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Home My WebLink About321611 02/13/18 - �y� CITY OF CARMEL, INDIANA VENDOR: 371443 ONE CIVIC SQUARE VIRGIN PULSE, INC. CHECK AMOUNT: $****38,625.00* CARMEL, INDIANA 46032 DEPARTMENT 3310 CHECK NUMBER: 321611 9M, PO BOX 123310 CHECK DATE: 02/13/18 F..�roei�O' DALLAS TX 75312-3310 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 INV72416 2,085.00 OTHER EXPENSES 301 5023990 INV7254G 36,540.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 371443 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER VIRGIN PULSE, INC. IN SUM OF$ CITY OF CARMEL DEPARTMENT 3310 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PO BOX 123310 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. DALLAS,TX 75312-3310 Payee $36,540.00 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 INV72546 50-239.90 $36,540.00 1 hereby certify that the attached invoice(s),or 2/1/18 INV72546 Annual Program Subscription $36,540.00 301 301 301 301 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, February 13,2018 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Virgin Pulse Invoice 492 Old Connecticut Path rJ VirSte 601 Framingham MA 01701 #I NV72546 United States 2/1/2018 Activity Month: Feb 2018 Sponsor PO# Memo Terms Email invoicinalopvirginaulse com City of Carmel NET 30 Bill To Ship To City of Carmel City of Carmel Carmel City Hall Carmel City Hall One Civic Square One Civic Square Carmel IN 46032 Carmel IN 46032 United States United States Item Quantity Rate v Amount E. Annual Program Subscription Fee billing 609 $60.00 $36,540.00 Bank ACH Payment Instructions: Please Remit Checks To: Subtotal $36,540.00 Account Name:Virgin Pulse Inc. Virgin Pulse, Inc Account Number:3300940047 Dept 3310 Tax Total $0.00 ABA Number:121140399 PO Box 123310 SWIFT:SVBKUS6S Dallas,TX 75312-3310 Bank Name:Silicon Valley Bank Total $36,540 00 , Bank Address:Santa Clara,CA 95054 Payments/Credits $0.00 Amount Due $36,540.00 For any invoice past due beyond payment terms a finance charge of 1.5%per month or 18%per year may be added to the invoice. SuNMP . p, FEB 1 2018 y " Uz, 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 371443 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER VIRGIN PULSE, INC. IN SUM OF$ CITY OF CARMEL DEPARTMENT 3310 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PO BOX 123310 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. DALLAS, TX 75312-3310 Payee $2,085.00 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 INV72416 50-239.90 $2,085.00 1 hereby certify that the attached invoice(s),or 1/31/18 INV72416 $2,085.00 301 301 301 301 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, February 13,2018 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 r Virgin Pulse Invoice 492 Old Connecticut Path r Ste 601 Framingham MA 01701 #INV72416 United States 1/31/2018 Activity Month:Jan 2018 Sponsor PO# Memo Terms Email invoicing0virainaulse.com City of Carmel NET 30 BiIITo Ship To City of Carmel City of Carmel Carmel City Hall Carmel City Hall One Civic Square One Civic Square Carmel IN 46032 Carmel IN 46032 United States United States Quantity . Rate Amount Rewards Earned 1 $2,085.00 $2,085.00 Bank ACH Payment Instructions: Please Remit Checks To: Subtotal $2,085.00 Account Name:Virgin Pulse Inc. Virgin Pulse, Inc Account Number:3300940047 Dept 3310 Tax Total $0.00 ABA Number:121140399 PO Box 123310 SWIFT:SVBKUS6S Dallas,TX 75312-3310 Bank Name:Silicon Valley Bank Total $2,085.00 Bank Address:Santa Clara,CA 95054 ._�,__, a r Payments/Credits $0.00 Amount Due $2,085.00 For any invoice past due beyond payment terms a finance charge of 1.5%per month or 18%per year may be added to the invoice. ri'^� FEB 13 2018 1 of 1