HomeMy WebLinkAbout171963 04/29/2009 CITY OF CARMEN., INDIANA VENDOR: 358317 Page 1 of 1
0 ONE CIVIC SQUARE OAKSTONE WELLNESS CHECK AMOUNT: $2,673.00
CARMEL, INDIANA 46032 Po eox 263
CHELSEA AL 35043 CHECK NUMBER: 171963
CHECK DATE: 4/29/2009
DEPARTMENT A CCOUN T PO:NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
112014341980 00415620 2,673.00 WELLNESS PROGRAM
P C-rhonJ be,6to
Healthy businesses depend on it.@ INVOICE O1CC D
Thank you for your order! Timely payment is appreciated.
Please return bottom portion with payment. Retain top portion for your records.
City of Carmel Invo Da te 4/16/20
Sue Coy Order No.
Office Administrator 009.15620
1 Civic Sq P. Number
Carmel, IN 46032 -7569 Customer No. 127637
o -w� 14 ccv tgt al
BRSETUP Brochure Setup Fee 1 X $25.00 $25.00
51711 Defeating Depression 620 X $0.35 $217.00
51501 Alcohol and Drug Abuse 620 X $0.35 $217.00
51483 Cancer Prevention 620 X $0.35 $217.00
51471 Sleep Well 620 X $0.35 $217.00
51461 The Healthwise Consumer 620 X $0.35 $217.00
51271 Diabetes: Are You At Risk 620 X $0.35 $217.00
51253 The Big 6 Heart Breakers 620 X $0.35 $217.00
51249 Know Your Numbers SA 620 X $0.35 $217.00
51221 Controlling Cholesterol 620 X $0.35 $217.00
51121 How to Protect Your Back 620 X $0.35 $217.00
31500 Brochure Logo B&W 6,200 X $0.04 $248.00
A publication of Oakstone Publishing, LLC dba Personal Best PO Box 263, Chelsea, AL 35043
Our Fed/Tax ID 22- 3495564 Payable in US dollars only
To charge to VISA, MC, AMEX, Discover call: (800) 871 -9525 or enter information below and fax or mail back in provided envelope.
Cust 127637 S ubtot a l $2 ,443.00
Shipping Handlin 230.00
Order No. 00415620 Sales Tax -GS—T
$O.00
Broker Fee
Visa ;J Mastercard Novus /Discover Amex T otal $2, 673.0 0
Acct Exp. CID# Payments 1 Credits $0.00
Total Due US$. $2,673.00
Authorized Signature (required for all credit cards) Payment due Upon receipt
Make check to Oakstone Wellness
13 PO Box 263, Chelsea, AL 35043 Tel: (800) 871 -9525 Fax: (205)437 -3084
004156Z00000002673127637
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
`t
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
Oakstone Publishing, LLC dba Personal Best Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
00415621) 6,200 Welhess Brochures
Total
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.
04/27/09 20
ALLOWED
Oakstone L dba Personal Best
IN SUM OF
P.O. Box 263
e sea, AL 35043
$2,673.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or D PT. 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 00415620 41 Q-80 3 o Taterials or services itemized thereon for
which charge is made were ordered and
received except
20
l
U ture
M.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund