HomeMy WebLinkAbout315646 08/30/17 CITY OF CARMEL, INDIANA VENDOR: 370269
CHECK AMOUNT: S"""""""224.00"
ONE CIVIC SQUARE ZIRMED
=q CARMEL, INDIANA 46032 1311 SOLUTIONS CENTER CHECK NUMBER: 315646
�. CHICAGO IL 60677-1311 CHECK DATE: 08/30/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 604464 224.00 SUBSCRIPTIONS
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INVOICE Date 8/10/2017
ZAFRNECY
Invoice# 604464
Account# 125191
www.Zinmro.com For overnight or Due Date 9/9/2017
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
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
125191 Zirmed ` 604464 8/10/2017 9/9/2017
i Monthly Professional Claims Management Fee 1 99.00 99.00
Monthly Eligibility System Access Fee 1 100.00 ; 100.00 i
Monthly Remittance Advice Access Fee 1 25.001 25.00
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Invoice Total $224.00
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448.45 '; 0.00 ' 0.00 ' 0.00 ! 0.00 ! $448.45 ,
Would you like your invoice via email? Please email billinginquiry@zirmed.com