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237866 10/08/14
a u;.49gb �;' t� CITY OF CARMEL, INDIANA VENDOR: 00352957 j; ® `t' ONE CIVIC SQUARE HOPE HEALTH CHECK AMOUNT: $*****1,659.02* ,;q; CARMEL, INDIANA 46032 350 E.MICHIGAN AVENUE,SUITE 225 CHECK NUMBER: 237866 M�f�ON•Gp` KALAMAZOO MI 49007-3853 CHECK DATE: 10/08/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4345000 532137 1,659.02 PRINTING NOT OFFICE <iritxi < i a .. 10/07/2014 1,659.02INVOICE OP Exclusive Distributor--IHAC,INC ::: :: ® 350 East Michigan Avenue ::Tri t+� .:�io° ::>< 532137 Suite 225 Ie t '>'> 166655 HEAT TH Now that's amazing! Kalamazoo,MI 49007-3851 'That 09/17/2014 Page: 1 Remit payment to: Hope Health/IHAC Sold To: 350 East Michigan Ave., Ste. 225 Barbara Lamb Kalamazoo, MI 49007-3853 Director of Human Resources For faster processing call 800-334-4094 or City of Carmel fax to 269-343-6260. XXX One Civic Square Carmel IN 46032 Card# Exp.Date Signature Amt.Paid _**P_ LEASE`SEND THIS PORTION WITH-YOUR-PAYMENT*** RETAIN THIS PORTION FOR YOUR RECORDS Exclusive Distributor--IHAC,INC ® 350 East Michigan Avenue v:.'.:iiii}}})}iXi.i} iiiiii}. Suite 225 HFAT TH 'a..................... Now thats amazing! Kalamazoo,MI 49007-3851 166655 532137 ............................... ,It rn.i:.i:.i:.i:.:.:.:::::.:::::.::::::. tm.. ..ecxc>« ...................................................I31. ......................................... (tlt...... ,.;;:.i;;:;..:... ::.: 550::..:.;..;1;: 1 ;. ._II© e:::Health:Calendat':2015..... lIo>:.:.:.:'.::.::::::.:>::: a. >..'. 1 Cover flap 69;000". 69.00 1. CaIor:chan E. 99:000. 99 ox. UPS Ground & Handling72.02 _. Invoice Subtotal 1,659.02 _ Tax Amount 00 ShipBarbara Lamb ~ Director of,Human:Resobrces° . I12VOlC8-TOt[ll. To" City of Carmel _ One Civic Square - - — - - H 00� Hwe, Carmel-IN_46032 Thank you for your order! Please call 800-334-4094 if you have any questions. Be sure to see "What's New"at www.HopeHealth.com ONETMMST VOUCHER NO. WARRANT NO. ALLOWED 20 Hope Health / IHAC IN SUM OF$ 350 East Michigan Ave., Ste. 225 Kalamazoo, MI 49007-3853 $1,659.02 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICENO. ACCT#/TITLE AMOUNT Board Members 1201 532137 $1,659.02 I hereby certify that the attached invoice(s), or I I 43- ��� 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 Monday, October 06, 2014 i Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund i i 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. i Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 09/17/14 532137 Calendars $1,659.02 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