HomeMy WebLinkAbout200775 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 356248 Page 1 of 1
ONE CIVIC SQUARE ALLSTATE INSURANCE CO
CARMEL, INDIANA 46032 CLAIMS PAYMENT PROCESSING CHECK AMOUNT: $104.02
PO BOX 650048 CHECK NUMBER: 200775
DALLAS TX 75265
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 104.02 REFUND
Anderson, Teresa K
From: Bailey, Vicki L
Sent: Wednesday, August 24, 2011 10:26 AM
To: Anderson, Teresa K
Subject: FW: refund
Teresa,
Please use this email as a refund to Allstate insurance for the sales tax that they included in payment for Sgt. Zellers
damages.
Thank you.
A 11�
Vicki L. Bailey
Office Administrator 1 1 t
Carmel Police Department
3 Civic Square
Carmel, Indiana 46032
(317) 571 -2523
(317) 571 -2512 FAX
From: Fishburn, loan jmailto:cdlmbCa)allstate.coml
Sent: Tuesday, August 23, 20114:25 PM
To: Bailey, Vicki L
Cc: Gunn, Martha
Subject: refund
Ms Vicky Bailey,
This is a short email following our conversation
The Allstate Insurance claim is 0208269654
As indicated, Allstate Insurance accepted 90% liability. And it appears that we over paid for your damages, the
amount of the taxes on the estimate. Please refund Allstate Insurance $104.02 for this overpayment
Thanks,
Joan M Fishburn
Allstate Insurance Claim Adjuster
Indianapolis Casualty MCO
#317- 821 -3838
cdlmb(d)allstate.com
fax #1- 866 -464 -6319
VOUCHER NO. WARRANT NO.
Allstate Insurance Co. ALLOWED 20
Claims Payment Processing
IN SUM OF
P.O. Box 650049
Dallas, TX 75265
$104.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 43- 510.00 $104.02
I hereby certify that the attached invoice(s), or
I I I
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
Friday, August 26, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/24/11 reimbursement for tax $104.02
1 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
Clerk- Treasurer