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CITY OF CARMEL, INDIANA VENDOR: 370241
ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS IN(CHECK AMOUNT: $*******596.65*
CARMEL, INDIANA 46032 PO Box 7500 CHECK NUMBER: 308450
CHAMPAIGN IL 61826-7500 CHECK DATE: 02/23/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 BPCIO0137759 596.65 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 370241 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BENEFIT PLANNING CONSULTANTS INC IN SUM OF$ CITY OF CARMEL
PO BOX 7500 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHAMPAIGN, IL 61826-7500
Payee
$596.65
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
301 Medical Fund Terms
301 Medical Fund Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
BPCIO0137759 50-239.90 $596.65 1 hereby certify that the attached invoice(s),or 2/13/17 BPCIO0137759 $596.65
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
Wednesday, February 22,2017
Lamb, Barbara
Director
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 #BPCI00137759 .off
Date: February 13, 2017 =7 r
CITY OF CARMEL
Account: Benefits
Invoice #: BPCI001377"59`
CITY OF CARMEL Previous Balance: $0.00
1 CIVIC SQUARE This Invoice: $596.65
CARMEL, IN 46302 Other Invoices/Credits: - $0.00
Account Balance: $596.65
Remit Payment To:
_ Benefit Planning. Consultants, Inc _ Due Date:_ 03/08/20_17
PO Box 7500 Late Fee: 9.75% APR
Champaign, IL 61826-7500 0.81%/Month
Comments:
Monthly administration for the month of March 2017
. ., .�
11
E 8 ...'� I.,
IM
Monthly.Flex Services" $3.45 Per Participant 87 $30QA
Monthly COBRA-Sdnrices $0.50 Per Qual Elig. EE 593 $296.50
- This Invoice Total: $596.65
Other Open Invoices or Account Credits -$0.00
Submitted To
FEB 2 : Z017
Clerk Treasurer
Total Now Due: $596.65
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