345426 10/25/19CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
VENDOR: 373650
BLUE CROSS BLUE SHIELD OF ILLINOIS CHECK AMOUNT: $ * * * * * * * 698.00*
PO BOX 1538 CHECK NUMBER: 345426
CHICAGO IL 60690-9959 CHECK DATE: 10/25/19
DEPARTMENT
102
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
5023990 H925662901 698.00 OTHER EXPENSES