HomeMy WebLinkAbout314040 7/26/2017 CITY OF CARMEL, INDIANA VENDOR: 079900
>; .! CHECK AMOUNT: $*******417.16*
ONE CIVIC SQUARE GARY DUFEK
CARMEL, INDIANA 46032 12610 OVERTURE DRIVE CHECK NUMBER: 314040
CARMEL IN 46033 CHECK DATE: 07126117
` DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239012 17.16 SAFETY SUPPLIES
301 5023990 07 .24 .17 400.00 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:
Gary Dufek
12610 Overture Drive
Carmel, IN 46033
Amount: $400.00
Fund: Medical Escrow Fund (301)
Date: July 24,2017
Submi*ted To
JUL 2 5 2017
Clerk Treasurer