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HomeMy WebLinkAbout259879 06/24/16 ♦1 ur..4�gyE CITY OF CARMEL, INDIANA VENDOR: 370241 ® 'il ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCCHECK AMOUNT: $*******624.25* CARMEL, INDIANA 46032 Po Box 7500 CHECK NUMBER: 259879 CHAMPAIGN IL 61826-7500 CHECK DATE: 06/24/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 BPCIO0120597 624.25 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) BENEFIT PLANNING CONSULTANTS INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 7500 IN SUM OF$ CITY OF CARMEL An invoice or bill to be property itemized must show:kind of service,where performed,dates service CHAMPAIGN, IL 61826-7500 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $624.25 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 301 Medical Fund Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT BPCIO0120597 50-239.90 $624.25 1 hereby certify that the attached invoice(s),or 6/21/16 BPCI00120597 $624.25 301 301 301 301 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,June 21,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice #BPCI00120597 ' Date: June 13, 2016 CITY OF CARMEL Account: Benefits Invoice #: BPCI00120597 CITY OF CARMEL Previous Balance: $0.00 1 CIVIC SQUARE This Invoice: $624.25 CARMEL, IN 46302 Other Invoices/Credits: $0.00 Account Balance: $624.25 Remit Payment To: Benefit Planning Consultants, Inc Due Date: 07/06/2016 -PO Box 7500 - - - - Late-Fee: 9.756/o APR -- Champaign, IL 61826-7500 0.81%/Month Comments: Monthly administration for the month of July 2016 Monthly Flex Services $3:;45%PerParticipant. 95 $327.75 MonthlyCOBRA Services .$00..50 Per Qual EI ig. EE 593 $296.50 This Invoice Total: '462425. _. ... JUN_ 2.0 2016 _ w Clerk Treasurer Total Now Due: $624.25 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