319793 12/21/17 Q
CITY OF CARMEL, INDIANA VENDOR: 370241
ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCFHECK AMOUNT: $*******593.20*
CARMEL, INDIANA 46032 PO BOX 7500 CHECK NUMBER: 319793
CHAMPAIGN IL 61826-7500 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT_ DESCRIPTION
301 5023990 BPC100160273 593.20 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 370241 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BENEFIT PLANNING CONSULTANTS INC IN SUM OF$ 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
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
BPCIO0160273 50-239.90 $593.20 1 hereby certify that the attached invoice(s),or 12/8/17 BPCIO0160273 Jan 2018 $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
Thursday, December 14,2017
7�
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 #BPCI00160273 f
Date: December 8, 2017
CITY OF CARMEL
Account: Benefits
Invoice #4111 BPGIQ3100?33
CITY OF CARMEL Previous Balance: $593.20
1 CIVIC SQUARE This Invoice: $593.20
CARMEL, IN 46302 Other Invoices/Credits: - $593.20
Account Balance: $593.20
Remit Payment To:
Benefit Planning Consultants, Inc Due Date: 01/01/2018
PO Box 7500 - _ __ - -- -- - ---- --- - -Late Fee: 9.75% APR
Champaign, IL 61826-7500 0.81%/Month
Comments;
Monthly administration for the month of January 2018
FIRM
Monthly;Flex Services $3,4'5 Per Participant 86 .. $296.7P.
0,
_:.
Monthly COBRA Services
$0.50 Per Qual Elig. EE 593 $296.50
This Invoice Total $593.20'
Is .
U � ,
DEC 13 2.101.17.
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