HomeMy WebLinkAbout238003 10/08/2014 J^''4�p"• CITY OF CARMEL, INDIANA VENDOR: 366719
® ONE CIVIC SQUARE WELLNESS COUNCIL OF INDIANA CHECK AMOUNT: $""*'1,000.00"
CARMEL, INDIANA 46032 115 W WASHINGTON ST,STE 850 S CHECK NUMBER: 238003
INDIANAPOLIS IN 46204 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4355300 5000645342 1,000.00 ORGANIZATION & MEMBER
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Wellness Council ofludiana
11.5 W Washington St,Ste 850 S,Indianapolis, Ltd.46204, GSA
€ O��t. Phone: (317)264-2168 Fam (31.7)264-6135;
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www.wellnessindiana.org
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WELLNESS
Wellness Council of Indiana Membership Proposal
Date:25-Sep-2014 Order Number: 5000645342
Order Date: 25-Sep-2014
Bill-To:000000090785 Invoice Number:
City of Carmel
One Civic Sq
Carmel,IN 46032-2584
Product Fulfill Status Status Qty Unit Price Adjustment Total
Wellness Council Member Dues A P 1 $1,000.00 $0.00 $1,000.00
11/1/14 to 10/31/15
Shipping: $o
Sales Tax: $0
Total: $1,000.00
Paid To Date:
Current Amount Due: $1,000.00
Please detach the lower portion and return it with your payment.Thank you.
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Call Laura at(317)264-2165 to pay by credit card or make checks payable to Wellness Council of Indiana
Customer:000000090785 City of Carmel Balance Due(USD):$1,000.00
Order No:5000645342
Credit Card# Exp.Date: /_ Amount:
Credit Cards Accepted-(AE,MS,VS)
Send payments to: Wellness Council of Indiana
115 W Washington St
Ste 850 S
Indianapolis, IN 46204
VOUCHER NO. WARRANT NO.
ALLOWED 20
Wellness Council of Indiana
IN SUM OF$
115 W Washington St, Ste 850 S
Indianapolis, IN 46204
$1,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 5000645342 I 43-553.00 I $1,000.00 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
I
Monday, October 06, 2014
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
l
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))
09/25/14 5000645342 Wellness Member Dues $1,000.00
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