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HomeMy WebLinkAbout319702 12/15/17 0''€� CITY OF CARMEL, INDIANA VENDOR: 355031 ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH I9%jR9K AMOUNT: $*******423.00* CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 319702 q�(TON. ,g CHICAGO IL 60677-7001 CHECK DATE: 12/15/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 508430 282.00 MEDICAL FEES 1081 4340700 510108 141.00 MEDICAL FEES Voucher No.--. Warrant No. 355031 Community Occupational Health Services Allowed 7169 Solution Center 20 Chicago, IL 60677-7001 In Sum of$ $ 282.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or Dept# INVOICE NO. CCT#/TITL AMOUNT Board Members 1081-99 508430 4340700 $ 282.00 1 hereby certify that the attached invoice(s), or 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 December 8, 2017 Signature $ 282.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Community Occupational Health Svs 7169 Solution Center Chicago, IL 60677-7001 Phone: 317-621-0341 FEIN: 35-1955223 Invoice overnb�er Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 11/17 1411 E. 116th St. Carmel, IN 46032- Invoice# 508430 Proc Code Date Description Qty Charge Recei t Adiust Balance 746404 11/08/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Bill Alexander Balance Due: 47.00 746404 11/16/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Alora Cooper Balance Due: 47.00 746404 11/16/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Grace Peric Balance Due: 47.00 _...._._......_. . . ........ ....... ... . ..................... ..... .... ..... ................ .. ....... 746404 11/08/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Thalia Sanchez-Cain Balance Due: 47.00 -....._.. ... ----....._........_..._....._._..._.._........................................................ . 746404 11/20/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Alexandra N Wertz Balance Due: 47.00 ..............._.............................................._.............................................................................................. 746404 11/20/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Latalya M White Balance Due: 47.00 ` <Invoice# 508430 Balance-Due: _5,82:00 Please remit payment promptly Voucher No. Warrant No. 355031 Community Occupational Health Services Allowed 20 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ $ 141.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 510108 4340700 $ 141.00 1 hereby certify that the attached invoice(s), or 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 December 12, 2017 Signature $ 141.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Comunit"-0cc_r�Pataonal Health Svs 7169 Solution�Cente� Chicago, IL60677F7001_ Fy �•, Phone.;s3'1,7�621.034.1g FEIN: 35-1955223 Invoice �D'ecernber�0�4y��-017"� Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 11/17 1411 E. 116th St. Carmel,IN 46032- Inuo�ce Proc Code Date Description Qty Change Recei t Adjust Balance 746404 11/28/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Xyrese Breland Balance Due: 47.00 _.__._..-_................._..__...._._......_...:... .....:........_...._._..._..............._.........................._......_.................................. 746404 11/20/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Athena A Calderon Balance Due: 47.00 ....................................................... 746404 11/29/2017 Drug Screen-Non NIDA 5 Panel 1.00 47.00' = 47.00 Bella Harrison Balance Due: 47.00 Invoice# 510108 Balance Due: w 7 n�� Please remit payment promptly