347608 12/19/19CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
VENDOR: 355031
COMMUNITY OCCUPATIONAL HEALTH 1 U QI AMOUNT: $ * * * * * * * 164.00*
7169 SOLUTION CENTER CHECK NUMBER: 347608
CHICAGO IL 60677-7001 CHECK DATE: 12/19/19
DEPARTMENT
ACCOUNT PO NUMBER INVOICE NUMBER
1120 4340799 576839
AMOUNT
164.00
DESCRIPTION
OTHER MEDICAL FEES