HomeMy WebLinkAbout235234 07/22/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 368453
CHECK AMOUNT: $****12,000.00*
ONE CIVIC SQUARE MARY ALICE WARNERCARMEL, INDIANA 46032 CHECK NUMBER: 235234
CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
802 4126500 12,000.00 RETIREMENT-DEATH BENE
CITY OF CARMEL
(Name of Governmental Unit)
FIRE Pension Fund
To Disbursing Officer:
The following is a schedule of Pension and Disability payments due members, or their dependents,for which it is requested
individual warrants be issued,payable from the above named fund.
Payment due July 2014
WARRANT NAME GROSS TAX AMOUNT OF
NUMBER PAYMENT WITHHELD WARRANT
Mary Alice Warner $12,000.00
Death benefit of Tim Lee Warner member of the 1937
Police and Fire Pension Plan.Deceased 07/16/2014
Net $12,000.00
CERTIFICATE
I hereby certify that the foregoing amounts are just and correct . d that if .sec; been paid.
-91 ,Pension Fund
Claim No. Warrant No.
In Favor Of
Pe s' ners ScIdukil Herein
Gross Payments: $ 12,000.00 �.
Tax/Ins.Withheld: $
Amount of Warrants: $ 12,000.00
I
On Account of Appropriation
For FIRE PENSION BOARD
I have examined the within claim and
hereby certify that same is in proper form and correct
and I hereby authorize payment of same.
Secretary -FIRE Pension Fund
Approved for Payment by the
Board of Trustees
i
ident f rd
A.E.EOYCE CO.,MUNCIE,IND.89
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