317478 10/25/2017 (9)
CITY OF CARMEL, INDIANA VENDOR: 366836ONE CIVIC SQUARE RACHEL BURKECHECK AMOUNT: S,,,,,,,,,,,,,,,,, 1.80CARMEL, INDIANA 46032 17081 SILVER VISTA LN CHECK NUMBER: 317478
WESTFIELDIN 46074 CHECK DATE: 10/19/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 REFUND 1.80 OTHER EXPENSES
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Office of the
Clerk-Treasurer
March 15,2017
RACHEL BURKE
163625 Meadowlands Court
Westfield, IN 46074
366836
Dear Valued Vendor,
On 01/14/2013,the City of Carmel issued check number 216292 payable to RACHEL BURKE in the amount of
$1.8. 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 dwalthall@carmel.in.eov,, 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,
w�Mat�4-q
Dianne Walthall
Deputy Clerk–Director of Finance
Office of the Clerk-Treasurer
317-571-2414
********************COMPLETE SECTION BELOW AND RETURN**********************************
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ONE CIVIC SQUARE CARMEL,INDIANA 46032 317/571-2414