307431 1/20/17 Q�; { CITY OF CARMEL, INDIANA VENDOR: 37144 CHECK AMOUNT: $*"*"*2,217.00*
ONE CIVIC SQUARE VIRGIN PULSE, INC. CHECK NUMBER: 307431
•'; DEPARTMENT 3310
Q CARMEL, INDIANA 46032 PO BOX 123310 CHECK DATE: 01/20/17
'+•ETON DALLAS TX 75312-3310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
OTHER EXPENSES
301 5023990 INV59259 2,217.00
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Virgin Pulse
492 Old Connecticut Path Invoice
Ste 601
Framingham MA 01701 #I NV59259
United States 12/31/2016
Activity Month: Dec 2016
Sponsor PO# Memo Terms
Email Invoicing@virginpulse.com City of Carmel NET 30
Bill To Ship To
City of Carmel City of Carmel
Carmel City Hall Carmel City Hall
One Civic Square One Civic Square
Carmel IN 46032 Carmel IN 46032
United States United States
Item Quantity Rate Amount
Wireless Health Station - IPAD shipped in Dec 2016 for City of 3 $699.00 $2,097.00
Carmel - City of Carmel: Department of Human Resources 1
Civic Square Carmel IN 46032
Shipping&Handling 3 $40.00 $120.00
Bank ACH Payment Instructions: Please Remit Checks To: Subtotal $2,217.00
Account Name:Virgin Pulse Inc. Virgin Pulse, Inc
Account Number:3300940047 Dept 3310 Tax $146.79
ABA Number:121140399 PO Box 123310
Bank Name:Silicon Valley Bank Dallas,TX 75312-3310 Total $2,363.79
Bank Address:Santa Clara, CA 95054
Payments/Credits $0.00
Amount Due $2,363.79
For any invoice past due beyond payment terms a finance charge of 1.5%per month or
18%per year may be added to the invoice.
Submitted To
JAN 1 8 2017
Clerk Treasurer
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