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HomeMy WebLinkAbout333371 12/14/18 CITY OF CARMEL, INDIANA VENDOR: 370241 ® ONE CIVIC SQUARE BENEFIT PLANNING CONSULTANTS INOFHECK AMOUNT: $....***539.10* 9� /r CARMEL, INDIANA 46032 PO BOX 7500 CHECK NUMBER: 333371 CHAMPAIGN IL 61826-7500 CHECK DATE: 12/14/18 .7 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 BPCIO0189435 539.10 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 370241 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BENEFIT PLANNING CONSULTANTS INC IN SUM OF$ CITY OF CARMEL PO BOX 7500 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. CHAMPAIGN, IL 61826-7500 Payee $539.10 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 BPCIO0189435 50-239.90 $539.10 1 hereby certify that the attached invoice(s),or 12/11/18 BPCIO0189435 $539.10 301 301 301 301 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, December 12,2018 A-0 cl=-� 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 Invoice #BPC100189435 Date: December 4, 2018 CITY OF CARMEL BP anru su, :ornpany Account: Benefits Invoice #: PCIQ�1$9435` Previous Balance: $542.55 CITY OF CARMEL 1 CIVIC SQUARE This Invoice: $539.10 CARMEL,IN 46302 Other Invoices/Credits: - $542.55 Account Balance: $539.10 Remit Payment To: Benefit Planning Consultants, Inc Due Date: 12/27/2018 — -PO-Box 7500— - ---- — - - -- - - - ----Late-Fee - -9.75% APR-- Champaign, PF -Champaign, IL 61826-7500 0.81%/Month Comments: Monthly administration for the month of January 2019 ra � Monthly Flex Services $3.45 Per Participant 78 $269.10 Monthly COBRA Services $0.50 Per Qual Elig.EE 540 $270.00 This,'Invoice Total: $539.10 Total Now Due: $539.10 Questions?Call Toll-Free(800)355-2350 or e-mail billing@bpcinc.com Benefit Planning Consultants,Inc.;2110 Clearlake Blvd.Suite 200;P.O.Box 7500;Champaign,IL 61826-7500