HomeMy WebLinkAbout257827 04/26/16 `%'����'0 CITY OF CARMEL, INDIANA VENDOR: 370241
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ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INOvHECK AMOUNT: $....***620.80*
4, ?� CARMEL, INDIANA 46032 PO BOX 7500 CHECK NUMBER: 257827
°M«oN ` CHAMPAIGN IL 61826.7500 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 BPCIO0116908 620.80 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
BENEFIT PLANNING CONSULTANTS INC
PO BOX 7500
IN SUM OF$
CHAMPAIGN, IL 61826-7500
$620.80
ON ACCOUNT OF APPROPRIATION FOR
301 Medical Fund
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
BPCIO0116908 I 50-239.90 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,April 25, 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))
04/12/16 BPCI00116908 $620.80
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
Invoice #BPCI00116908 1 °
Date: April 12, 2016
CITY OF CARMEL ;
Account: Benefits
Invoice #: BPCI00116908
CITY OF CARMEL Previous Balance: $620.80
1 CIVIC SQUARE This Invoice: C�gp
CARMEL, IN46302 Other Invoices/Credits:
Account Balance: $1,241.60
Remit Payment To:
Benefit Planning Consultants, Inc Due Date: 05/06/2016
PO Box 7500 Late Fee: 9.75% APR
Champaign, IL 61826-7500 0.81%/Month
Comments:
Monthly administration for the month of May 2016
d s � 'i`•fi sr � +. .icxh'" `F' 3 .7xx .c"'-imp ;p `' a {. 4 }' ,.<as+ec � .i ?.,.:5�e �. .,"
IIIRGENT:`Yo tiaue Dine or morechar, es ftia ''aen;ow"ast.:due� BPCwll a Ply
` Iat esa
each month�at the rated>tnd�cated;�'°on*'the �nvo�ce unt�l�these`charges,have33been Pa�d� ���ks��
MonthlyFlex Services
$3.45 P&rParticipant 94
Monthly COBRA Services $0.50 Per Qual Elig. EE 593 $296.50
This Znvoice Total. $620:80
Other Open Invoices or Account Credits $620.80
--See Next Page for Details—
�Amit
� To .
APR 25 2016
Clrk Trasurer
Total Now Due: $11241.60