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HomeMy WebLinkAbout311256 05/09/17 (9) CITY OF CARMEL, INDIANA VENDOR: 370269 ONE CIVIC SQUARE ZIRMED CHECK AMOUNT: S*******224.00* CARMEL, INDIANA 46032 1311 SOLUTIONS CENTER CHECK NUMBER: 311256 CHICAGO IL 60677-1311 CHECK DATE: 05/09/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355200 561938 224.00 SUBSCRIPTIONS W § / 3 9 0 kC k + o > / 0 0 ? / q p \ m 0 z < z q / � £ § \ 0 2 c § e � 0 gcoU k Q \ z ] D a to. q -n J \ Via / 70 / / G § ± o ƒ 3 / © CL � / \ 2 - O § % zo q CD I G | J _ / tr- z % 0 g F { = r E o % / 7 cn £ E 7 J $ ƒ x ° U) # 2 = E 3 ; 2 2 \ f E \ = % E m . E 7 o ƒ J % 3 § k _ \ K @ ° k ° R g a CD C _ 2 I E 5 o w 2 - A a OL = k C § I f § (2 7 I . - _ c , y -0 / CO § > CL - CL ° j ) \ $ crCD CL kk > \ {� eE f c < 22 0 ° 0 k [7 2 § § a § k C o ; g m © \ 3 C) Z 2 Gn m \ Fq [ 2 CD G k } |\< f D \ a 0 - fE ) k §/ & 0 a E > co 6[ CD / / - / f K 0 / o } a \ \ CD \ r O 6 G = C % ® \ c K \ k Q § 2CD 0 OL CLCD } U) § R CL z § ( OL 69 CD w $ % § ¥ f INVOICE Date 4/12/2017 �: 'I ►R r v E Invoice# 561938 Account# 125191 wrww � ���� e �+ For overnight or Due Date 5/12/2017 correspondence ONLY: Customer PO# Invoice questions?Please call(877)494-7633 ZirMed, Inc. option 4 Attn: Accounting Dept Email:billinginquiry@zirmed.com 888 W.Market St., Ste 400 Louisville, KY 40202 Amount Paid ��� •a0 Customer Support or Sales:(877)494-7633 Bill To PLEASE REMIT ONLY PAYMENTS City of Carmel Fire Department TO THE FOLLOWING: 2 Civic Square ZirMed Inc. Carmel IN 46032 1311 Solutions Center Chicago, IL 60677-1311 ..Zir&ledAccoodeOiCO#­­- c 8 . 7. 125191 Zirmed 561938 1 4/12/2017 5/12/2017 Description Monthly Professional Claims Management Fee 1 99.00 99.00 Monthly Eligibility System Access Fee 1 100.00 100.00 Monthly Remittance Advice Access Fee 1 25.00 25.00 i Invoice Total $224.00 Cu-rrent 1-30 Days 31-60 Days 61-90 Days Over 90 Days Account Balance 224.00 0.00 0.00 0.00 0.00 $224.00 Would you like your invoice via email? Please email billinginquiry@zirmed.com