363312 02/04/21CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
DEPARTMENT
1120
VENDOR: 355031
COMMUNITY OCCUPATIONAL HEALTH MOK AMOUNT: *********50.00*
7169 SOI UTION CENTER CHECK NUMBER: 363312
CHICAGO IL 60677 /ooi CHECK DATE: 02/04/21
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
4340799 599124 50.00 OTHER MEDICAL FEES