HomeMy WebLinkAbout332735 11/21/18 CITY OF CARMEL, INDIANA VENDOR: 318000
J'/ � ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $********49.12*
�+ CARMEL, INDIANA 46032 PO BOX 51797 CHECK NUMBER: 332735
MUTON�. INDIANAPOLIS IN 46251 CHECK DATE: 11/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 551299 49.12 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 318000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
VAN'S ELECTRICAL SYSTEMS INC IN SUM OF$ CITY OF CARMEL
PO BOX 51797 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.
INDIANAPOLIS, IN 46251
Payee
$49.12
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
551299 42-370.00 $49.12 1 hereby certify that the attached invoice(s),or 11/18/18 551299 Misc.Parts $49.12
1120 101 1120 101
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
Sunday, November 18,2018
David Haboush
Fire Chief
1
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
' -- - - --- ** lNVOlCE ** Pg l
REMIT TO:
P.O. Box 51797
Indianapolis, IN4G251
___ _______ _ _
V/-M%,- r1���~- 017-240-5900 ACCOUNT NO.
ELECTRICAL vanse|ec_co0MVANS DEL {VERY ol 10171
2541Ke * * C H A R G E * * CUST.SVC.REP.
Indianapolis,|N46231
201a 15 DAYS NET 30 SEE 8ELOW. . . .
DATE
CARMEL F (RE DEPT a CARMEL FIRE DEPT
/ 2 ClV (C SQ * 4925 E 106TN ST TIME OF ORDER
/
CARMEL (N 46032 CARMEL IN 46032
/ p
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Part Number Order Ship B/Q Description List Net Value
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"MARTHA FRANCES DURR 5045
240 3RD AVE NE 7"59/749
.CARMEL IN 46032 (�_ (a .2
Date
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<Z� �1 f cam.od
Order ofd !'L
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Dollars
FIFTH THIRD BANK .- -
For ,�2yy 2C)b
1:07490B594I: 00573B54 L5n' 05045
I�HERBERT E EVERSON AND SHIRLEY A EVERSON TRUST 740s/2740
HERBERT E EVERSON TRUSTEE 1193
SHIRLEY A EVERSON TRUSTEE
q 9802 WOODBRIAR LN. DATE 1 5-
INDIANAPOLIS,IN 46280
PAY TO THE
ORDER OF � may,�"
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elm- DOLLARS
w S FORUM®
PO BOX
IN 46250
I�o CREDIT UNION
I o
MEMO — J ---
1: 2740 ?LO 371: 13038931Silo 1193''
.. . .
Please Post to Account:2018-00000373:1 71859 9013
WILLIAM B FINNEY FIFTH THIRD BANK 749
43 MANCHESTER CT INDIANAPOLIS,IN
CARMEL,IN asoas November 27, 2018
PAY Two Hundred Sixty Five and 00/100 Dollars ******...*265.00
TO THE #CSP01000B633D30# 66920732 VOID go DAYb"AFTER.ISSUE
ORDER OF: CITY OF CARMEL FIRE DEPT
2 CIVIC SQ
CARMEL IN 46032-7543
8 soc�nq _ SIGNATURE ON FILE
FenNres
DOWOs on --
D.+ck This check has been authorized by your depositor.
