317537 10/19/2017 d 4�qM*i
CITY OF CARMEL, INDIANA VENDOR: 370302
® ONE CIVIC SQUARE VISION SERVICE PLAN CHECK AMOUNT: $****10,130.83*
x4; CARMEL, INDIANA 46032 PO BOX 742788 CHECK NUMBER: 317537
LOS ANGELES CA 90074-2788 CHECK DATE: 10/19/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 10 .02 . 17 10,130.83 OTHER EXPENSES
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Account Number: 12 013661 0001 VS
Bill Print Date: OCTOBER 02, 2017 For OCTOBER 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 $10,154.16
Payments/Billing Adjustments $0.00
Outstanding Receivable Total $10,154.16
Current Billing Period Activity
Current Charges $10,130.83
Please Pay This Amount $20,284.99
1-3 Days 32 a :Days & 91 Says >92 Days
$2D284 99 $D.00 $D DO >$D 00
Subtri .ed 1'o
OCT 1 1 2017
(Clerk Treasurer
Questions? Please call 1-866-213-2249 if you have questions regarding your bill or membership.
Passion for peopfe l�rarn for Itfe. sm
PlPaco rintnrh and return thic nnrtinn with%mior nnumnnt