311626 05/30/17 ii.W"A'�If
�; � CITY OF CARMEL, INDIANA VENDOR: 370241
ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCFHECK AMOUNT: $....***596.65*
,r°; CARMEL, INDIANA 46032 PO BOX 7500 CHECK NUMBER: 311626
'M. CHAMPAIGN IL 61826-7500 CHECK DATE: 05/30/17
�SON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 BPCIO0144135 596.65 OTHER EXPENSES
/ q ? 3 M / p
I2 z 2 $ o
i > _0 q # ?
0 z w
_ E o
D 2
/ \ 0 (A) CA) z z
0 0 � 2
W \ OD 7 1p /
W.
° 9 CD a- 0 91 al z
& � $ R @
/ � VI §� f /
E e $ i ] § § � » m
/ 8 CL CL
[
2 z / 2
7
69/ > O
CA \ k
$ d Z |
$
. ) , 2 F - 2 #
£ E 0 0) y ƒ ? §
k + < § m
, - ? n
e m o
(Dn 2 7 § _
r \ 2 § 2 «
E 2 0 2
g $ f E _ § -
k CO % \8 ƒ
0 % f a Q E
@ / as
ƒ ca
\ i � 0)
{
o R
E } g )
Z § /
) /
k I « \ q o f ƒ
/a o zt -0 \ 2
m -_ GCL
0) ;
CD$ 0 \ 0 /
Kk § -n < m 0
8 §
Q E ]
w Q k
M} ° # k ƒC %
R £ # \ a 0 z
»
mg § m f f §
o %E % i }
�< /
-0 a \ D
/ o j \ o >
2k /
2 C 2 / $ m
n 00 CD
R f z % ] i \ i
/ e c ,
G 2 CY m m / } n
CD B � y 2 � $
§ m f / ]
CD CD ] § F
[ > \ f \
69$ § CD
% 7 i
CA ® k
Invoice #BPCI00144135
Date: May 11, 2017
CITY OF CARMEL j'li
Account: Benefits
Invoice #: BPCI �144135
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: 06/05/2017
PO Box 7500 Late Fee: 9.75% APR
Champaign, IL 61826-7500 0.81%/Month
Comments;
Monthly administration for the month of June 2017
Service Description Qty Amount
Monthly Flex Services $3.45 Per Participant 87 $300.15
Monthly COBRA Services $0.50 Per Qual Elig. EE 593 $296.50
This Invoice Totai: $596.65
Other Open Invoices or Account Credits -$0.00
Submitted To
MAY j q 2017
Clerk Treasurer
Total Now Due: $596.65
Questions? Call Toll-Free (800) 3SS-23SO or e-mail billing@bpcinc.com
Benefit Planning Consultants,Inc.;2110 Clearlake Blvd.Suite 200; P.O. Box 7500;Champaign,IL 61826-7500