HomeMy WebLinkAbout163409 09/03/2008 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: $14,689.00
INDIANAPOLIS IN 46240 CHECK NUMBER: 163409
CHECK DATE: 9/3/2008
DEPARTM A CCOUNT PO NUMBER INVO NUMBER AM DESCRIPTION
;�bl 4341980 f 2519 14,689.00 WELLNESS PROGRAM
Invoice
VA, Spectrum Health Systems
w 3535 East 96th Street Suite 114
Date Invoice
Indianapolis, IN 46240
8/26/2008 2519
Bill To
City of Carmel
Barbara Lamb
One Civic Square
Carmel, IN 46032
P.O. No. Terms Project
Upon Receipt
Quantity Description Rate Amount
I Express Health Program 2008 14,689.00 14
2nd of 3 invoices as outlined in proposal:
Best of Health!
Total $14,689.00
A
`Prescribed,by State Board of Accounts City Form No. 201 (Rev. 1995
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
o$ 5 ss cL( 2-06? l bt
Total LC 8 t -00
I 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.
ALLOWED 20
IN SUM OF
00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
2.0 I r C J 1� &I(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign u e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund