HomeMy WebLinkAbout314073 7/26/2017 �' ���`' CITY OF CARMEL, INDIANA VENDOR: 00351674
= `° ONE CIVIC SQUARE STEPHEN REEVES
CHECK AMOUNT: $*******400.00*
CARMEL, INDIANA 46032 580 BARBEE LANE CHECK NUMBER: 314073
9i r, INDIANAPOLIS IN 46280 CHECK DATE: 07/26/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
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:
Stephen Reeves
580 Barbee Lane
Indianapolis, IN 46280
Amount: $400.00
Fund: Medical Escrow Fund (301)
Date: July 24,2017
Subm t-ted To
JUL 2 5 2011
Clerk Treasurer