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CITY OF CARMEL, INDIANA VENDOR: 370241ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCFHECK AMOUNT: S"'"""'"593.20`
PO BOX 7500 CHECK NUMBER: 307574
CARMEL, INDIANA 46032 CHAMPAIGN IL 61826-7500 CHECK DATE: 01/27/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 BPCIO0135860 593.20 OTHER EXPENSES
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Invoice *BPCI00135860
Date: January 13, 2017
CITY OF CARMEL
Account: Benefits
Invoice #• ■
Previous Balance: $5.06
CITY OF CARMEL
1 CMC SQUARE This Invoice: $593.20
CARMEL,IN 46302 Other Invoices/Credits: - $5.06
Account Balance: $593.20
Remit Payment To:
Benefit Planning Consultants, Inc Due Date: 02/05/2017
PO Box 7500 Late Fee: 9.75% APR
Champaign, IL 61826-7500 0.81%/Month
Comments:
Monthly administration for the month of February 2017
Service Description Qler—
ty Arnount
sus>d` ;t''m'.,�' `1 '2"",.. .'',.xxa="+gs ,s 's >^e}> ,, >. `� ....' ',:,' cY ''sr;. ., ';. ac.,f.•Mw. '' "°-., ' y;*ew .ut' ,z
Monthly COBRA Services $0.50 Per Qual Elig. EE 593 $296.50
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Total Now Due: $593.20
Questions?Call Toll-Free (800) 355-2350 or e-mail billingObpcinc.com
Benefit Planning Consultants,Inc.;2110 Clearlake Blvd.Suite 200;P.O.Box 7500;Champaign,IL 61826-7500
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