HomeMy WebLinkAbout155355 01/10/2008 \,f CITY OF CARMEL, INDIANA VENDOR: 358807 Page 1 of 1
ONE CIVIC SQUARE INDIANA PUBLIC EMPLOYERS PLAN INC CHECK AMOUNT: $314,522.00
CARMEL, INDIANA 46032 302 SOUTH REED ROAD
PO Box 1247 CHECK NUMBER: 155355
KOKOMOIN 46903 -1247
CHECK DATE: 1/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4347000 13298 1,503.00 WORKMEN'S COMPENSATIO
1120 4347000 13298 150,449.00. WORKMEN'S COMPENSATIO
1125 4347000 13298 28,781.00 WORKMEN'S COMPENSATIO
1192 4347000 13298 7,389.00 WORKMEN'S COMPENSATIO
1205 4347000 13298 126,400.00 WORKMEN'S COMPENSATIO
11NVQjIM
INDIANA PUBLIC EMPLOYERS' PLAN, INC.
302 SOUTH REED ROAD Carmel, City of
P.O. BOX 1247
KOKOMO, INDIANA 46903 -1247 3253
(765) 457 -9161 (800) 382 -8837 12/21/2007
Richard Norris
ft
Julie Rossi
1 of 1
Carmel, City of
One Civic Square 371,211.00
Carmel, IN 46032
PAYMENT FOR: Invoice #13298
0008 -0104
Thank You
PLEASE DETACH AND RETURN WITH PAYMENT
Customer: Carmel, City of
Policy #0008 -0104 01/01/2008- 01/01/2009
Indiana Public Employers' Plan
13298 01/01/2008 Policy change Renew policy 530,301.00
IPEP Credit Renew policy 159,090.00
LA
c
i LAI IL/
371,211.00
Thank You
Indiana Public Em to
'Plan, Inc.
p Y (765)457 -9161 n;
302 South Reed Road P.O. Box 1247
Kokomo, IN 46903 1247 12/21/2007
Gross Net
2008 Office Municipal Police Rate Premium Factor Premium Dept Total
Department Classification Payroll
Administration Building Maintenance 104,940 2.84 2,980 0.532379 1,587
Office Employees 892,096 892,096 0.21 1,873 0.532379 997 2,584
Board of Works Office Employees 60,420 60,420 0.21 127 0.532379 68 68
Clerk- Treasurer Office Employees 393,260 393,260 0.21 826 0.532379 440 440
Communications Office Employees 1,344,080 1,344,080 0.21 2,823 0.532379 1,503 1,503
Community Services Municipal 571,182 571,182 2.13 12,166 0.532379 6,477
Office Employees 815,394 815,394 0.21 1,712 0.532379 912 7,389
Council Office Employees 113,420 113,420 0.21 238 0.532379 127 127
Court Office Employees 402,785 402,785 0.21 846 0.532379 450
Police Officers 47,700 47,700 1.43 682 0.532379 363 813
Engineer Municipal 545,154 545,154 2.13 11,612 0.532379 6,182
Office Employees 247,365 247,365 0.21 519 0.532379 277 6,458
Fire Firefighters 10,879,780 2.59 281,786 0.532379 150,017
Office Employees 386,744 386,744 0.21 812 0.532379 432 150,449
Law Law Office 263,479 0.14 369 0.532379 196 196
Mayor Office Employees 434,600 434,600 0.21 913 0.532379 486 486
Parks Parks 1,770,036 2.40 42,481 0.532379 22,616
Child Day Care 1,571,591 0.66 10,373 0.532379 5,522
Office Employees 574,886 574,886 0.21 1,207 0.532379 643 28,781
Police Police Officers 6,520,545 6,520,545 1.43 93,244 0.532379 49,641
Auto Service Repair 103,169 2.39 2,466 0.532379 1,313
Office Employees 813,898 813,898 0.21 1,709 0.532379 910 51,864
Street Street Road 2,099,334 5.66 118,822 0.532379 63,259
Office Employees 94,156 94,156 0.21 198 0.532379 105 63,364
Sewer Sewage Disposal 1,669,408 2.67 44,573 0.532379 23,730
Office Employees 497,392 497,392 0.21 1,045 0.532379 556 24,286
Water Waterworks 1,907,179 3.14 59,885 0.532379 31,882
Office Employees 467,708 467,708 0.21 982 0.532379 523 32,405
TOTAL 35,591,700 7,538,204 1,116,336 6,568,245 697,270 0.532379 371,212 371,212
V NO. WARRANT NO.
