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310766 04/26/17 CITY OF CARMEL, INDIANA VENDOR: 120950 ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $"'*""237.67" 9, ) CARMEL, INDIANA 46032 C/O DEPT OF LAW CHECK NUMBER: 310766 C!0 DEPT OF LAW CHECK DATE: 04/26/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 04 . 18. 17 237.67 OTHER EXPENSES n 0 o O « « ° m O O 0 o § 0 k � 2 2 O O ECL 0 0 } z �D c --iC/) # mk (Z � k_ k 0 0 � E ® / ƒ ƒ N ƒ CL CL _0 3 k k4 } « § c > R e $ � \ § § m / zit 8 CL CLD & \ 2 2 ? 2 ° > -n O \_ 4 \ q 4 \ l< a , 3 g — z > a i = � k ƒ ) § % E 0 0 < § K H q 2 % m m o c , f � - m - ; « J CA 3 f ' k E a w > CD - 06 0 R @ K § K N m $ o E R § CD E E _ 0 / \ k g 4 CL - CDƒ N I 3 g o g © � « ƒ E I m - a o 2 \ 2 K \cr - m ) k \ E D / 0 \ 0 E � k $ C 0 a 0 }/ § PD 0 0 ƒ :3 -4 w # D k Z a , § m 3 § 2 %E § k Cl) § 2 \/ CD gr - . . a � )o �\ } 2 a = �7 &< 0 o 2 #) E � M « -� — � 0 f n \\ } j U \ \ r- 0 £ ¥ 2 \ ] i E ; C 0 % $ } } n § CD LT [ 21 k 2 M �n § CD7 u § k i 7 2 p � 2 § \_ K & a \ Q . < ) _ CD q -1 / CLAIM FOR PREMIUM REIMBURSEMENT - LONG TERM DISABILITY CHECK PAYABLE TO: DOUGLAS HANEY DELIVER CHECK TO: SUE WOLFGANG AMOUNT: $237.67 LINE ITEM: 221 An overpayment in LTD premium was being deducted from Doug Haney's paychecks for the entirety of the 3/1/2016 through 2/28/2017 premium year, as well as one payroll period into the 3/1/2017 through 2/28/2018 premium year. At the beginning of 2016, he had reached the salary maximum and a cap should have been placed on premium payment. This check reflects the difference in what Haney actually paid in premium versus what he should have been paying during the time period referenced above. 3/1/2016-2/28/2017 Haney was paying: $74.89/pay 3/1/2016-2/28/2017 Haney should have paid: $66.50/pay Difference: $8.39/pay x 26 pays Overpayment: $218.14 3/1/2017-2/28/2018 Haney was paying: (1 pay period - 1705) $91.03 3/1/2017-2/28/2018 Haney should have paid: $71.50 Overpayment: $19.53 TOTAL OVERPAYMENT ($218.14 +$19.53) $237.67 Submitted To APR 2 5 2017 Clerk Treasurer