HomeMy WebLinkAbout212789 09/12/2012 emu, CITY OF CARMEL, INDIANA VENDOR: 366529 Page 1 of 1
ONE CIVIC SQUARE irt4t!rLAPEL PINS PLUS NETWORK LLC
CARMEL, INDIANA 46032 5840 RED BUG LAKE ROAD CHECK AMOUNT: $539.00
SUITE 35
«o CHECK NUMBER: 212789
WINTER SPRINGS FL 32708
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 65054 539 . 00 WELLNESS PROGRAM
The s Lapel Pin Plus Network, LLC
_ �
5840 Red Bug Lake Road, Suite 35 Invoice
Winter Springs, FL 32708
1-800-252-0904 A
Date 8/10/2012
Invoice # 65054
� ll To � [ Ship To
PO#26461 PO#26461 Human Resources
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
USA USA
P.O. No.— - _-1 --- _Terms -_-� Ship Date----- I --_ --Via --- '
26461 Net 30 8/27/2012
Qty Description U/M Unit Price Amount
100 1.75 Custom Challenge Coins/Medallions 4.14 414.00
2 Custom Mold Fee 62.50 125.00
1 UPS International Shipping - Free 0.00 0.00
Total $539.00
SEP 10 2012 Pymnts/Credits $0.00
Balance Due $539.00
By
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Lapel Pins Plus Network, LLC
IN SUM OF $
5840 Red Bug Lake Road, Suite 35
Winter Springs, FL 32708
$539.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
65054 43-419.80 $539.00 I hereby certify that the attached invoice(s), or
2 8
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, September 10, 2012
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
08/10/12 65054 $539.00
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