318313 11/07/2017 9Coq
�'�`�� `F. CITY OF CARMEL, INDIANA VENDOR: 367222
D ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: $.....**930.90*
rq; CARMEL, INDIANA 46032 2046 RELIABLE PKWY CHECK NUMBER: 318313
'MiroN. CHICAGO IL 60686-0020 CHECK DATE: 11/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 760332 930.90 GENERAL INSURANCE
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YD Indiana University Health Workplace Services,LLC
950 North Meridian Street
Suite 950 (City of Carmel)
Indianapolis, IN 46204
317-963-1535
Tax ID# 20-0994452
Invoice
October 31, 2017
Bill to: Barbara Lamb For: City of Carmel-Onsite
City of Carmel-Onsite EAP Services/Oct. 2017
1 Civic Square
Carmel,IN 46032-
Invoice# 760332
Service Date Description Quantity Charce Receipt dust Balance
10/01/2017 EAP Services 642.00 930.90 930.90
CITYCARO Invoice# 760332 Balance Due: 930.90
MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE
INVOICE#ON CHECK
Subrnkted To
NOV 0 7 2017
Clerks Treasurer
Cut and return with payment
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