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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 �o 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 ff 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 D 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 D �a MAR 15 2010 By We appreciate our partnership. Tota $84.00 Innovations in Health Management. i 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. I $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 I 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 I