HomeMy WebLinkAbout333344 12/14/18 CITY OF CARMEL, INDIANA VENDOR: 022520
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j ONE CIVIC SQUARE BRAD BARTROM CHECK AMOUNT: $*******235.50*
CARMEL, INDIANA 46032 POBOX 52646082 CHECK NUMBER: 333344
CHECK DATE: 12/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 12.13.18 235.50 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 022520 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BRAD BARTROM IN SUM OF$ CITY OF CARMEL
PO BOX 526 An invoice or bill to be properly itemized must show:kind of service,when;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
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
12.13.18 50-239.90 $235.50 1 hereby certify that the attached invoice(s),or 12/13/18 12.13.18 Refund Premium Holiday for December $235.50
301 301 301 301
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
Thursday, December 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
The Board of Public Works and Safety has approved a premium holiday for November and
December 2018. Please process December refunds from the Medical Escrow Fund(301) for the
following retirees, whose monthly contributions will be deducted automatically from their PERF
pension checks.
Return all checks to Barb Lamb in Human Resources.
=Bartrom $235.50 P.O. Box 526, Carmel, IN 46082
Mark Callahan $196.25 11080 East SR 47, Sheridan, IN 46069
Barry Crane $738.00 6101 North Parker Avenue, Indianapolis, IN 46220
Leland Goodman $235.50 2150 E 950 S,Flatrock, IN 47234
Timothy Green $886.00 11468 Senie Lane, Carmel. IN 46032
David Mead $886.00 1511 Queensborough Drive, Carmel, IN 46033
Donald Mead $886.00 7992 Vista del Norte, Payson,AZ 85541
Stephen Reeves $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 46069
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 Esprit Drive, Carmel, IN 46074
r DEC 13 2018 ;
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