HomeMy WebLinkAbout256096 03/04/16 +�1_C�NgI
`/ �� CITY OF CARMEL, INDIANA VENDOR: 370241
!t ® ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCCHECK AMOUNT: $....***620.80*
s. ?� CARMEL, INDIANA 46032 Po Box 7500 CHECK NUMBER: 256096
9M��rON�o-� CHAMPAIGN IL 61626-7500 CHECK DATE: 03/04/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 391000 BP000112963 620.80 HEALTH INSURANCE PREM
VOUCHER NO. WARRANT NO.
ALLOWED 20
BENEFIT PLANNING CONSULTANTS INC
PO BOX 7500
IN SUM OF$
CHAMPAIGN, IL 61826-7500
$620.80
ON ACCOUNT OF APPROPRIATION FOR
301 Medical Fund
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
BPCIO0112963 I 110-100.00 I $620.80 1 hereby certify that the attached invoice(s), or
301 301
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, February 29, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Invoice #BPCI00112963 " I
Date: February 10, 2016 '
CITY OF CARMEL
Account: Benefits
Invoice #:I 'B 9,04
CITY OF CARMEL Previous Balance: $0.00
1 CIVIC SQUARE This Invoice: $620.80
CARMEL,IN 46302 Other Invoices/Credits: $0.00
Account Balance: $620.80
Remit Payment To:
Benefit Planning Consultants Inc w Due Date: 03/07/2016
PO Box 7500 Late Fee: 9.75% APR
Champaign, IL 61826-7500 0.81%/Month
Comments:
Monthly administration for the month of March 2016
Monthly Flex Services $3 45 Per Participant X 94 $324 30''
x
Monthly COBRA Services. $0.50 Per Qual Elig. EE = 593" $296.50
nvoice-Total $620:80,:
This 3
,
�t dTo'
. r .. ,
- FE -9:.:2016 .
Clerk Treasurer
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Total Now Due: $620.80.
Questions? Call Toll-Free (800) 355-2350 or e-mail billing@bpcinc.com
Benefit Planning Consultants,Inc.;2110 Clearlake Blvd.Suite 200;P.O.Box 7500;Champaign,IL 61826-7500