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
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