HomeMy WebLinkAbout334446 01/18/19 y o�kQgy
�/ �F. CITY OF CARMEL, INDIANA VENDOR: 370302
t . CHECK AMOUNT: $****10,282.22*
.I ONE CIVIC SQUARE VISION SERVICE PLAN
;� ?�; CARMEL, INDIANA 46032 PO BOX 742788 CHECK NUMBER: 334446
M�roN�. LOS ANGELES CA 90074-2788 CHECK PATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT IIDESCRIPTION
301 5023990 01.02.19 10,282.22 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995)
Vendor# 370302 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
VISION SERVICE PLAN IN SUM OF$ 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
$10,282.22
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
01.02.19 50-239.90• $10,282.22 1 hereby certify that the attached invoice(s),or 1/10/19 01.02.19 Jan 2019 $10,282.22
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
Monday,January 14,2019
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
Page 1
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Account Number: 12 013661 0001 VS
P9
Bill Print Date: JANUARY 02, 2019 For JANUARY 2019
Membership Received After: The 15th of the month will reflect on your next bill.
PaVment 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 $20,452.39
Payments/Billing Adjustments -$20,452.39
—— __— ---— -- — Outstanding-Receivable Total $0.00
Current Billing Period Activity
Current Charges $10,282.22
Please Pay This Amount 1 $10,282.22
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JAN 10 2019
Clerk Treasurer
Questions? Please call 1-866-213-2249 if you have questions regarding your bill or membership.
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Account Number: 12 013661 0001 VS
Register Print Date: JANUARY 02, 2019
Membership Received After: JANUARY 02, 2019 will be reflected on your next statement
CERTIFICATION REGISTER
CITY OF CARMEL C/O
BARBARA LAMB
1 CIVIC SQUARE
CARMEL IN 46032-2584
Submitted To
JAN 10 2019
Clerk Treasurer
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Questions? Please call 866-213-2249 if you have questions regarding your bill or membership.
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