Loading...
HomeMy WebLinkAbout314044 7/26/2017 CITY OF CARMEL, INDIANA VENDOR: 370350 CHECK AMOUNT: $**.....300.00' ONE CIVIC SQUARE JAMES FOSTER 7850 PARKDALE DRIVE CHECK NUMBER: 314044 CARMEL, INDIANA 46032 r ZIONSVILLE IN 46077 CHECK DATE: 07/26/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTIOTHER EXPENSESON 301 5023990 07 .24 . 17 300.00 w C- < « k Cl) m 3 k M k 2 ° l 0 0 _0 0 2 m C # $T $ o J / ¢ ® m R n E oW m { c > � / 2 E )/ Q z / m q / O / \ m o o 0 q 7 ; # -n m \ < CD Om � a a \ § / -n -n q / k \§ Z \ § § ; k a = # # a CL f 2 CL --I \ > -n O < _ I Q / § § m | E § Er 3 i a - 2 > L 0 E k ( § k i > - 7 § m ¥ § j R ƒ \ 4 E CD (A f / E E 3 } C k § r ® C f k - § m 2 % / n Z ƒ $ 0 k k J N ƒ s / ca 4 i ƒ 2 < G ® R J ° E & § = k ƒ § ® a 0 7 � - w G a « ƒ K Z w Q m o ' s E ° e \ 7 \ or m _ � � D / CD � 0 g � k o I a ® ( 8 g po k Q E 7 gCD ° � mƒ C o a U # % Z > C � m 4 § § 2 ik k k (nrr \ �0 o ; a \_/ ( \ / D ( q r D Sr § \ [ m C m : 9 0j E CD c * r O ? 7 / z co CA\ i { C % CD ƒ_ E (D ° n e M\ \ \ / \ CD / \ } CD CD© } CD m \ § k CD CD T CD \ coco 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: James Foster 7850 Parkdale Drive Zionsville,IN 46077 Amount: $300.00 Fund: Medical Escrow Fund (301) Date: July 24,2017 Submitted To JUL 2 5 2017 Clerk Treasurer