HomeMy WebLinkAbout167458 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 354957 !Page 1 of 1
ONE CIVIC SQUARE SPECTRUM HEALTH SYSTEMS
CARMEL, INDIANA 46032 3535 E 96TH ST SUITE 114 CHECK AMOUNT: $1,040.00
INDIANAPOLIS IN 46240 CHECK NUMBER: 167458
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION T
1201 4341980 2617 1,040.00 WELLNESS PROGRAM
Spectrum Health Systems Invoice
3535 East 96th Street Suite 114
Date Invoice
Indianapolis, IN 46240
12/18/2008 2617
Bill To
City of Carmel
Barbara Lamb
One Civic Square
Carmel, IN 46032
P.Q. No. Terms Project
Upon Receipt
Quantity Description Rate Amount
20 Gift Card Incentives 52.00 1,040.00
Happy Holidays] Total $1,040.00
PrescribW by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
S pectrum Health Systems Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12118/08 2617 20 V Gift Cards (insui ai ice) $1,040.00
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
12/1 9108 ALLOWED 20
Spectrum Health Systems
IN SUM OF
3535 East 96th Street, Suite 114
Indianapolis, IN 46240
$1,040.00
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1201 Human Resources
Board Members
D a INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1201] 9617 419-80 95 materials or services itemized thereon for
which charge is made were ordered and
received except
20
ignat e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund