317475 10/19/2017 ° yyM
CITY OF CARMEL, INDIANA VENDOR: 248970
® ONE CIVIC SQUARE ANN GALLAGHER CHECK AMOUNT: S"`"`"24.91`
=a�MCARMEL, INDIANA 46032 3 CIVIC SQUARE CHECK NUMBER: 317475. CARMEL IN 46032 CHECK DATE: 10/19/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 24.91 OTHER EXPENSES
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Office of the
Clerk-Treasurer
March 15,2017
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ANN GALLAGHER
171 Parkview Court j
Carmel, IN 46032
248970
Dear Valued Vendor,
On 02/11/2014, the City of Carmel issued check number 229009 payable to ANN GALLAGHER in the amount
of$24.91. This check was issued regarding invoice number(s)REIMB. 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 dwalthall@carmel.in.gov,, 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**********************************
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GdEName:
Mail check to this address: C12
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ONE CIVIC SQUARE CARMEL,INDIANA 46032 317/571-2414