314485 7/31/2017 (9)
CITY OF CARMEL, INDIANA VENDOR: 371443 VIRGIN PULSE, INC. CHECKAMOUNT: S********60.00*
ONE CIVIC SQUARE CHECK NUMBER: 314485
CARMEL, INDIANA 46032 DEPARTMENT 3310PO BOX 123310 CHECK DATE: 07/31117
DALLAS TX 75312-3310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT OTHER EXPENSES N
301 5023990 INV65954 60.00
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Virgin Pulse •
L>, 492 Old Connecticut Path nvo ce
Ste 601
Framingham MA 01701 #INV65954
United States 06/30/2017
Activity Month:Jun 2017
Sponsor PO# Memo Terms
Email invoicing@virginpulse.com City of Carmel NET 30
Bill To Ship To
City of Carmel City of Carmel
Carmel City Hall Carmel City Hall
One Civic Square One Civic Square
Carmel IN 46032 Carmel IN 46032
United States United States
{{ Quantity Rate Ae4iount
Subsidized Online FitBit,MisFit,or Polar units shipped in June 1 $60.00
2017
Bank ACH Payment Instructions: Please Remit Checks To: Subtotal $60.00
Account Name:Virgin Pulse Inc. Virgin Pulse, Inc
Account Number:3300940047 Dept 3310 Tax $0.00
ABA Number: 121140399 PO Box 123310
Bank Name:Silicon Valley Bank Dallas,TX 75312-3310 Total $611.00
Bank Address:Santa Clara, CA 95054
Payments/Credits $0.00
Amount Due $60.00
For any invoice past due beyond payment terms a finance charge of 1.5%per month or
18%per year may be added to the invoice.
Submitted To
JUL 18 2011
Clerk Treasurer
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