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HomeMy WebLinkAbout324386 04/25/18 CITY OF CARMEL, INDIANA VENDOR: 370241 ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INCHECK AMOUNT: $....***542.55* ?� CARMEL, INDIANA 46032 Po eox 7500 CHECK NUMBER: 324386 CHAMPAIGN IL 61826-7500 CHECK DATE: 04/25/18 t DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 BPCIO0169750 542.55 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 370241 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BENEFIT PLANNING CONSULTANTS INC IN SUM OF$ 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 $542.55 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 BPCIO0169750 50-239.90 $542.55 1 hereby certify that the attached invoice(s),or 4/11/18 BPCIO0169750 $542.55 301 301 301 301 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,April 17,2018 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 Invoice #BPCI00169750 ,r is: Date: April 11, 2018 /J �,�"° CITY OF CARMEL Account: Benefits Invoice # BPCIB� IG35fl CITY OF CARMEL Previous Balance: $0.00 1 CIVIC SQUARE This Invoice: .$542.55 CARMEL, IN 46302 Other Invoices/Credits: $0.00 Account Balance: $542.55 Remit Payment To: Benefit Planning Consultants_, Inc _ Due Date: _ 05/06/_2018 P-0-5_653i 7500 Late Fee: 9.75% APR Champaign, IL 61826-7500 0.81%/Month Comments.- Monthly omments:Monthly administration for the month of May 2018 Monthly ilex Services $3"4S Perarticlpant 79 $272.55!` ..... . ,. Monthly COBRA Services $0.50 Per Qual Elig. EE 540 $270.00 Th15 Ini/orCe TOs7I: $542 55 s' € ` :. Sub - te To, SPR Y :7 2D $ �. � � FW Total Now Due: $542.55 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