316525 9/26/2017 CITY OF CARMEL, INDIANA VENDOR: 371443
ONE CIVIC SQUARE VIRGIN PULSE, INC. CHECK AMOUNT: $"`"`3,755.00'
CARMEL, INDIANA 46032 DEPARTMENT 3310 CHECK NUMBER: 316525
PO BOX 123310 CHECK DATE: 09/26/17
DALLAS TX 75312-3310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 INV67480 3,695.00 OTHER EXPENSES
301 5023990 INV67912 60.00 OTHER EXPENSES
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Virgin Pulse Invoice
492 Old Connecticut Path
�� �►/�/� Ste 601
Framingham MA 01701 #I NV67912
United States 08/31/2017
Activity Month:Aug 2017
Sponsor PO# Memo Terms
Email invoicing(cDvirginpulse.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
ItemQuantity Rate Amount
Subsidized Online FitBit, MisFit, or Polar units shipped in 1 $60.00
August 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
SWIFT:SVBKUS6S Dallas,TX 75312-3310
Bank Name:Silicon Valley Bank Total $60.00
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.
Subm-If ted To
SEP 13 2017
Clerk Treasurer
1 of 1
Virgin Pulse
492 Old Connecticut Path Invoice
�� �•/ /� Ste 601
Framingham MA 01701 #INV67480
United States 08/31/2017
Activity Month:Aug 2017
Sponsor PO# Memo Terms
Email invoicing@virainpulse.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
Item Quantity Rate Amount
Rewards Earned 1 $3,695.00
Bank ACH Payment Instructions: Please Remit Checks To: Subtotal $3,695.00
Account Name:Virgin Pulse Inc. Virgin Pulse, Inc
Account Number:3300940047 Dept 3310 Tax $0.00
ABA Number:121140399 PO Box 123310
SWIFT:SVBKUS6S Dallas,TX 75312-3310
Bank Name:Silicon Valley Bank Total $3,695.00
Bank Address:Santa Clara,CA 95054
Payments/Credits $0.00
Amount Due $3,695.00
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.
ZubMillitted To
SEP 13 2017
Clerk Treasurer
1 of 1