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Home My WebLink About325318 05/18/18 CITY OF CARMEL, INDIANA VENDOR: 371443 4 ® 3h ONE CIVIC SQUARE VIRGIN PULSE, INC. CHECK AMOUNT: $*****3,330.00* CARMEL, INDIANA 46032 DEPARTMENT 3310 CHECK NUMBER: 325318 v�. PO BO,X,iO 23310 CHECK DATE: 05/18/18 DALLAS TX^75312-3310 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER'! AMOUNT DESCRIPTION 301 5023990 INV76134 135.00 OTHER EXPENSES 301 5023990 INV76198 3,195.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 371443 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER VIRGIN PULSE, INC. IN SUM OF$ 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 $3,330.00 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 INV76134 50-239.90 $135.00 1 hereby certify that the attached invoice(s),or 5/1/18 INV76134 $135.00 301 301 301 301 INV76198 50-239.90 $3,195.00 bill(s)is(are)true and correct and that the 5/15/18 INV76198 $3,195.00 301 1 1 301 1 materials or services itemized thereon for 301 1 301 which charge is made were ordered and received except Thursday, May 17,2018 G 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 Virgin Pulse 492 Old Connecticut Path Invoice 1'r t Ste 601 Framingham MA 01701 #INV76134 United States 5/1/2018 Email invoicing@virginpulse.com Sponsor PO# Memo Terms City of Carmel True Up Invoice 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 Amount Annual Program Subscription Fee billing 3 $45.00 $135.00 Bank USD ACH Payment Instructions: Please Remit Checks To: Subtotal $135.00 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 i Total $135.00 Bank Address:3003 Tasman Drive, Santa Clara, CA 95054 Please inquire for other currency Payments/Credits $0.00 remittance instructions Amount Due $135.00 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. [SubMj*.*,ted To 17 2018 treasurer r�T lof i T Virgin Pulse 492 Old Connecticut Path I n Vo i Ce I Ste 601 ' Framingham MA 01701 #I NV76 1 98 United States 5/15/2018 Email invoicing(c virginpulse.com Sponsor PO# Memo Terms 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 Amount Rewards Earned 1 $3,195.00 $3,195.00 Bank USD ACH Payment Instructions: Please Remit Checks To: Subtotal $3,195.00 Account Name:Virgin Pulse Inc. Virgin Pulse, Inc Account Number:3300940047 Dept 3310 ABA Number:121140399 PO Box 123310 Tax Total $0.00 SWIFT:SVBKUS6S Dallas,TX 75312-3310 Bank Name:Silicon Valley Bank f Total $3 195.00 i Bank Address:3003 Tasman Drive, w Santa Clara,CA 95054 Please inquire for other currency Payments/Credits $0.00 remittance instructions Amount Due $3,195.00 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. 3 e ]T(D MAY 17 2018 �Ie�411 Tr 1 of 1