HomeMy WebLinkAbout303297 09/26/16 Coq.
.� CITY OF CARMEL, INDIANA VENDOR: 370241
L� y!
a; ® zi ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCOHECK AMOUNT: $....***624.25*
s. _�; CARMEL, INDIANA 46032 PO BOX 7500 CHECK NUMBER: 303297
vy� ;i CHAMPAIGN IL 61826-7500 CHECK DATE: 09/26/16
t ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 BPCIO0126716 624.25 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
BENEFIT PLANNING CONSULTANTS INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 7500 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be 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.
$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
BPCIO0126716 50-239.90 $624.25 1 hereby certify that the attached invoice(s),or 9/12/16 BPCIO0126716 $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
Monday, September 19,2016
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice #BPCI00126716 ,j�
Date: September 12, 2016
I��
CITY OF CARMEL
Account: Benefits
Invoice #: 80CI00.126t
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: 1_0/06/2016
PO Box 7500 Late Fee: 9.75% APR
Champaign, IL 61826-7500 0.81%/Month
Comments:
Monthly administration for the month of October 2016
9
Monthly Flex Services.: $3.45 Per Participant 95 $327.75
Monthly COBRA Services $0.50 Per Qual Elig. EE 593 $296.50
r
This.Invoice.Tota/:: $624.25
SEP 19 2016_..
' r u re
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