317483 10/19/17 9- )l
CITY OF CARMEL, INDIANA VENDOR: 367971
ONE CIVIC SQUARE IDA EDELEN CHECK AMOUNT: S 27.58'
CARMEL, INDIANA 46032 1335 S GUILFORD RD#82405 CHECK NUMBER: 317483 CARMEL IN 46032 CHECK DATE: 10/19/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 REFUND 27.58 OTHER EXPENSES
of CA/Q
i 0 i
y, ty
-0
f Carmel
Office of the
Clerk-Treasurer
March 15,2017
MAURICE EDELEN ODeC
1335 S Guilford Road#132405
Carmel, IN 46032
367971
Dear Valued Vendor,
On 02/25/2014,the City of Carmel issued check number 229338 payable to MAURICE EDELEN in the amount
of$27.58. This check was issued regarding invoice number(s)REFUND. As of the date of this letter,the check
remains outstanding. If this check should be reissued, please complete the bottom of this letter and return
by fax to 317-571-2410, or email the completed form in a PDF to dwalthallOcarmel.in.ao_v,, or mail it to the
City of Carmel, Attn: Dianne Walthall, One Civic Square, Carmel, IN 46032. The form must be received by
April 10,2017. After this date,the check will be voided and cannot be reissued.
If you have any questions,please contact me.
Sincerely,
Dianne Walthall
Deputy Clerk—Director of Finance
Office of the Clerk-Treasurer
317-571-2414
********************COMPLETE SECTION BELOW AND RETURN**********************************
Name:
Mail check to this address: 1:3 3 S -�5• Com;G Fol,--d 46-i- ZZ 4/0 S
3/7—T 66—/zc, -7
ONE CIVIC SQUARE CARMEL,INDIANA 46032 317/571-2414