Loading...
HomeMy WebLinkAbout327624 07/18/18 9''� CITY OF CARMEL, INDIANA VENDOR: 00350735 • ONE CIVIC SQUARE BOB VANVOORST CHECK AMOUNT: $*******300.00* :� ;_; CARMEL, INDIANA 46032 23402 MULE BARN ROAD CHECK NUMBER: 327624 .ydTON�°' SHERIDAN IN 46069 CHECK DATE: 07/18/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 07.10.18 300.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00350735 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BOB VANVOORST IN SUM OF$ CITY OF CARMEL 23402 MULE BARN ROAD 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. SHERIDAN, IN 46069 Payee $300.00 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 07.10.18 50-239.90 $300.00 I 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 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: Robert VanVoorst 23402 Mule Barn Road Sheridan, IN 46069 Amount: $300.00 Fund: Medical Escrow Fund (301) Date: July 10,2018 213 S U b R31 To JUL 1 .1 2018 fa- n ! \ CITY OF CARMEL, INDIANA VENDOR: 022520 ONE CIVIC SQUARE BRAD BARTROM CHECK AMOUNT: $*******300.00* a9� j CARMEL, INDIANA 46032 PO Box 526 CHECK NUMBER: 327602 M,i*oN�o. CARMEL IN 46062 CHECK DATE: 07/18/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 07.10.18 300.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 022520 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BRAD BARTROM IN SUM OF$ CITY OF CARMEL PO BOX 526 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. CARMEL, IN 46082 Payee $300.00 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 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: Brad Bartrom P.O.Box 526 Carmel, IN 46082 Amount: $300.00 Fund: Medical Escrow Fund (301) Date: July 10, 2018 �ubm a lied To JUL 11 2018 Clerk Treazsurer