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CITY OF CARMEL, INDIANA VENDOR: 370241
ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCFHECK AMOUNT: $....***572.50*
x q; CARMEL, INDIANA 46032 PC BOX 7500 CHECK NUMBER: 321011
v' CHAMPAIGN IL 61826-7500 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 BPCIO0162383 572.50 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 370241 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BENEFIT PLANNING CONSULTANTS INC IN SUM OF$ 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
$572.50
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
BPCIO0162383 50-239.90 $572.50 1 hereby certify that the attached invoice(s),or 1/12/18 BPCIO0162383 Feb 2018 $572.50
301 301 301 301
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday,January 23,2018
Lamb, Barbara
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice #BPCI00162383 s
Date: January 12, 2018Bit
CITY OF CARMEL f
Account: Benefits
Invoice #V_
;BPCIt # �.63$ "
CITY OF CARMEL Previous Balance: $0.00
1 CIVIC SQUARE This Invoice: $572.50
CARMEL, IN 46302 Other Invoices/Credits: $0.00
Account Balance: $572.50
Remit Payment To:
Benefit Planning Consultants, Inc Due Date: 02/05/2018
_ -PO Box 7500 _-- - - -- _ -- - - --Late Fee: 9.75% APR
Champaign, IL 61826-7500 0.810/o/Month
Comments;
Monthly administration for the month of February 2018
111110111
Monthly Ftex Services $3 4S Per Participant 80 $276.00
y $0.50 Per Qual Elig. EE 593
Monthl COBRA Services $296.50
Thrs Invoice `atal $572.50
JAN 2 2018
u_. . ....... u.
Total Now Due: $572.50
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