HomeMy WebLinkAbout176002 08/12/2009 CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1
ONE CIVIC SQUARE BARBARA LAMB
CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK AMOUNT: $4,207.92
CARMEL IN 46032
CHECK NUMBER: 176002
CHECK DATE: 8/12/2009
C•EPAR ACCOUNT PO NUMBER INV OICE N UMBER AMOUNT DESC RIPTION
1201 4357001 14.17 INTERNAL TRAINING FEE
%1201 R4341980 19371 4,193.75 WELLNESS PROGRAM
healthwise® INVOICE 7-
i for every health decision
Healthwise, Incorporated
PO Box 9989
Bolse, ID 83709 -1989 Invoice Number: 44603
Invoice Date: 07/27109
Page: 1
Bill Ship
To: Barbara Lamb To: Barbara Lamb
City of Carmel City of Carmel
943 Birnam Woods Trall One Civic Square
Indianapolis, IN 46280 Carmel, IN 46032
United States United States
Customer ID: CITY -0015
Ship Via: Freight P.O. Number: Prepaid MasterCard
Ship Date: 07/20/09 P.O. Date: 07/16/09
Due Date: 08/26/09 Our Order No. S015956
Terms: Net 30 Days SalesPerson: Joyce Lawrence
Item /Description Quantity Unit Unit Price Total Price
HWHB- 17R- US -EN -ST
Standard HW HB 17th Revised Ed. 485 Each 6.23 3,021.55
HWFL- 7R- US -EN -ST
Standard HWFL 7th Revised Ed 140 Each 6.23 872.20
Shipping Charges 625 0.48 300.00
Prepaid MasterCard no balance due
Sales Amount Subtotal: 4,193.75
Taxed: Invoice Discount: 0.00
0.00 Sales Tax: 0.00
Deposit: 0.00
Total: 4,193.75
Terms of this sale are governed by client's license agreement or term sheet with Healthwise and supersede any terms defined In client's P.O.
Payments received after the due date are subject to an interest charge of 1.5% per month, unless a different rate is stated In your agreement.
208.345.1161 MAIN
800.706.9646 TOLL FREE
J 208.345.1897 FAx
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Transaction Details as of 07/30/2009
Sale Date Description Amount
07/28/2009 HEALTHWISE INC 208 3316983 ID $4,193.75
Total Activity $4193.75 l
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
W 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
Barb Lamb Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/18/09 Drinks for t $14.17
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.
08/03/0°
B arb Lamb ALLOWED 20
IN SUM OF
$4,207.92
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
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 419-80 $4 207.9giaterials or services itemized thereon for
which charge is made were ordered and
570 -01 $14.1 Teceived except
20
r
Si ature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund