HomeMy WebLinkAbout327614 07/18/18 Q
CITY OF CARMEL, INDIANA VENDOR: 370352
ONE CIVIC SQUARE GREGORY MEEKS CHECKAMOUNT: $*******300.00*
CARMEL, INDIANA 46032 109 BIMINI COURT CHECK NUMBER: 327614
PANAMA CITY BEACH FL 32413 CHECK DATE: 07/18/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 07.10.18 300.00 OTHER EXPENSES
Prescribed by State Board of Accounts any r-orm No.eu i trum iaao)
VOUCHER NO. WARRANT NO.
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 370352
IN SUM OF$ CITY OF CARMEL
GREGORY MEEKS
109 BIMINI COURT An invoice or bill to be properly 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.
PANAMA CITY BEACH, FL 32413
Payee
$300.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
301 Medical Fund
Date Due
301 Medical Fund
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
07.10.18 50-239.90 $300.00 1 hereby certify that the attached invoice(s),or 7/10/18 07.10.18 Bi-Annual Health Savings Account $300.00
301 301 301 301 Contribution
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
Thursday,July 12,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
City of Carmel:Employee Health Benefit Plan
Health Savings Account Incentive
The retired plan participant listed below has elected Plan A for 2018 and is eligible for a bi-
annual contribution to his or her HSA account, as authorized by Resolution BPW-10-03-12-02.
Clerk-Treasurer: Please return check to Human Resources for distribution.
Plan Participant/Payee:
Gregory Meeks
109 Bimini Court
Panama City Beach, FL 32413
Amount: $300.00
Fund: Medical Escrow Fund (301)
Date: July 10,2018
Submitted To
JUL 11 2018
Clerk Treasurer