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�
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-
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
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