HomeMy WebLinkAbout257647 04/15/16 J
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�;/ �. CITY OF CARMEL, INDIANA VENDOR: 370302
® ONE CIVIC SQUARE VISION SERVICE PLAN CHECK AMOUNT: $`•""'9,663.22'
=q CARMEL, INDIANA 46032 PO BOX 742788 CHECK NUMBER: 257647
.y��TON-�. LOS ANGELES CA 90074-2788 CHECK DATE: 04/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 040116 9,663.22 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
VISION SERVICE PLAN
PO BOX 742788 IN SUM OF$
LOS ANGELES, CA 90074-2788
$9,663.22
ON ACCOUNT OF APPROPRIATION FOR
301 Medical Fund
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
04.01.16 I 50-239.90 I $9,663.22 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
Tuesday,April 12, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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Account Number: 12 013661 0001 VS
Bill Print Date: APRIL 01, 2016 For APRIL 2016 e
Membership Received After: The 15th of the month will reflect on your next bill.
Payment Due Date: Upon receipt of this bill
CITY OF CARMEL C/O
BARBARA LAMB
1 CIVIC SQUARE
CARMEL IN 46032-2584
Prior Billing Period Activity
Amount Previously Billed $29,232.89
Payments/Billing Adjustments -$29,232.89
Y~ Y Outstanding Receivable Total $0.00
Current Billing Period Activity
Current Charges $9,663.22
Please Pay This Amount $9,663.22
1 31.'4Days, 32.=61 Days 62-91,Days >92 Days
$9,663.22 $0.00 $0.00 $0:00
Submitted To
P
APR 12 2016
Clerk `treasurer
Questions? Please call 1-866-213-2249 if you have questions regarding your bill or membership.
Passion for people. Vision for life. sm