ALLOWED 20
Indiana Public Employers' Plan Inc.
IN SUM OF
302 South Reed Road, PO Box 1247
Kokomo, IN 46903
$1,503.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# D t.# INVOICE NO. ACCT #/TITLE AMOUNT Board Members
13298 43- 470.00 $1,503.00 1 hereby certify that the attached invoice(s), or
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
Wednesday, January 02, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
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))
12/21/07 13298 I I $1,503.00
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
�NVo0CE
INDIANA PUBLIC EMPLOYERS' PLAN, INC.
302 SOUTH REED ROAD Carmel, City of
P.O. BOX 1247
KOKOMO, INDIANA 46903 -1247 3253
(765) 457 -9161 (800) 382 -8837 a 12/21/2007
Richard Norris
Julie Rossi
1 of 1
Gti,. 0 0
Carmel, City of
t�, C j
One Civic Square 00� 0 371,211.00
Carmel, IN 46032
PAYMENT FOR: Invoice #13298
0008 -0104
Thank You
PLEASE DETACH AND RETURN WITH PAYMENT
Customer: Carmel, City of
MR
Policy #0008 -0104 01/01/2008- 01/01/2009
Indiana Public Employers' Plan
13298 01/61/2008 Policy change Renew policy 530,301.00
IPEP Credit Renew policy 159,090.00
371,211.00
Thank You
F (765)457 -9161 na Public Employers' Plan, Inc. outh Reed Road P.O. Box 1247
mo, IN 46903 -1247 12/21/2007
Gross Net
2008 Office Municipal Police Rate Premium Factor Premium Dept Total
Department Classification Payroll
Administration Building Maintenance 104,940 2.84 2,980 0.532379 1,587
Office Employees 892,096 892,096 0.21 1,873 0.532379 997 2,584
Board of Works Office Employees 60,420 60,420 0.21 127 0.532379 68 68
Clerk- Treasurer Office Employees 393,260 393,260 0.21 826 0.532379 440 440
Communications Office Employees 1,344,080 1,344,080 0.21 2,823 0.532379 1,503 1,503
Community Services Municipal 571,182 571,182 2.13 12,166 0.532379 6,477
Office Employees 815,394 815,394 0.21 1,712 0.532379 912 7,389
Council Office Employees 113,420 113,420 0.21 238 0.532379 127 127
Court Office Employees 402,785 402,785 0.21 846 0.532379 450
Police Officers 47,700 47,700 1.43 682 0.532379 363 813
Engineer `Municipal 545,154 545,154 2.13 11,612 0.532379 6,182
Office Employees 247,365 247,365 0.21 519 0.532379 277 6,458
Fire �E�,����® Firefighters 10,879,780 2.59 281,786 0.532379 150,017
pFC 2 2�'�1 Office Employees 386,744 386,744 0.21 812 0.532379 432 150,449
Law Law Office 263,479 0.14 369 0.532379 196 196
Mayor Office Employees 434,600 434,600 0.21 913 0.532379 486 486
Parks Parks 1,770,036 2.40 42,481 0.532379 22,616
-Child Day Care 1,571,591 0.66 10,373 0.532379 5,522
Office Employees 574,886 574,886 0.21 1,207 0.532379 643 28,781
Police Police Officers 6,520,545 6,520,545 1.43 93,244 0.532379 49,641
Auto Service Repair 103,169 2.39 2,466 0.532379 1,313
Office Employees 813,898 813,898 0.21 1,709 0.532379 910 51,864
Street Street Road 2,099,334 5.66 118,822 0.532379 63,259
Office Employees 94,156 94,156 0.21 198 0.532379 105 63,364
Sewer Sewage Disposal 1,669,408 2.67 44,573 0.532379 23,730
Office Employees 497,392 497,392 0.21 1,045 0.532379 556 24,286
Water Waterworks 1,907,179 3.14 59,885 0.532379 31,882
Office Employees 467,708 467,708 0.21 982 0.532379 523 32,405
TOTAL 35,591,700 7,538,204 1,116,336 6,568,245 697,270 0.532379 371,212 371,212
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
I Payee j
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/a ai o 7 7 39 00
Total _7150 00
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
30
Po dc-,�,- I
I`rl =lu q &g0 3 --1aq
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
l l /q /3d 70 1389. CO'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
Wig, tur �_S
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
PLAN, IBC.
