HomeMy WebLinkAbout259257 06/03/16 `% �,qMf� CITY OF CARMEL, INDIANA VENDOR: 370241
�; ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCCHECK AMOUNT: S"""'620.80'
9 _� CARMEL, INDIANA 46032 PO BOX 7500 CHECK NUMBER: 259257
y��*oN�. CHAMPAIGN IL 61826-7500 CHECK DATE: 06/03/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 BPCIO0118649 620.80 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 properly 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.
$620.80 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
BPCIO0118649 50-239.90 $620.80 1 hereby certify that the attached invoice(s),or 5/25/16 BPCIO0118649 $620.80
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, May 31,2016
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 #BPCI00118'649
Date: Ma 25 2016 - ► �
Y.
CIT1( OF:CARMEL. . ..
Account: Benefits
.Invoice. #: BPCI00118649
Previous Balance.:
CITY OF CARMEL.
1 CIVIC SQUARE_-. . - , This,Invoice: . : $620:80.
CARMEL, IN 46302 ._
Other Invoices/Credits.: $5:08
Account Balance-
46
Remit Payment To:
Benefit Planning ,Gonsultants;.Inc. ; . Due: Date:. . : 06/05/20.16
PO:Box 7500 Late Fee: 9:75%o APR
Champaign,--IL 61826.7500 0:81°7o/Mo.nth.
Comments::
Monthly administration for he month'ofJune 2016
Description Qty Amoun-t-
Mohthly-Flex-Services $3.45 Per Participant 94 : :$324:30.
Monthly COBRA.Services . 593., Q . $296:50
This-Invoice Total; . $620.80
-MAYA-.1,
MAY :3 1 2016
' F'
Cler reasrer
Total'Now�Due: $620.80
Questions? Call Toll-Free (800) 3,55-2350 or.e-mail, billing@bpcinc:com
Benefit Planning Consultants,Inc.;2110 Clearlake Blvd.Suite 200;P.O.Box 7500;Champaign,IL 61826-7500