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Yea Alternatives. impeweing Wenn for Life Invoice No: IND-1018-0010 ‘id To Indiana State Department of Healt Invoice Date: 0262016 ATTN: Finance (Purchasing, 2C. ‘Ordec Number: 0015523208 2N. Meridan Steet Fund {819101571513 / 305000 Indianapolis IN 46204 Description of Services ‘Personal Services Federat10: 23.2068660 Contract Period 10/172015 -ac0r2016 Contract Amount '$3,500,000.00, Contract Number A705-061137 Date of Services: riva018 - 73172016 Payment requested for: Real Atematives, nc. Description of Senices and Total Paid: § 18405473, See attached detaed charges requires by ISDH program Project Code: NA ‘Atty Code: WA Zz. Vendors Signature gif Pha Date 7810 Atontown Boulevard, Sute 308, Harisburg, A712 THTSAI-1112 V)_TH7-S44-713 wow RealAtomatves.og + vow LoveFacs org + wir ConcemedParets om ‘raamie “Mt “Taso mgs tan ane =o — = a (cost Caegory Budgeted Dor] Actual Expenses] Actal Exposes] (peronne ‘yiowune 2016 | 36 [resident CEO. $33.00000]§ 3527652 [8 2,729.63 [ve ot Administration '$13,00000]§ 1040150] $1338.40 (Asst Decor of Finance sa00| - $000 [enor Accountant $000.00 [$345.55 | S767, buniorAcoureant 200000] § = $000 booreeper $3,00000|$ 55896 314.69 Protessonal Development '$200000[$ios2.07 | $2066 [pyr Taxes $650000|$ 27648] suaza1 [Workers Compensation insuranc $20000| $ 15259) ‘ou Penson 3375000] $ 132605 | $1108 Employee Grovp surance 313.00000]$ 82546] $1692.94 lo Advertsing 3300.0 | $ a3 = [New Empioyee Seeing s75000| § s Totl Personne! its. 30000] §—sas157|$ esas [operating (Bodgeted Oats [acounting//tegalConsuting | $20.00000|3 —239753| s21838 [rosage/Spping '1500000|§ 751.88] $1715 [ausing '$350000|$igo733 | $43236 [ravevtodgng $300.00 | $ 3 $0.00 Inne $i 00000 [$622.93 | Fi3a2.9 [telephone Server $350000 | §__157675. $5480 [ceneal usiness Labi sur '$75000[$ 27832 $6153 Insurance rectors & Offers 31250.00]'$ 650.68 | $155.60 lffice fxpense 31,7000 [$3627 | 9136958 [comouter Resorts $25,000.00 | $ = $ 5 Taal Operating ‘520700 | §—wraszes |S 38007 [ance tat] a pes tr nag | cet oo |feeams |e frees eons seonee| —sususe|e vam [ sss [cece con Staoa0| s —somsi| aus] sana] — [fiegtonerr a TI eee Suasoan|s—iswar| same [sae S136 aac be mat Ssaonar[s— suas] sao sataae] sas Ess Ronse | faamo|s—~ reat] paar [5 —“sst] sean as ‘Samoans rae] — sierra | suo re Soaan [sors [5 asses] set =< ‘Sne[}—“a ‘ane| se mmrmee | Sumo [s apse] van] ayrum | suze oor Tams news — ae a co ‘gana wea [5 — 7m fessnaeenene | sesame eat Saas s ans 2 [versed] — 5 ‘ssame|s raw] sexaon Vreven ust|s aust za abe og a TE (merece pan|s-taesana| —suronerss ioasres| amore ftw trate Ssona[s east] soars oss] oe fees oot i ‘aos 000 (rapaas z Fprerors a cma <i 5 — sense] —srsaa]s —aescol ora)