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182823 03/03/2010
CITY OF CARMEL, INDIANA VENDOR: 363938 Page 1 of 1 t` ONE CIVIC SQUARE ILENE ELLSWORTH CHECK AMOUNT: $130.24 CARMEL, INDIANA 46032 8505 WOODFIELD CROSSING BLVD •y. APT 117 CHECK NUMBER: 182823 INDIANAPOLIS IN 46260 CHECK DATE: 3/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 5023990 130.24 AMBULANCE REFUND