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Home My WebLink About257469 04/12/16 'y V'��p'' CITY OF CARMEL, INDIANA VENDOR: 367222 ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: S*******600.00* �;� CARMEL, INDIANA 46032 2046 RELIABLE PKWY CHECK NUMBER: 257469 9M)�roN�` CHICAGO IL 60686-0020 CHECK DATE: 04/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 748495 510.00 OTHER EXPENSES 1201 4358800 749000 90.00 TESTING FEES VOUCHER NO. WARRANT NO. ALLOWED 20 IU HEALTH WORKPLACE SERVICES LLC 2046 RELIABLE PKWY IN SUM OF$ CHICAGO, IL 60686-0020 $90.00 ON ACCOUNT OF APPROPRIATION FOR -Human Resources PO#/Dept. INVOICE NO. ACCT#/Fund _AMOUNT Board Members 749000 I 43-566.00 . I . $90.00 1 hereby certify that the attached invoice(s), or 1201 101 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 Wednesday, April 06, 2016 -cam V Cost distribution ledger classificatiom if claim paid motor vehicle highway fund 2rescdbed by State Board of Accounts UY Form01{Rev 995) No.2 .1 ACCOUNTS_ PAYABLE VOUCHER, CITY OF CARMEL Nn invoice or bill to be properly A terriized 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 und etc,:. .. Payee,: .: Purchase.Order.No.. Terms Date Due Invoice Rate invoke# Description Arriount Dept., Fund# (or note attached invoice(s)or,bills)) 04!06116. ` • 749000 Oniste Occupational IVlar $90.00 1201 .101 . I hereby certify that the attached invoices), or bilis),is(are)true and correct and.! have.audited same in accordance with IC 5=11-10-1.6 20 Clerk-Treasurer Indiana University Health Workplace Services,LLC 950 North Meridian Street Suite 950 (City of Carmel) Indianapolis, IN 46204 Phone: 317-963-1535 �2v\ FEIN: 20-0994452 Invoice April 06, 2016 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Occupational/March 2016 1 Civic Square Carmel,IN 46032- Invoice# 749000 Date Description Lfty DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK To FPAPR '01 2016 C I e rk I '=-��P�S L9 re r VOUCHER NO. WARRANT NO. ALLOWED 20 IU HEALTH WORKPLACE SERVICES LLC 2046 RELIABLE PKWY IN SUM OF$ CHICAGO, IL._60686-0020 $510.00 ON ACCOUNT OF APPROPRIATION FOR 301 Medical Fund PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 748.495 50-239.90 $510.00 1 hereby certify that the attached invoice(s), Or 301 I I 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 Wednesday, April 06, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 04/06/16 I 748495 I Wellness Drug Screens/Mar I $510.00 301 301 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 Indiana University Health Workplace Services, LLC 950 North Meridian Street Suite 950 (City of Carmel) Indianapolis, IN 46204 Submitted To Phone: 317-963-1535 FEIN: 20-0994452 APR O� 2016 Clerk TrOZISUrer Invoice April 06, 2016 Bill to: Barbara Lamb For: City of Carmel-'Onsite City of Carmel-Onsite Wellness Drug Screens/Mar 1 Civic Square Carmel,IN 46032- Invoice# 748495 Date Description Oty Charae Recei Ad'us Balance 03/25/2016 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit 15.00 .. .. ------- .. --- - ------- - - ---- --- ---- -------------- -- 01/14/2016 01/14/2016 Quick Read UDS/6panel includes 1.00 15.00 Invoice# 748495 (continued)page 2 01/26/2016 Quick Read UDS/6panel includes 1. 30.00 03/08/2016 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit Meaghan LaFollette Balance Due: 15.00 02/01/2016 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit Shaylie Martin Balance Due: 15.00 03/25/2016 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit Matthew McNulty Balance Due: 15.00 Invoice# 748495(continued)page 3 02/16/2016 Quick Read UDS/6panel includes 1.00 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK.