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HomeMy WebLinkAbout322745 03/12/18 i I CITY OF CARMEL, INDIANA VENDOR: 367222' i'• ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: $....***992.35* CARMEL, INDIANA 46032 2046 RELIABLE PKWY CHECK NUMBER: 322745 9M«oN :� CHICAGO IL 60686-0020 CHECK DATE: 03/12/18 DEPARTMENT ACCOUNT PO NUMBER_ INVOICE NUMBER AMOUNT; DESCRIPTION 1201 4358800 761997 60.00 TESTING FEES 1205 4347500 762095 932.35 GENERAL INSURANCE _ j VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ 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 $60.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 761997 43-588.00 $60.00 1 hereby certify that the attached invoice(s),or 2/28/18 761997 $60.00 1201 101 1201 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, March 05,2018 Lamb, Barbara Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Indiana University Health Workplace Services,LLC Sg 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice February 28, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Occupational UDS/Feb.2018 1 Civic Square Carmel,IN 46032- Invoice# 761997 Service Date Description Quanti Charge Recei Ad"US Balance 02/27/2018 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit 02/27/2018 Confirmation for Quick Read 60.00 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK FKPKP :1 .1 T_r ^ i1+ N n MAR 0 5 2018 p� (:nt and-hm with---t VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ? ALLOWED 0ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN suns of$ 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 60.686-0020 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 762095 43-475.00 $932.35 1 hereby certify that the attached invoice(s),or 2/28/18 762095 EAP Services $932.35 1205 101 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 Monday, March 05,2018 Crider,James �'7� Administration I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and 1 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 Indiana University Health Workplace Services, LLC 1�3 714 N.Senate Avenue Suite 200 )2o5 Indianapolis, IN 46202 317-963-1535 Tax ID# 20-0994452 Invoice February 28, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite EAP Services/Feb. 2018 1 Civic Square Carmel,IN 46032- Invoice# 762095 Service Date Description Quant! Charae R c i A 'u Balance 02/01/2018 EAP Services 643.00 932.35 932.35 CITYCARO Invoice# 762095 Balance Due: 932.35 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK PEAR 0 5 2018