HomeMy WebLinkAbout329451 08/27/18 4+W.C�q�F
CITY OF CARMEL, INDIANA VENDOR: 372710
al 'z. CHECK AMOUNT: $*******426.93*
ONE CIVIC SQUARE MARY JANE PETERS
a;• CARMEL, INDIANA 46032 990 TILLSON DRIVE CHECK NUMBER: 329451
y��TON^�r, ZIONSVILLE IN 46077 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4110000 08.22.18 426.93 FULL TIME REGULAR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372710
MARY JANE PETERS IN SUM OF$ CITY OF CARMEL
990 TILLSON DRIVE 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.
ZIONSVILLE, IN 46077
Payee
$426.93
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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 $426.93 1 hereby certify that the attached invoice(s),or 8/23/18 08.22.18 Withholdings Refund/Reimbursement $426.93
1201 101 1201 101
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,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
20Cost 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($106.9.1)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,
sme
Sue tiVolfgang 0, Employee Benefits Manager
City of Carmel,00- Department ofHuman Resources
317.571.5850 ® swolfgang@carmel.in.gou
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