PJM6025 Budget Assignment
I N V O I C E
===================================================================================== CTG Health Solutions Invoice No: 3885842 877639 BW Phone:(800) 992-5350 Ext.3322 Invoice Date: 08/26/15 500HLO Contact: Jaime Golofit Contract No: 72360128 jaime.golofit@ctg.com Terms: Immediate Pay Tax ID: 16-0912632
Customer No: 3102739 P.O. Number:
B R I Accounts Payable-IS E L Healthcare Partners Medical Group M Computer Task Group, Inc. L 19191 South Vermont Avenue I P.O. Box 711778 Torrance, CA 90502 T Cincinnati, OH T 45271-1778 O T O ===========================================================================================
We appreciate the opportunity to be of service to you.
To ensure proper handling of your payment, please include the invoice number and amount paid on your remittance notice.
============================================================================================ From 08/08/15 Thru 08/21/15 *--- S E R V I C E S --* *------------ E X P E N S E S -----------* RATE UNITS AMOUNT -------------------------------------------------------------------------------------------- Project 72360128 HCP-EIM Implementation Proj
ANDERSON, ROBERT N. SOW# 1001-66 08/14/15 150.00 38.00 5700.00 08/21/15 150.00 40.00 6000.00 -------- ---------- ----------- 78.00 11700.00
BHATT, MANOJ SOW# 1001-77 08/14/15 105.00 40.00 4200.00 08/21/15 105.00 40.00 4200.00 08/21/15 ROOM 250.00 ----------- 250.00 -------- ---------- ----------- 80.00 8400.00 250.00
BRISTOL, CHRISTOPHER K. SOW# 1001-66 08/14/15 150.00 40.00 6000.00 08/21/15 150.00 28.00 4200.00 -------- ---------- ----------- 68.00 10200.00
DENNISON, KARL SOW# 1001-66 08/14/15 210.00 40.00 8400.00 08/21/15 210.00 40.00 8400.00
Page: 2 of 3 I N V O I C E
======================================================================================== CTG Health Solutions Invoice No: 3885842 Phone:(800) 992-5350 Ext.3322 Invoice Date: 08/26/15 500HLO Contact: Jaime Golofit Contract No: 72360128 jaime.golofit@ctg.com Terms: Immediate Pay Tax ID: 16-0912632
Customer No: 3102739 P.O. Number:
============================================================================================
*--- S E R V I C E S --* *------------ E X P E N S E S -----------* RATE UNITS AMOUNT -------------------------------------------------------------------------------------------- Project 72360128 HCP-EIM Implementation Proj
-------- ---------- ----------- 80.00 16800.00
HALL, KREG SOW# 1001-66 08/14/15 275.00 15.00 4125.00 08/21/15 275.00 40.00 11000.00 -------- ---------- ----------- 55.00 15125.00
HERMAN, FRANKLIN B. SOW# 1001-66 08/14/15 200.00 16.00 3200.00 08/21/15 200.00 18.00 3600.00 -------- ---------- ----------- 34.00 6800.00
INAMPUDI, BHAGATH SOW# 1001-75 08/14/15 175.00 40.00 7000.00 08/21/15 175.00 40.00 7000.00 08/21/15 ROOM 250.00 ----------- 250.00 -------- ---------- ----------- 80.00 14000.00 250.00
JILLA, SHEETAL SOW# 1001-75 08/14/15 165.00 40.00 6600.00 08/21/15 165.00 40.00 6600.00 08/21/15 ROOM 250.00 ----------- 250.00 -------- ---------- ----------- 80.00 13200.00 250.00
KATKAM, SATYAPAL SOW# 1001-66 08/14/15 135.00 40.00 5400.00 08/21/15 135.00 40.00 5400.00 -------- ---------- ----------- 80.00 10800.00
LEMKE, DENISE SOW# 1001-78
Page: 3 of 3 I N V O I C E
======================================================================================== CTG Health Solutions Invoice No: 3885842 Phone:(800) 992-5350 Ext.3322 Invoice Date: 08/26/15 500HLO Contact: Jaime Golofit Contract No: 72360128 jaime.golofit@ctg.com Terms: Immediate Pay Tax ID: 16-0912632
Customer No: 3102739 P.O. Number:
============================================================================================
*--- S E R V I C E S --* *------------ E X P E N S E S -----------* RATE UNITS AMOUNT -------------------------------------------------------------------------------------------- Project 72360128 HCP-EIM Implementation Proj
08/14/15 150.00 40.00 6000.00 08/21/15 150.00 40.00 6000.00 -------- ---------- ----------- 80.00 12000.00
PARIMI, RAYUDU SOW# 1001-75 08/14/15 105.00 40.00 4200.00 08/21/15 105.00 40.00 4200.00 08/21/15 ROOM 250.00 ----------- 250.00 -------- ---------- ----------- 80.00 8400.00 250.00
WALTON, JOHN G. SOW# 1001-66 08/14/15 225.00 38.50 8662.50 08/21/15 225.00 38.00 8550.00 -------- ---------- ----------- 76.50 17212.50
------------- ------------ Total Services 144637.50 Total Expenses 1000.00
Tax @ .00 % .00
Invoice Totals 144637.50 1000.00
********************************************************************************************* TOTAL DUE $ 145,637.50 *********************************************************************************************