square
Carmel,IN 46032
TERMS
Due on receipt
DESCRIPTION AMOUNT
Annual updated EMS Protocol Books 1,092.00
120 small books @ $1,092.00
1-8766-1464. Please notate invoice number that you Total $1,092.00
are paying on check/stub. Thank you!!
Inquiries: Carolyn Terry Payments/Credits $0.00
317.583.3301
cmterry@stvincent.org Balance Due $1,092.00
)rescribed 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
vhom, 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))
13301 Supplies $2,185.26
13305 Protocol Books $1,092.00
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
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
St. Vincent Hospital
Attn: Carolyn Terry, Acct. Reporting IN SUM OF $
10330 N. Meridian Street, Ste. 430 N
Indianapolis, IN 46290
$3,277.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 13301 102-390.11 $2,185.26 1 hereby certify that the attached invoice(s), or
1120 13305 102-390.11 $1,092.00 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 JAN
2 7 2014
0
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund