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HomeMy WebLinkAbout314035 07/26/17 Cqq "� CITY OF CARMEL, INDIANA VENDOR: 068150 ....... ONE CIVIC SQUARE BARRY CRANE CHECK AMOUNT: $ 500.00 4 CARMEL, INDIANA 46032 11208 CARMEL ERSTICK RD CHECK NUMBER: 314035 ,,.roN�: CHECK DATE: 07/26/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 07 .24 .17 500.00 OTHER EXPENSES n 0 ca < < \ j § z k O / 0 \ 0 $ 0 ® m Rq « o m CL k / / / % © o b ® S 0 ( \ m O - ^ ƒ ƒ A [ CL CL T e , > ° q / \ § k\ § § m f § # CL CL X � z 2 \ (A0 CD C Cil 0 0 E E i m $ k w . 2(13 > k 0 \ 2 f Z ? § k i \ ƒ / \ § m H ° 2 R / k o E CD { ; # f E g a } C ( 9 $ ® / f k - § C 2 % J G I 0 %0) Cn 0 " J / }(CD C? K S' co w CL - 0) E E _ § - ] » ƒ �/ } � a f cg > Q a J Km w K3 m o ' e o > k$ CL m \ ƒ CD \ D \ �® ) \ 7 0kq � a 0 co g}} q C / / \) / § § %k \c. \ k �0 eo E } �k - C CD ) & W o o ) ) a « �7 ƒ § / ® CL2 } f 0 / / j E CD \ \ 0 7 ± z \ ] \ E $ C T03 R a m m m / } n = o # ] { § 0 - \ CL - ] k ® CD ° aro � \ f E > k ; \ $ { o E \ Z A 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: Barry Crane 11208 Haverstick Road Carmel, IN 46033 Amount: $500.00 Fund: Medical Escrow Fund (301) Date: July 24,2017 Submitted To JUL 2 5 2017 Clerk Treasurer _ j