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HomeMy WebLinkAbout325332 05/23/18 0�i \f. CITY OF CARMEL, INDIANA VENDOR: 370241 ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INfFHECK AMOUNT: $**`****542.55* s. � CARMEL, INDIANA 46032 PO Box 7500 CHECK NUMBER: 325332 9Mi*oN�` CHAMPAIGN IL 61826-7500 CHECK DATE: 05/23/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 542.55 BPCIO0172038 V VOUCHER NO... WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 370241 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BENEFIT PLANNING CONSULTANTS INC IN SUM OF$ CITY OF CARMEL PO BOX 7500 An invoice or bill to be property 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 BPCIO0172038 50-239.90 $542.55 1 hereby certify that the attached invoice(s),or 5/10/18 BPCIO0172038 $542.55 301 301 301 301 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday, May 22, 2018 Crider,James Administration I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice ##BPCI00172038 Date: May 10, 2018 CITY OF CARMEL' Account: Benefits Invoice # BPGIt?t172t3$ 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, IncDue Date: 06/05/2018 - PO Box 7500- - -- - - - - - --- -- _ — Late Fee: 9.75% APR Champaign, IL 61826-7500 0.81%/Month Comments: Monthly administration for the month of June 2018 nil Monthly Flex Services $3.45 Per Participant 79 ;$272.55: Monthly COBRA Services $0.50 Per Qual Elig. EE 540 $270.00 Thrs Invoice Total• $542.55' � ��� ' '� MAY 21 2018 _.w. rrr asure� 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