316526 09/26/17 CITY OF CARMEL, INDIANA VENDOR: 370302
e ONE CIVIC SQUARE VISION SERVICE PLAN CHECK AMOUNT: $****10,154.16*
CARMEL, INDIANA 46032 PO BOX 742788 CHECK NUMBER: 316526
' LOS ANGELES CA 90074-2788 CHECK DATE: 09/26/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 09.01. 17 10,154.16 OTHER EXPENSES
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401
Account Number: 12 013661 0001 VS
Bill Print Date: SEPTEMBER 01, 2017 For SEPTEMBER 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 $20,327.26
Payments/Billing Adjustments -$20,327.26
Outstanding Receivable Total $0.00
Current Billing Period Activity
Current Charges $10,154.16
Please Pay This Amount $10,154.16
1?31 Days 3� 01 Days 6z-91 Days >92 Days
$1:0,154,1
FSEPSubm.-itted To
13 2017
Clerk Treasurer
Questions? Please call 1-866-213-2249 if you have question Melip.
Fssian'for pecpfe Iis1an far life.$m