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Home My WebLink About308577 02/28/17 (9, CITY OF CARMEL, INDIANA VENDOR: 367222ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: S"`**`*804.00` CARMEL, INDIANA 46032 2046 RELIABLE PKWY CHECK NUMBER: 308577 CHICAGO IL 60686-0020 CHECK DATE: 02/28/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 754758 60.00 TESTING FEES 1205 4347500 754956 744.00 GENERAL INSURANCE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ CITY OF CARMEL 2046 RELIABLE PKWY 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. CHICAGO, IL 60686-0020 Payee $60.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Human Resources 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 754758 43-588.00 $60.00 1 hereby certify that the attached invoice(s),or 1/31/17 754758 $60.00 1201 101 1201 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday, February 14,2017 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Indiana University Health Workplace Services, LLC 950 North Meridian Street Suite 950 (City of Carmel) X20 Indianapolis, IN 46204 317-963-1535 Tax ID# 20-0994452 Invoice January 31, 2017 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Occupational/Jan 2017 1 Civic Square Carmel,IN 46032- Invoice# 754758 Service Date DescriptionQuant! Charae Re ei Adjust Balance --- --- ----------- - --- --- --. ..-_ .... .. 01/30/2017 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit INCLUDE INVOICE#ON CHECK Submitted To FEB,13 2017 [--Clerk Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ CITY OF CARMEL 2046 RELIABLE PKWY 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. CHICAGO, IL 60686-0020 Payee $744.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration 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 754956 43-475.00 $744.00 1 hereby certify that the attached invoice(s),or 1/31/17 754956 EAP services Jan 2017 $744.00 1205 101 1205 101 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, February 14,2017 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 Indiana University Health Workplace Services, LLC 1 .950 North Meridian Street Suite 950 (City of Carmel) Indianapolis, IN 46204 Zoic 317-963-1535 Tax ID# 20-0994452 Invoice January 31, 2017 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite EAP Services/Jan 2017 1 Civic Square Carmel,IN 46032- Invoice# 754956 Service Date Descriptio Quanti Charae Re ei Adjust B Ian 01/01/2017 EAP Services 620.00 744.00 744.00 CITYCARO Invoice# 754956 Balance Due: 744.00 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK SulbmittedTo FEB J3 2017 Clerk Treasurer