160080 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 354957 Page 1 of 1
ONE CIVIC SQUARE SPECTRUM HEALTH SYSTEMS CHECK AMOUNT: $191.60
s, CARMEL, INDIANA 46032 3535 E 96TH ST SUITE 114
INDIANAPOLIS IN 46240 CHECK NUMBER: 160080
CHECK DATE: 5/28/2008
l? ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRI
1201 R4341980 16622 2448 19.1.60 WELLNESS PLAN
Spectrum Health Systems Invoice
3535 East 96th Street Suite 114
Date Invoice
Indianapolis, IN 46240
5/19/2008 2448
Bill To
City of Carmel
Barbara Lamb
One Civic Square
Cannel, IN 46032
P.C. No. Terms Project
Upon Receipt
Quantity Description Rate Amount
86 Stretch Bands Incentive for Stretch Band Challenge 1.60 137.60
2 VISA Gift Cards 27.00 54.00
Please call Sarah if you have any questions regarding this invoice. Thank you!
Total $191.60
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
Spectrum Health Systems Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
--Visa Gift Cards
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.
05123106 ALLOWED 20
S pectrum Health Systems
IN SUM OF
3535 East 96th Street, Suite 114
Indianapolis, IN 46240
$191.60
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT- I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
partial 2448 41980 60 materials or services itemized thereon for
which charge is made were ordered and
received except
20
r
Signet re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund