HomeMy WebLinkAbout196216 04/12/2011 CITY OF CARMEL, INDIANA VENDOR: T361585 Page 1 of 1
ONE CIVIC SQUARE ROBERT E FIRENZE CHECK AMOUNT: $41.52
CARMEL, INDIANA 46032 11318 E LAKESHORE DRIVE
CARMEL IN 46033
CHECK NUMBER: 196216
CHECK DATE: 4/1212011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 41.52 REISSUE CK 162138
y °F•.
C1 of Carm
ty
r..........o
O P! C
Office of the
Clerk- Treasurer
March 2011
ROBERT E FIRENZE
11318 E LAKESHORE DRIVE
CARMEL IN 46033
Dear Sir or Madam. On 7/23/2008, the City of Carmel issued check 162138 to you or your company for
payment of an invoice or refund in the amount of $41.52 As of February 28, 2011, this
check was still outstanding. If you would like this check reissued, please complete the
bottom of this form and return it by mail to the address listed below, or send a PDF copy
of this form to csheeks a,carmel.m.gov or fax the completed form to 31.7 -571 -2410 by
March 31, 2011. After this date, the check will be voided and cannot be reissued.
If you have any questions, please contact me directly.
Cindy Sheeks
Finance Manager
317 -571 -2428
csheeks a,carmel.in.gov
*COMPLETE SECTION BELOW AND RETURN
Name of person completing form: Rob,4
Mail the replacement check to: 0- 6k% C-:.
G ,-w.re,1 ..L t
ONE CIVIC SQUARE CARMEL, INDIANA 46032 317/571 -2414