HomeMy WebLinkAbout319057 11/27/17 1�.C4Ab
€� CITY OF CARMEL, INDIANA VENDOR: 00351674
ONE CIVIC SQUARE ' STEPHEN REEVES CHECK AMOUNT: $"*"`""886.00*
CARMEL, INDIANA 46032 580 BARBEE LANE CHECK NUMBER: 319057
9 ... .o. INDIANAPOLIS IN 45280 CHECK DATE: 11/27/17
F iDN G
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT_ DESCRIPTION
301 5023990 11.27.17 886.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# '00351674 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
STEPHEN REEVES IN SUM OF$ CITY OF CARMEL
580 BARBEE LANE An invoice or bill to be property itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46280
Payee
$886.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
301 Medical Fund Terms
301 Medical Fund Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
11.27.17 50-239.90 $886.00 1 hereby certify that the attached invoice(s),or 11/27/17 11.27.17 Reimburse Retiree Insurance Premium(ACH) $886.00
301 301 301 301
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, November 27,2017
Lamb, Barbara
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Travison,Linda
From: Lamb,Barbara A
Sent: Monday,November 27,2017 10:31 AM
To: Travison,Linda
Subject: Steve Reeves Refund
Linda.
Please refund retiree Stephen Reeves$886.00 from the medical fund. Steve recently elected to have his premium
deducted from his INPRS pension check. I did not get his ACH stopped, so he paid by ACH and pension deduction in
November 2017. His ACH payment needs to be refunded.
Please return the refund check to me. Steve will stop by and pick it up. Thank you.
, WXWa 4, La�r6
Director of Human Resources
blamb@carmel.in.gov
317-571-2471 Phone
317-571-2409 Fax
s �
�IN 2 7 2017