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Home My WebLink About326115 06/12/18 ^% �,A�F� CITY OF CARMEL, INDIANA VENDOR: 367222 v;® z •°,•, ONE CIVIC SQUARE IU HEALTH WORKPLACE SERVICES LLCCHECK AMOUNT: $....*1,452.25" s9 �_� CARMEL, INDIANA 46032 2046 RELIABLE PKWY CHECK NUMBER: 326115 Mi�oN�Lo, CHICAGO IL 60686-0020 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 763240 935.25 GENERAL INSURANCE 1201 4358800 763241 517.00 TESTING FEES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ 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 $935.25 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 763240 43-475.00 $935.25 1 hereby certify that the attached invoice(s),or 5/31/18 763240 May EAP Services $935.25 1205 101 1205 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday,June 4,2018 CA_4 - CL�Q James Crider Administration I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Indiana University Health Workplace Services,LLC 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 Tax I D# 20-0994452 Invoice May 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite EAP Services/May 2018 1 Civic Square Carmel,IN 46032- Invoice# 763240 Service Date Description Quanti Charae Recei Ad"us Balance 05/01/2018 EAP Services 645.00 935.25 935.25 CITYCARO Invoice# 763240 Balance Due: 935.25 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK Submitted To JUN 0 5 2018 Clerk Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367222 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IU HEALTH WORKPLACE SERVICES LLC IN SUM OF$ 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 $517.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 763241 43-588.00 $517.00 1 hereby certify that the attached invoice(s),or 5/31/18 763241 May Occupational UDS $517.00 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,June 4,2018 Barbara Lamb 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 714 N.Senate Avenue Suite 200 Indianapolis, IN 46202 317-963-1535 j Tax I D# 20-0994452 Invoice May 31, 2018 Bill to: Barbara Lamb For: City of Carmel-Onsite City of Carmel-Onsite Occupational UDS84ay 2018 1 Civic Square Carmel,IN 46032- Invoice# 763241 Service Date Description Quanti Charoe Receip Adius Balance 05/29/2018 Quick Read UDS/6panel includes 15.00 kit 15.00 05/24/2018 Quick Read UDS/6panel includes 1.00 15.00 15.00 kit Submitted To JUN 05 2018 Clea-': Treasurer Invoice# 763241 (continued)page 2 Service Date Descri to ion Quanti Charge Recelp A&MI Balance 15.00 05/09/2018 Quick Read UDS/6panel includes 15.00 Invoice# 763241 (continued)page 3 Service Date Description anti Charae Recelp Ad'us Balance 05/30/2018 Quick Read UDS/6panel 15.00 05/07/2018 Quick Read UDS/6panel 15.00 Invoice# 763241 (continued)page 4 Service Date Description Quanti Charge Recelp Ad'us Balance 05/07/2018 Quick Read UDS/6panel 517.00 MAKE PAYMENT TO THE BELOW ADDRESS WITHIN 30 DAYS OF INVOICE DATE-PLEASE INCLUDE INVOICE#ON CHECK