Memo:RUN NUMBER 2018-00005830:1
II890 I lin 'iM0 74908 5941: 790134 3464 51P
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Cedar Raids IA 52406 3350
PAY CITY:OF,CARMEL
DATE" 11/21!18
. "TO.THE" 2 CIVIC"SQUARE00 . $ 71.85
® :ORDER -
OF: CARMEL IN 46032 NOT VALID AFTER SIX MONTHS
_,Pay *********Seventy One&85/100 Dollars***
r4
RE:JEWELL SANDERS CLAIM: DT1733201 POLICY/CERT:409286 Authorized Signature
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DO-NOT CASH.IF WATERMARK IS NOT PRESENT ON THE REVERSE,SIDE OF THIS DOCUMENT-,HOLDAT AN.ANGLE-TO VIEW
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***$75 54
PA'1 *"*SeViNn Five Dollars a_ncLFlfty Fobr-Cents**'� _ = _PY60� 3,=
T THE CARMEL-FIRE DEPARTMENT=-
ORDER . 2,CARMEL CIVIC:SQ
-
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11'0347446211' 1:01L900445I: 00224019775011'
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LOYAL AMERICAEAN& i--441-1961� 000* 0'
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g4 !W OX30010 WG9N.`Tk78755-3010 � AMOUNT
***$93.84
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56-389 535265
£ r He: At . Plans
PNC Bank,N.A. CHECK NUMBE
Ashland,OH -
11/27/2018 535265 $151.91
PAY One Hundred Fifty One Dollars And 91/100 Cents
THIS CHECK NOT VALID 6 MONTHS FROM DATE
TO THE Carmel Fire Department
ORDER 2,CIVICSQ Authorized sign ture
OF CARMEL,4N 46032-2584
Authorized Signature
11'000535 2G Sun 1:041 2038951: 4 23973799311'
LUP Transportation LLG Regions Bank
4310 Guion Road 4629 W 71st Street 71-1421 16259
Indianapolis, IN 46254 Indianapolis, IN 46268 0740
317-297-1003
DATE 11/1/2018
PAY CITY OF CARMEL FIRE DEPARTMENT-AMB SER **1,054.21
ONE-THOUSAND FIFTY-FOUR AND 2I/100******X*x****************************x****** DOLLARS
TO THE CITY OF CARMEL FIRE DEPARTMENT-AMB SER
ORDERI
I� OF Q
1 VALIDATED DNASECURCrCHECK
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1100162S9111 1:0740L42131: 025820000211'
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TRCCARE PAYMENT 031,D99B63
WISCONSINHYSICIANS SERVICE INSURANCE CORPORATION CHECK NUMBER
:P
7889;MADISON,WI 53707-7889
-R R � ROX. H0012125477
356009T
b2460320;000 _ DATE
One Hundred Frfty rune dollars and Eighteen cents ��� ];��(��]$ $
PAY TO'TME ORDER OF DO
--a LLARS GENTS
rCARMEL FIRE DEPT AMBULANC
2 GIVICSQ_ *
CARMCL IN 46032. 7543
VOID AFTER 120 DAYS
i
MorganCnase lo _ M1�RARY
JPMorga�Cnase Bank N A C ANo"ETERANs
CoJum6us AH V Y.PJ.I HFALTH B
n200 1 2 L 2 5 11 ? Wo 1:0 Ll 4 L I S Lt Ll 31:
3 1108986311
THIS CHECK IS VOID IF NOT PRESENTED FOR PAYMENT WITHIN 120 DAYS
WEST BEND" BMO Harris Bank 12.5 CHECK NUMBER 7278335
Milwaukee,Wisconsin 750
1900S th 18th Avenue•West Bend,\VI 53095
PAY Five hundred fifty six and 12/900 Dollars $********`556.12
TO THE CARMEL FIRE DEPARTMENT
ORDER OF a
0
IN PAYMENT CLAIM#AK21437,MEDICAL EXPENSE,PATIENT ID 201100320,PATIENT NAME:PERCY CLARK,DOS 11/02/18 =
OF o
INSURED CLAIMANT DATE ISSUED CLAIM NUMBER I CLMT DATE OF LOSS
CAROLS CLARK AND PERCY CLARK JR PERCY CLARK JR 11/27/2018 AK21437 11/02/2018 v
MAIL TO CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL, IN 46032 4
President Chief Executive Officer
,in 7 2 78 3 3 511' 1:0 7 L 0 0 0 21381: 00 2 298 213 6 LII'
lM!zf-AL;l=#t- Irilb.1111191LAfTitili
—TKF-QIUGINAL D.00UNiVNTJi&SAREFLFCnVP-,NV.&TER'NARK-ON-THE,BAC&HOLD AT ALN-AN.G.LL-T.QVIE1V-VdiEN-CliECI�INO-THE ENDQRSEIiTWL_
71-859
Fifth,Thkd..Bank aw
-.749
*
Indianapolis, Indiana ArlarmMik INMMA'FARM BUREAU INSURANCE.
