HomeMy WebLinkAbout328759 08/14/18 _ CITY OF CARMEL, INDIANA VENDOR: 372019
® ONE CIVIC SQUARE EBIX BENEFITS CHECK AMOUNT: $*****1,861.50*
CARMEL, INDIANA 46032 P.O.BOX 263 CHECK NUMBER: 328759
y�ioN CHELSEA AL 35043 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4345000 616214 1,461.50 PRINTING (NOT OFFICE
1201 4345000 616215 400.00 PRINTING (NOT OFFICE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372019
EBIX BENEFITS IN SUM of$ CITY OF CARMEL
P.O. BOX 263 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.
CHELSEA, AL 35043
Payee
$1,461.50
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
616214 43-450.00 $1,461.50 1 hereby certify that the attached invoice(s),or 7/26/18 616214 Calendars $1,461.50
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
Thursday,August 9,2018
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
BENUITS
ADMINISTRATION.
EB.IXAND WELLNESS 1
In vo ce
Thank you for your order!Payment is due upon receipt.
Jim Spelbring Invoice Date 7/26/2018
Citv of Carmel Invoice No. 616214
1 Civic Scl
Carmel, IN 46032 P.O.Number
Customer No. 202254
Client Number
Sales Rep 202
.--� =• -._._-__�_ _ --
Item Item'Description. Ctuantityitem'Total "-
1HC19FT1 2019 Celebrate Wellness 550 X $2.45 = $1,347.50
.F
Subrnitted To
AUG 492018
"'Ur.]
Subtotal $1,341.50
Shipping&Handling $114.00
Sales Tax/GST $0.00
Total $1,461.50
Please return bottom portion with payment.
Payment/Credits $0.00
A publication of Ebix,Inc. PO Box 263,Chelsea,AL 35043 [Total Due $1,461.50'
Our Fed/Tax ID#:77-0021975
%ern K— AKA— ni.....—... n ionnl oft ncnc I.-l----A f-.... —mil k-1,i.,n...-;A-.l--l— _ __
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372019 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
EBIX BENEFITS IN SUM OF$ CITY OF CARMEL
P.O. BOX 263 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.
CHELSEA, AL 35043
Payee
$400.00
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
616215 43-450.00 $400.00 1 hereby certify that the attached invoice(s),or 7/26/18 616215 $400.00
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
Thursday,August 9,2018
Lamb, Barbara
Director
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
EBIX-BENEFITS
ADMINISTRATION 1
AN' D WELLNESS
Invoic
Thank you for your order!Payment is due upon receipt.
Jim Spelbring Invoice Date 7/26/2018
City of Carmel
1 Civic Sq Invoice No. 616215
Carmel, IN 46032 P.O.Number
Customer No. 202254
Client Number
Sales Rep 202
Item `--�-iterri Descri tion.- °- -
. y—._ --. ----Rate---
CCL20CL1 Calendar Color Logo Tab 1 X $400.00 = $400.00
Submitted To
AUG 0 9 2018
Subtotal $400.00
Shipping&Handling
Sales Tax/GST $0.00
Total $400.00
Please return bottomportion with payment.
Payment/Credits $0.00
A publication of Ebix,Inc. PO Box 263,Chelsea,AL 35043 .,TOtBI Due
Our Fed/Tax ID#i:77-0021975 $400.00
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