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HomeMy WebLinkAbout329450 08/27/18 �Cqq ^% CITY OF CARMEL, INDIANA VENDOR: 372712 ® a, ONE CIVIC SQUARE JORDAN ROBINSON CHECK AMOUNT: $*******273.12* i, a`: CARMEL, INDIANA 46032 506 WEST 7TH STREET CHECK NUMBER: 329450 9M,�TON�` SHERIDAN IN 46069 CHECK DATE: 08/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4110000 08.22 .18 273.12 FULL TIME REGULAR VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372712 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER JORDAN ROBINSON IN SUM OF$ CITY OF CARMEL 506 WEST 7TH STREET 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 $273.12 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Human Resources Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 08.22.18 41-100.00 $273.12 1 hereby certify that the attached invoice(s),or 8/22/18 08.22.18 Withholdings Refund/Reimbursement $273.12 1201 101 1201 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for whicti charge is made were ordered and received except Thursday,August 23,2018 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 Lamb, Barbara A From: Wolfgang, Sue E Sent: Wednesday,August 22, 2018 12:02 PM To: Bingman,Ann; Powers, Marcia Cc: Lamb, Barbara A Subject: Contact information for tax refund claims The three deceased employees owed tax refunds are as follows: Jeffrey Peters Entire check($462.93)should go to Mary Jane Peters ■ SSN: 309-70-6464 ■ DOB: 10/17/1962 ■ Address: 990 Tillson Drive, Zionsville, IN 46077 Mark Robinson Check($819.36)should be split evenly into thirds($273.12 each)and go to Jamie Robinson,Jordan Robinson and Brock Robinson ■ Jamie Robinson SSN: 309-92-0550 DOB: 03/11/1968 Address: 16334 Bay Meadow Circle,Westfield, IN 46074 ■ Jordan Robinson ' SSN: 312-04-8617 DOB: 04/13/1988 Address: 506 West 7th Street,Sheridan, IN 46069 ■ Brock Robinson SSN: 311-08-9423 DOB: 03/09/1990 Address: 407 Shadetree Court,Sheridan, IN 46069 Michael Williamson Entire check($106.91)should go to James Williamson ■ SSN: 308-44-1607 ■ DOB: 08/19/1941 ■ Address: 2421 Emerald Pines Lane,Westfield, IN 46074 Any questions, let me know. Regards, Sue Sue VVolfgang A- Employee Benefits Manager City of Carmel All- Department of Human Resources 317.571.5850 ® swolfgang@carmel.in.gov CONFIDENTIALITY NOTICE:This transmission(including any attachments)may contain information which is confidential and is intended solely for the recipient(s)named above.If you are not a named recipient,any interception,copying,distribution,disclosure or use of this transmission or any information contained in it is strictly prohibited, and may be subject to criminal and civil penalties.If you have received this transmission in error,please immediately call us at(317)571-2465,delete the transmission from all forms of electronic or other storage and destroy all hard copies.DO NOT forward this transmission.Thank you. 1