HomeMy WebLinkAbout314024 7/26/2017 CITY OF CARMEL, INDIANA VENDOR: 358069
CHECK AMOUNT: $f R f k f
f f 300.00'
ONE CIVIC SQUARE KIMBERLY BABE
CARMEL, INDIANA 46032 8HEBoiaAD CHECK NUMBER: 314024
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CHECK DATE: 07/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 07.24 .17 300.00 OTHER EXPENSES
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City of Carmel Employee Health Benefit Plan
Health Savings Account Incentive
The retired plan participant listed below has elected Plan A for 2017 and is eligible for a bi-
annual contribution to his or her HSA account, as authorized by Resolution BPW-10-03-12-02.
Payroll: Please return check to Human Resources for distribution
Plan Participant/Payee:
Kimberly Babb MAKE CHECK PAYABLE... TO KIMBERLY ONLY
14138 Shelborne Road
Westfield,IN 46074
Amount: $300.00
Fund: Medical Escrow Fund (301)
Date: July 24, 2017
Submitted To
JUL 2 5 2017
Clerk Treasurer