315070 08/15/17 ��u 4��"'� CITY OF CARMEL, INDIANA VENDOR: 370302
�'
ONE CIVIC SQUARE VISION SERVICE PLAN CHECK AMOUNT: $****10,198.62*
�3 ,r`; CARMEL, INDIANA 46032 PO BOX 742788 CHECK NUMBER: 315070
' LOS ANGELES CA 90074-2788 CHECK DATE: 08/15/17
t Brox
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 07/01/17 10,198.62 OTHER EXPENSES
m O �_ / O
\ ° # 2 > Co z ¢ o
« � » 2�
E n o w ® m
0 m- 4 k 0 z
= z C 2 7 5)
% 2 / n m 2
0 0
\ -4M 69
ƒ k 0 >
D 0 2
a ( D w
o #
a k k 2 \
e � » 00\ § § CL \ § m
c # CL C m
T). ° z
2
( / 9
O
7 00c m
� q z
�
§ \ 2 f r §
Er
CD
CD 0 CD
/ $ 9 2
CL
0 s ; k §
a f _
� ƒ § 2 «
/ 3 E CD K
§ ] -
7 C - I
0
cc
C CD \ /
a / $ = M
@ & - 7
C? CL % k 0 \
w E f
7 C f 7 N
q CY
CD
_ 00 o ƒ
\% § \ § m \ 2
w # m _ ( 2
CD \
'$ P \
) $ 8 c \ � k 0
w a z -
¢% CD22k ƒ CCL
a
CD 0>{§ ° / ƒ §
e0 D
�k }
�3 ( ) #
$o & a « 0 >
�� > nqCL D co
_ a =r e 0
c2 0 \ M
n \ 0j CDr O
E
z
% ƒ k Q ] / C
CD q c0
CD/ [° /\ § /
§ CD \ \ }
CD ]§ /
[ >
co
ƒ k
g I7
\ 00 }
� ® k
99
Page 1
1
Account Number: 12 013661 0001 VS
pe
Bill Print Date: AUGUST 01, 2017 For AUGUST 2017
Membership Received After: The 15th of the month will reflect on your next bill.
Payment Due Date: Upon receipt of this bill
CITY OF CARMEL C/O
BARBARA LAMB
1 CIVIC SQUARE
CARMEL IN 46032-2584
Prior Billing Period Activity
Amount Previously Billed $20,229.22
Payments/Billing Adjustments -$10,100.58
Outstanding Receivable Total $10,128.64
Current Billing Period Activity
Current Charges $10,198.6
Please Pay This Amount $20,327.26
1 -34 Days 32-61 Days 62:-41 Days >92 Days
$... $0.00
Subm 'ted To
AUG 10 2017
1'Inrk Treasurer
h
Questions? Please call 1-866-213-2249 if you have questions regarding your bill or membership.
Passion for people. Vision for!life. sm '