HomeMy WebLinkAbout158137 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 354957 Page 1 of 1
c ONE CIVIC SQUARE SPECTRUM HEALTH SYSTEMS
CARMEL, INDIANA 46032 3535 E 96TH ST SUITE 114 CHECK AMOUNT: $309.00
INDIANAPOLIS IN 46240 CHECK NUMBER: 158137
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 16622 2395 309.00 WELLNESS PLAN
I
I
Spectrum Health Systems Invoice
3535 East 96th Street Suite 114
Date Invoice
Indianapolis, IN 46240
3/27/2008 2395
Bill To
City of Cannel
Barbara Lamb
One Civic Square
Carmel, IN 46032
P.O. No. Terms Project
Upon Receipt
Quantity Description Rate Amount
2 Simon Gift Cards for Express 1- 1calth Incentives 27.00 54.00
17 'Target Gift Cards for Express Health Incentives 15.00 255.00
Please call Sarah if you have any questions regarding this invoice. Thank you!
Total $309.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Snar -fr>am Health Systems Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/2710E 239b imon Gift Cards and Target
Total $309.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
03/1$/08
ALLOWED 20
Spectrum Health Systems
IN SUM OF
3535 Fast 96th Street, Suite 114
n ionapolis, IN 46240
$309.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or INVOICE NO. certify that the attached invoice
DEPT. ACCT #/TITLE AMOUNT I hereby Y s or
bill(s) is (are) true and correct and that the
p artial 2, IS 419 -80 00 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sirtyr` �vrtA
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund