Loading...
HomeMy WebLinkAbout318709 11/21/17 ��u ��'".• CITY OF CARMEL, INDIANA VENDOR: 370241 ® ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCr-HECK AMOUNT: $... '593.20' + ?� CARMEL, INDIANA 46032 PC Box 7500 CHECK NUMBER: 318709 +* CHAMPAIGN IL 61826-7500 CHECK DATE: 11/21/17 TpN DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 BPC100157380 593.20 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 370241 BENEFIT PLANNING CONSULTANTS INC IN SUM OF$ CITY OF CARMEL PO BOX 7500 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CHAMPAIGN, IL 61826-7500 Payee $593.20 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 301 Medical Fund Terms 301 Medical Fund Date Due PO# ACCT# DATE INVOICE# -. DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT BPCI00157380 50-239.90 $593.20 I hereby certify that the attached invoice(s),or 11/13/17 BPCI00157380 Dec 2017 Administration $593.20 301 301 301 301 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except f\O0\ 1)41 Monday, November 27,2017 Lamb, Barbara Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice #BPCI00157380 Date: November 13, 2017 -41' CITY OF CARMEL Account: Benefits Invoice # BA CITY OF CARMEL Previous Balance: $0.00 1 CIVIC SQUARE This Invoice: $593.20 CARMEL, IN 46302 Other Invoices/Credits: $0.00 Account Balance: $593.20 Remit Payment To: Benefit Planning Consultants, Inc Due Date: 12/06/2017 PO Box 7500 Late Fee: 9.75% APR Champaign, IL 61826-7500 0.81%/Month Comments. Monthly administration for the month of December 2017 Service Description Qty Amount Monthly Flex Services $3.45 Per Participant 86 $296.70` Monthly COBRA Services $0.50 Per Qual Elig. EE 593 $296.50 This..woke Total: - $593.20 NOV 21 2017 Cl y" , Tr&esure ° Total Now Due: $593.20 Questions?Call Toll-Free (800) 355-2350 or e-mail billing@bpcinc.com Benefit Planning Consultants,Inc.;2110 Clearlake Blvd.Suite 200;P.O. Box 7500;Champaign,IL 61826-7500