HomeMy WebLinkAbout328919 08/14/18 a% CITY OF CARMEL, INDIANA VENDOR: 370302
ONE CIVIC SQUARE VISION SERVICE PLAN CHECK AMOUNT: $****10,308.85*
:. � CARMEL, INDIANA 46032 PO BOX 742788 CHECK NUMBER: 328919
9��TUN c��' LOS ANGELES CA 90074-2788 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 08.01.18 10,308.85 OTHER EXPENSES
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VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 370302 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
VISION SERVICE PLAN IN SUM OF$ CITY OF CARMEL
PO BOX 742788 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.
LOS ANGELES, CA 90074-2788
Payee
$10,308.85
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
08.01.18 50-239.90 $10,308.85 1 hereby certify that the attached invoice(s),or 8/1/18 08.01.18 August 2018 $10,308.85
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
Thursday,August 9,2018
GA4`ec.�
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
Page 1
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Account Number: 12 013661 0001 VS
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Bill Print Date: AUGUST 01, 2018 For AUGUST 2018
Membership Received After: The 15th of the month will reflect on your next bill.
Payment Due Date: Upon receipt of this bill
CITY OF CARMEL C/O
BARBARA LAMB
1 CIVIC SQUARE
CARMEL IN 46032-2584
Prior Billing Period Activity
Amount Previously Billed $10,278.19
Payments/Billing Adjustments -$10,278.19
-- ---- --- -- ---- -- --------—--- --- —
Outstanding ReceNa a Total- -- -"—- $0.00
Current Billing Period Activity
Current Charges $10,308.85
Please Pay This Amount $10,308.85
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Sub '".A.ed To
AUG 0 8 2018
Clerk -Treasurer
Questions? Please call 1-866-213-2249 if you have questions regarding your bill or membership.
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