HomeMy WebLinkAbout332006 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 00350098
® ONE CIVIC SQUARE MARK CALLAHAN CHECK AMOUNT: $***...*196.25
CARMEL, INDIANA 46032 14339 HAZEL DELL ROAD CHECK NUMBER: 332006
CARMEL IN 46033 CHECK DATE: 11/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 11.07.18 196.25 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350098 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MARK CALLAHAN IN SUM OF$ CITY OF CARMEL
14339 HAZEL DELL ROAD 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 46033
Payee
$196.25
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 $196.25 1 hereby certify that the attached invoice(s),or 11/7/18 11.07.18 Refund Premium Holiday for November and $196.25
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 201.8. Please process November refands from the Medical Escrow Fund.(301) for
the following retirees, whose monthly contributions will be.deducted automatically from their.
PERF pension checks. :i blighted addresses mai not be i71m,Maccounts a, able s, stern et.
Returnall checks.to Barb Lamb m Human Resources. Thank you.
Brad Bartrom $235.50 P.O. Box 526;Carmel,IN 46082
=Callahan $196.25 11TI00 80 East S+R 47, Sheridan, IiN 4EOf'
Barry Crane $738.00 . 6101 North Parker Avenue, Indianat�ols. IN 462+2 0
Leland Goodman $235.50 2150 E'950 S, Flatrock, IN 4.7234
Timothy Green . $886-00 11468 Senie Lane, Carmel..IN 46032
DavidMead $886.00 1511 Queensborough Drive, Carmel-- IN 46033 .
Donald Mead $886.00NNE Vista del Norte,Payson,A2 85541
Stephen Reeves w $886.00 580 Barbee Lane; Indianapolis, IN 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 $246.5.1 - 308 W. Haydn Drive, Apt 1318; Carmel,IN 47032-
Alan Young - $264.77 14295 Es rit Drive, Carmel, IiN 4b07
13
N 0 V 13 2018-
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