HomeMy WebLinkAbout332004 11/13/18 +p1_C�q�
J�/ \f� CITY OF CARMEL, INDIANA VENDOR: 022520
:\. CHECKAMOUNT: $*******235.50*
ONE CIVIC SQUARE BRAD BARTROM
r ?� CARMEL, INDIANA 46032 Po Box 526 CHECK NUMBER: 332004
, ETON�° CARMEL IN 46082 CHECK DATE: 11113/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 11.07.18 235.50 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 022520 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BRAD BARTROM IN SUM OF$ CITY OF CARMEL
PO BOX 526 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 46082
Payee
$235.50
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 $235.50 1 hereby certify that the attached invoice(s),or 11/7/18 11.07.18 Refund Premium Holiday for November and $235.50
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 Z, 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: :i hued addresses ma, "not in the accounts payable sys,�tem et
Return all checks to Barb Lamb in Human Resources. Thank you.
Brad Bartrom $23.5:50 - P.O. Box 526; Carmel;,IN 46082
Mark Callahan $196.25 11080 East S+R 47, Sheridan, IN 46U6' -
Barry Crane $738.00 .�North Parker Avenue, Indiana ohs, IN 4622
Leland Goodman $235.50 2150 E 950 S, Flatrock, IN 47234
Timoft Green $886:00 11468 genie 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,:1N 46280.
Frank Vallone $886.00 10707 Morristown Court; Carmel 46032.
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 Young $264.7714295 Es rit Drive, Carmel, IN 4G07
k
NOV 13 2018
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