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HomeMy WebLinkAbout332032 11/13/18 Jl CITY OF CARMEL, INDIANA VENDOR: 354607 ONE CIVIC SQUARE CHARLES WHITAKER CHECK AMOUNT: $*******246.51* CARMEL, INDIANA 46032 308 w HAYDN DRIVE CHECK NUMBER: 332032 APT 1318 CHECK DATE: 11/13/18 CARMEL IN 40632 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 11.07.18 246.51 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 354607 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CHARLES WHITAKER IN SUM OF$ CITY OF CARMEL 308 W HAYDN DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service APT 1318 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CARMEL, IN 40632 Payee $246.51 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 $246.51 1 hereby certify that the attached invoice(s),or 11/7/18 11.07.18 Refund Premium Holiday for November and $246.51 301 301 301 301 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 ,2018;the BoardPublic Works approved a premium holiday for November. and December 2018. Pleaseprocess November:refunds from the Medical Escrow Fund for the following retirees, whose monthly.contributions will be.deducted automatically from their. . PERF:pension checks: .i li, ted addresses ma, not be in the accounts a able s, stem et. Return all checks to Barb Lamb in Human Resources. Thank you. Brad Bartrom $235.50 P.O. Box 526;Carmel', IN 46082 Mark Callahan $196.25 11080 East S+R 47, Sheridan, ISN 4606: Barry Crane $738:00 101 North Parker Avenue, Indiana alis,IN 4522 Leland:Goodman $235.50 2150 E 950 S,.Flatrock, IN 47234 Timothy Green .. $886:0.0. 11468.Senie.Lane, Carippl..IN46032 David-Meade $886.00 1511 QueensborouWi I)rive, Carmel;IN 46033 Donald Mead $886:00 992 Vista del Norte,Payson,AZ 85541 Stephen Reeves $886;00 5.80 Barbee Lane;:Indianapolis, IN 46280. Frank Vallone.: $886.00. 10707 Morristown Court; Carmel*032. Robert VanV.00rst $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 Young $264.77 14295 Es.rit Drive, C el, IN 4507 i! h hOV 13 2018 q �l _ ii