317486 10/19/2017 CITY OF CARMEL, INDIANA VENDOR: 368417
D ONE CIVIC SQUARE JONATHAN MUELLER CHECK AMOUNT: $""****"**8.19*
CARMEL, INDIANA 46032 7226 CENTRAL
PARK AVE 20912 CHECK NUMBER: 317486
CHECK DATE: 10/19/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 REFUND 8.19 REFUND 0440284908
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City
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Office of the
Clerk-Treasurer j
March 15,2017
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JONATHAN MUELLER
7226 Central Ave.
Takoma Park,MD 20912
368417
Dear Valued Vendor,
On 07/14/2014, the City of Carmel issued check number 234731 payable to JONATHAN MUELLER in the
amount of$8.19. This check was issued regarding invoice number(s)REFUND. As of the date of this letter,
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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 dwalthal(fcarmel.in.Aov , or
mail it to the City of Carmel, Attn: Dianne Walthall,One Civic Square,Carmel, IN 46032. The form must be
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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.
Since ely,
Dianne Walthall
Deputy Clerk—Director of Finance
Office of the Clerk-Treasurer
317-571-2414
********************COMPLETE SECTION BELOW AND RETURN**********************************
Name; Jgyta "" /i'!VC,{.[C41-
Mail
check to this address: r A
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C)NE CIVIC SQUARE CARMEL,INDIANA 46032 3171571-2414
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