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HomeMy WebLinkAbout332021 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 00351704 ONE CIVIC SQUARE DAVID MEAD CHECK AMOUNT: $*******886.00* 'Q CARMEL, INDIANA 46032 1511 QUEENSBOROUGH DRIVE CHECK NUMBER: 332021 CARMEL IN 46033 CHECK DATE: 11/13/1 8 <tpN Cps DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 11.07.18 886.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00351704 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DAVID MEAD IN SUM OF$ CITY OF CARMEL 1511 QUEENSBOROUGH 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. CARMEL, IN 46033 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 11.07.18 50-239.90 $886.00 1 hereby certify that the attached invoice(s),or 11/7/18 11.07.18 Refund Premium Holiday for November and $886.00 301 301 301 301 December 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 Tuesday, November 13,2018 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 INVOICE On:November 7, 201.8, the Board' -of Public Works approved a premium holiday for November and December.2018. Please process Novemberrefunds from the Medical Escrow Fund(301) for the following retirees, whose monthly'contributions-will be:deducted automatically from their PERF-pension checks: ;ghlghted addresses may not be in the accounts payable system vet Return all checks to Barb Lamb in Human Resources. Thank you.. Brad-Bartrom $23:5.50 P.O. Box 526,Carmel; IN 46.082 Mark Callahan $196.25 11080 East SSR 47, Sheridan, TN 45U5= :Barry Crane $738:00 1©1 North Parker Avenue, Indiana —1`0111006 4522 Leland Goodman . $235.50 2150 E 950 S,.Flatrock;IN 47234 Timothy Green $886:00 11468 Senie Lane, Carmel. IN 46032 :aavidMea:dIN$886.00 1`511 QueensboroughDrive,: 46033 Donald Mead $886.00 992 vista del Norte, Payson,AZ 85541 Stephen Reeves $886:00 - 580 Barbee-Lane, Indianapolis, IN 46280. Frank Vallone $886.00 10707 Morristown Court; Carme146032 Robert VanVoorst $196.25. 23402 Mule Barn Road, Sheridan, IN 4.6069 Richard Viehe $429.11 2374 W, State Road 234;Fortville,IN 46040 Charles Whitaker- $246.51 308 W.-Haydn Drive, Apt 1318, Carmel;IN 47032 Alan Yours $264.77 14295 Es rit Drive, Carmel, Ilv 4507 R 1� NOV 13 2018 h t;