HomeMy WebLinkAbout183465 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 354957 Page 1 of 1
ONE CIVIC SQUARE SPECTRUM HEALTH SYSTEMS
CHECK AMOUNT: $198.00
CARMEL, INDIANA 46032 3535E 96TH ST SUITE 114
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INDIANAPOLIS IN 46240 CHECK NUMBER: 183465
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 19344 2917 114.00 WELLNESS PROGRAM
1201 R4341980 19344 2961 84.00 WELLNESS PROGRAM
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Spectrum Health Systems, LLC L� I nvo i ce
provider of the Express Health Program
3535 East 96th Street Suite 114 Date Invoice
Indianapolis, IN 46240 1 /18/2010 2917
Bill To
City of Carmel
Barbara Lamb
One Civic Square
Carmel, IN 46032
P.O. No. Terms Project
Upon Receipt
Quantity Description Fate Amount
1 Brett Ransford 66.00 66.00
1 Shelly Lingelbaugh 24.00 24.00
Robert Campbell 24.00 _,24.00
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MAR 1 5 2010
By
See attached listing.
Thank You? Total $114.00
SPECTRUM Inds East 96th Street, Suite 1 l 4
Indianapolis, Indiana 46240
S Y S T E M S main 317.573.7600 1 www.spectrumhs.com
Invoice
Bill To
City of Carmel Date Invoice
Barbara Lamb
One Civic square 3/5/2010 2961
Carmel, IN 46032
P.O. No. Terms Project
Upon Receipt
Quantity Description Rate Amount
2 Tobacco Tests 42.40 84.00
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MAR 15 2010
By
We appreciate our partnership.
Tota $84.00
Innovations in Health Management.
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VOUCHER NO. V=JARRi1NT N
Prescribed by State Board of Accounts City Form No. 2C
Spectrum Health Systems�LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IN SUM OF 1 CITY OF CARMEL
3535 East 96th Street Suite 114 An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendere
Indianapolis, IN 46240 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
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$198.00 Payee
Purchase Order No,
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel HR Department
Date Due
PO Dept. INVOICE NO. ACCT /TfTLE AMOUNT Invoice Invoice Description Amc
Board Members Date Number (or note attached invoice(s) or bill(s))
19344 2917 43 419.80 $114.00 E hereby certify that the attached invoice(s), or 01/18/10 2917
19344 2961 43 419.80 $84.00 bill(s) is (are) true and correct and that the 03/05/10 2961
materials or services itemized thereon for
which charge is made were ordered and
received except
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Friday, March 12, 2010
Direct r, H
Title
Cost distribution ledger classification if I I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in acc
claim paid motor vehicle highway fund i with IC 5- 11- 10 -1.6
20
1 Clerk- Treasurer
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