.. .... 1.24552
Claim 0:13ciid ana661is,' IN 6
November 27, 201.8 -United Farm Family Mutual Insurance Company 5240199
Pay SIX HUNDRED:E]QHlY.`SIX AND 40/100 DOLLARS ---- $686.40
Void After 180
to the days
Order-of CARMEL DEPARTMENT'*
MEqLFIR IE
DAVID SMQ'0VAL;'D0S 6-'30-18;ACCT 2018*000037,G8;1
w:
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security features.
Hn S 240 199118 1:0749085941: 750435 L S118
04755 THE BACKGROUND OF THIS CHECK IS BLUE.,
4�� South Carolina 56-1544
JPMorgan Chase Bank, N.A. , 1 441
COLUMBUS OH irm aider Hrra=hUM
COLUMBUS, Hlnr C.rcxs nrd Hfnr SlBrld,Wr.irtimr
COLUMBIA,S.C.29219 No . 0020071834
(800)288-2227
DATE AMOUNT
11 -26-18 356000972 $* **** ** 72 . 59 (•,;,
SEVENTY TWO DOLLARS AND FIFTY NINE CENTS CSC
PAY TO THE ORDER OF: C-
C�
CARMEL FIRE DEPARTMENT m �m
2 CARMEL CIVIC SQ Cy
CARMEL IN 46032
VOID SIX MONTHS FROM DATE OF ISSUE 459232 004755 N
AS TREASURER
0002007183L,um 1:044LLS4431: 262L397090
CHASE �� Apply tT�Arat 990123482 590726207
CYNTHIA C EBINGER 25-3/440
CHASE ONLINE BILL PAYMENT 12415 N PENNSYLVANIA ST UNIT 405 11-07-2018
PO BOX 15944 CARMEL IN 46032-6131
WILMINGTON DE 19850-5944
(800)472-6236
� pmt 1 of 3
311529001900102942000100000000
Pay TWO HUNDRED SIXTEEN AND 07/100 Dollars
i�l�l�lrl�rililrl�ilili�nl�i�lnilll�lrli�lrl��r��nlil�l�irl $216.07
yaW°s
42942 BPC 001 001 18311-590726207 1 OF 1 I.Wd.
To
CITY OF CARMEL FIRE DEPT = Sa'a�s°a°acR
the
th
Order 2 CIVIC SID Check Void Aker 90_Days
of CARMEL IN 46032-2584
JPMorgan Chase Bank,N.A.Columbus,Ohio
II' 590 7 26 20 711' 11:0440000371!: 65853301311'
PNC.Bank,NA, 070 , 3000056162
MDwise Hoosier Healthwise Ashland OH
MDwise PO Box 211572
Eagan, MN 55121-2872 56 389/412 11/26/18
*k*****k$108.62
One Hundred Eight Dollars And Sixty Two Cents
VOID AFTER 180 DAYS
PAY TO THE ORDER OF
CITY OF CARMEL FIRE DEPARTMENT
2 CIVIC SQ
CARMEL, IN 46032 PatrciaHebenstreit,Senior Vice PresdenUGenera/Counsel
Bruce Hayes,,Chief Financial Officer
VOID OVER.,$108,62
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_ I MONEY ORDER zs s
CH A S� ' 9160615107 440--
r l Date 11/28/2018
Pay To The
Order Of: C' ��% y c 1'� �� r t,C-- Qf' $*�` 275.00 **
Pay. TWO HUNDRED SEVENTY FIVE DOLLARS AND 00 CENTS
NOT VALID FOR MORE THAN$1000.00 "" -"""'"-"""""""" ------ --------------------
Do not write outside this box SENDER/DRAWER:
----------------------------------------------------------------------------
ADDRESS:
Memo:------------------------------------------------------------------------------------ JPMorpan Chase Bank,N.A.'
Note:For information only.Comment has no effect on bank's payment. Columbus,OH
09 X606 L5 L07u' 1:0440000371: 75866 2 L9u'