The URL can be used to link to this page

Home My WebLink About320733 01/11/18 o CITY OF CARMEL, INDIANA VENDOR: 367222 ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: S*"*"1,606.35• CARMEL, INDIANA 46032 2046 RELIABLE PKWY CHECK NUMBER: 320733 CHICAGO IL 60686-0020 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 760891 674.00 TESTING FEES 1205 4347500 761140 932.35 GENERAL, INSURANCE v VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ CITY OF CARMEL 2046 RELIABLE PKWY 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. CHICAGO, IL 60686-0020 Payee $932.35 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 761140 43-475.00 $932.35 1 hereby certify that the attached invoice(s),or 12/31/17 761140 $932.35 1205 101 Prior Year 1205 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,January 09,2018 Crider,James Administration I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer �7-s— Indiana University Health Workplace Services, LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice December 31, 2017 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite EAP Services/Dec.2017 1 Civic Square Carmel,IN 46032- Invoice# 761140 Service Date DescriptionQuant! Charae Receip Ad'us Balance 12/01/2017 EAP Services 643.00 932.35 932.35 CITYCARO Invoice# 761140 Balance Due: 932.35 fd _ JAN 1. 1 2018 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 367222 IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ CITY OF CARMEL 2046 RELIABLE PKWY 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. CHICAGO, IL 60686-0020 Payee $674.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Human Resources Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 760891 43-588.00 $674.00 1 hereby certify that the attached invoice(s),or 12/31/17 760891 $674.00 1201 101 Pria•Year 1201 101 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 Tuesday,January 09,2018 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 Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice December 31, 2017 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Occupational UDS/Dec.2017 1 Civic Square Carmel,IN 46032- Invoice# 760891 Service Date Description Quanti Charge Recelp Adjust Balance 12/13/2017 Quick Read UDS/6panel 15.00 kit JAN 11 2018 � Clerk Tri ste u.+aceuR..esa3�s.*_.nvatrtr,�.- —,.av,wi'..rTPsv.Civ�••�.,•� Invoice# 760891 (continued)page 2 Service Date Description 15.00 Invoice# 760891 (continued)page 3 Service Date Description Quant! Charae Receip ULUS-1 Balance 12/12/2017 Quick Read UDS/6panel includes 15.00 Invoice# 760891 (continued)page 4 Service Date Description uantity Charcie Recei Adiust Balance 12/20/2017 Quick Read UDS/6panel 15.00 Invoice# 760891 (continued)page 5 Service Date DescriptionQuant! Charae Recei Adiust Balance 11/13/2017 Quick Read UDS/6panel includes 15.00 CITYCARO Invoice# 760891 Balance Due: 674.00