HomeMy WebLinkAbout333484 12/14/18 a., 1CITY OF CARMEL, INDIANA VENDOR: 372019
�( ONE CIVIC SQUARE EBIX BENEFITS CHECK AMOUNT: $*******141.50*
� j�� CARMEL, INDIANA 46032 P.O.BOX 263 CHECK NUMBER: 333484
b,�TON�o. CHELSEA AL 35043 CHECK DATE: 12/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4345000 617729 141.50 PRINTING (NOT OFFICE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372019 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
EBIX BENEFITS IN SUM OF$ CITY OF CARMEL
P.O. BOX 263 An invoice or bill to be 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.
CHELSEA, AL 35043
Payee
$141.50
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
617729 43-450.00 $141.50 1 hereby certify that the attached invoice(s),or 12/11/18 617729 $141.50
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
Wednesday, December 12,2018
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
BENEFITS
ADMINISTRATION 2
EBIXAND WELLNESS
Invoice
Thank you for your order!Payment is due upon receipt.
Jim Spelbring Invoice Date 11/28/2018
City of Carmel Invoice No. 617729
1 Civic Sq
Carmel, IN 46032 P.O.Number
Customer No. 202254
Client Number
Sales Rep 202
Item - -Item Description - Quanti---- —Rate--y — Item otT a�`—
1HC19GE1 2019 Celebrate Wellness 50 @ $2.45 = $122.50
Subtotal $122.50
Shipping&Handling $19.00
Sales Tax/GST $0.00
Total $141.50
Please return bottom portion with payment.
Payment/Credits $0.00
A publication of Ebix,Inc. PO Box 263,Chelsea,AL 35043 Total Due $141.50
Our Fed/Tax ID#:77-0021975
To charge to VISA,MC,AMEX,Discover call(800)871-9525 or enter information below and fax or mail back in provided envelope.