HomeMy WebLinkAbout323066 03/21 /18 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
$3,538.99
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
INV73953 50-239.90 $3,538.99 1 hereby certify that the attached invoice(s),or 2/28/18 INV73953 $3,538.99
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, March 20,2018
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
'1
Virgin Pulse
492 Old Connecticut Path Invoice
Ste 601
Framingham MA 01701
g #I NV73953
United States 2/28/2018
Activity Month: Feb 2018
Sponsor PO# Memo Terms
Email invoicincyirginoulse.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, 4 Quantity ' y ., cw Rate Amount
Rewards Earned 1 $3,510.00 $3,510.00
Subsidized Online Max units shipped in February 2018 1 $28.99
Bank USD ACH Payment Instructions: Please Remit Checks To: Subtotal $3,538.99
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 3'538'99
Bank Address:Santa Clara,CA 95054
Please inquire for other currency Payments/Credits $0.00
remittance instructions
Amount Due $3,538.99
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.
Ta
MAR 15 2018
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