332023 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 00351674
J' 2) ONE CIVIC SQUARE STEPHEN REEVES CHECK AMOUNT: $*******886.00*
CARMEL, INDIANA 46032 580 BARBEE LANE CHECK NUMBER: 332023
INDIANAPOLIS IN 46280 CHECK DATE: 11/13718
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION.
301 5023990 11.07.18 886.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00351674 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
STEPHEN REEVES IN SUM OF$ CITY OF CARMEL
580 BARBEE LANE An invoice or bill to be property 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.
INDIANAPOLIS, IN 46280
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
On November.7;2018,the Board:of Public Works approved a premium holiday for November
and December 2018. Please process November refunds,from the Medical Escrow Fund (301) for
the following retirees .whose monthly.contributions will be:deducted automatically from their
PERF:pension checks. Eighlgghted addresses may not bem the accounts aable s, stem et
Return all checks to Barb-Lamb in Human Resources. Thank you.
Brad Bartrom $235:50 P.O. Box 526; Carmel, IN 46.082
Mark Callahan $196.25 11080 East SR 47 Sheridan, IN 4406=
Barry Crane $738:00 1UI North Parker Avenue, Indi a ols, IN 4622+
Leland Goodman $235.50 2150 E 950 S,:Flatrock,IN 47234
Timoth Green -$886:0011468:Seriie Lane, Carmel. IN 46032
David Mead $886.00 1511.Queensborough Drive. Carmel, IN 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; Carmel 46032
RobertVanVoorst $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 Youna $26.4.77 14295 Es rit Drive, Carmel, IN 4GU7
NOV 13 2018