HomeMy WebLinkAbout170115 03/18/2009 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: $500.00
INDIANAPOLIS IN 46240
CHECK NUMBER: 170115
CHECK DATE: 3118/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 2689 500..00 WELLNESS PROGRAM
Spectrum Health Systems Invoice
3535 East 96th Street Suite 114
Indianapolis, IN 46240 Date Invoice
3/4/2009 2689
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 Incentives Target Gift Certificates 500.00 500.00
We appreciate our partnership.
Total $500.00
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
ISpectrum Health Systems Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03104109 2689 s Health neentives Target Gift Certificates $500.00
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.
03/16/W
ALLOWED 20
Sp ectrum Health Systems
IN SUM OF
3535 East 96th Street, Suite 114
Indianapolis, IN 46240
$500.00
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1201 Human Resources
Board Members
PO# or
DEPT 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 9 689 41@ 80 $50 .00 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund