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HomeMy WebLinkAbout331354 10/17/18 CITY OF CARMEL, INDIANA VENDOR: 371443 ® ONE CIVIC SQUARE VIRGIN PULSE, INC. CHECK AMOUNT: $*****4,060.00* CARMEL, INDIANA 46032 DEPARTMENT 3310 CHECK NUMBER: 331354 PO BOX 123310 CHECK DATE: 10/17/18 DALLAS TX 75312-3310 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 INV84579 4,060.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 371443 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER VIRGIN PULSE, INC. IN SUM OF$ 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 $4,060.00 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 INV84579 50-239.90 $4,060.00 1 hereby certify that the attached invoice(s),or 9/30/18 INV84579 Rewards earned 9/16/18-9/30/18 $4,060.00 301 301 301 301 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 Wednesday, October 17,2018 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 V4 Virgin Pulse 75 Fountain Street Invoice Providence RI 02902 United States #INV84579 9/30/2018 Email invoicinq@virginpulse.com Sponsor PO# Memo Terms City of Carmel NET 30 Bill To Ship To Activity Month City of Carmel United States Sep 2018 Carmel City Hall One Civic Square Carmel IN 46032 United States 3§ Item Quantity` Rate Amounty� L - Rewards Earned 9/16/2018-9/30/2018 1 $4,000.00 $4,000.00 Subsidized Online FitBit/MisFit/Garmin/Polar or accessory 1 $60.00 shipped.in September 2018 Bank USD ACH Payment Instructions: Please Remit Checks To: Subtotal $4,060.00 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 Bank Address:3003 Tasman Drive, V� Total $06000 Santa Clara, CA 95054 Please inquire for other currency Payments/Credits $0.00 remittance instructions Amount Due $4,060.00 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. OCT 17 2018 l of 1