HomeMy WebLinkAbout332034 11/13/18 d.C�H
"'. CITY OF CARMEL, INDIANA VENDOR: 00351007
ONE CIVIC SQUARE ALAN YOUNG CHECK AMOUNT: $*******264.77*
f ;_� CARMEL, INDIANA 46032 8772 PINE ACRES CHECK NUMBER: 332034
v��TON�, KALAMAZOO MI 49009 CHECK DATE: 11/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT. DESCRIPTION
301 5023990 11.07.18 264.77 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00351007 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ALAN YOUNG IN SUM OF$ CITY OF CARMEL
8772 PINE ACRES 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.
KALAMAZOO, MI 49009
Payee
$264.77
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 $264.77 1 hereby certify that the attached invoice(s),or 11/7/18 11.07.18 Refund Premium Holiday for November and $264.77
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
All", 7co_� -
4
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. Pleas
eprocess Novemberref nds fro ' the Medical Escrow Fund(301) for
the following retirees,whose_monthly.contributions will be,deducted automatically from their
PERF.pension checks. 1% ted addresses ma; not be in the accounts as able s, st et.
Return all checks to BarbLamb in Human Resources. Thank you..:
Brad Bartrom .$235.5.0- P.O. Box 526; Carmel, IN-46.082
Mark Callahan. $196.25 11080 East SR 47, Sheridan, IN 4606.'
Barry Crane - $738:00 101 North Parker Avenue, Indiana olis,IN 4622
Leland:Goodman $235.50 2150E 950'$, Rlatrock, IN 47234
Timothy Green
$886:00 11468 Seriie Lane, Carmel. IN 46032
Q
David Mead $886.00, 1511 : ueensborough 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.Moirristown Court; Carmel 46032
Robert VanVoorst. $196.25 23402 Mule Barn Road;Sheridan, IN 4.6069
Richard Viehe $429.1-1 2374 W. State Road 234;Fortville; IN 46040
Charles Whitaker. $246.5.1 308 W.Haydn Drive, Apt 13:18, Carmel;IN 47032
Alan Younu $26.4.77 14295 Es rit Drive, Carmel, IN 4607
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