INDIANA PUBLIC EMPLOYERS°
302 SOUTH REED ROAD Carmel, City of
P.O. BOX 1247
KOKOMO, INDIANA 46903 -1247 3253
(765) 457 -9161 (800) 382 -8837 12/21/2007
Richard Norris
Julie Rossi
1 of 1
Carmel, City of
One Civic Square 371,211.00
Carmel, IN 46032 M O M A
PAYMENT FOR: Invoice #13298
0008 -0104
Thank You
PLEASE DETACH AND RETURN WITH PAYMENT
Customer: Carmel, City of
Policy #0008 -0104 01/01/2008- 01/01/2009
Indiana Public Employers' Plan
13298 01/01/2008 Policy change Renew policy 530,301.00
IPEP Credit Renew policy 159,090.00
E I D E C 2 8 2007
101)JI "S) 41,111,1000 le I
t o
371,211.00
Thank You
Indiana Public Employers' Plan, Inc. (765)457 -9161 a
302 South Reed Road P.O. Box 1247
Kokomo, IN 46903 1247 12/21/2007
Gross Net
2008 Office Municipal Police Rate Premium Factor Premium Dept Total
Department Classification Payroll
Administration Building Maintenance 104,940 2.84 2,980 0.532379 1,587
Office Employees 892,096 892,096 0.21 1,873 0.532379 997 2,584
Board of Works Office Employees 60,420 60,420 0.21 127 0.532379 68 68
Clerk- Treasurer Office Employees 393,260 393,260 0.21 826 0.532379 440 440
Communications Office Employees 1,344,080 1,344,080 0.21 2,823 0.532379 1,503 1,503
Community Services Municipal 571,182 571,182 2.13 12,166 0.532379 6,477
Office Employees 815,394 815,394 0.21 1,712 0.532379 912 7,389
Council Office Employees 113,420 113,420 0.21 238 0.532379 127 127
Court Office Employees 402,785 402,785 0.21 846 0.532379 450
Police Officers 47,700 47,700 1.43 682 0.532379 363 813
Engineer Municipal 545,154 545,154 2.13 11,612 0.532379 6,182
Office Employees 247,365 247,365 0.21 519 0.532379 277 6,458
Fire Firefighters 10,879,780 2.59 281,786 0.532379 150,017
Office Employees 386,744 386,744 0.21 812 0.532379 432 150,449
Law Law Office 263,479 0.14 369 0.532379 196 196
Mayor Office Employees 434,600 434,600 0.21 913 0.532379 486 486
Parks Parks 1,770,036 2.40 42,481 0.532379 22,616
Child Day Care 1,571,591 0.66 10,373 0.532379 5,522
Office Employees 574,886 574,886 0.21 1,207 0.532379 643 28,781
Police Police Officers 6,520,545 6,520,545 1.43 93,244 0.532379 49,641
Auto Service Repair 103,169 2.39 2,466 0.532379 1,313
Office Employees 813,898 813,898 0.21 1,709 0.532379 910 51,864
Street Street Road 2,099,334 5.66 118,822 0.532379 63,259
Office Employees 94,156 94,156 0.21 198 0.532379 105 63,364
Sewer Sewage Disposal 1,669,408 2.67 44,573 0.532379 23,730
Office Employees 497,392 497,392 0.21 1,045 0.532379 556 24,286
Water Waterworks 1,907,179 3.14 59,885 0.532379 31,882
Office Employees 467,708 467,708 0.21 982 0.532379 523 32,405
TOTAL 35,591,700 7,538,204 1,116,336 6,568,245 697,270 0.532379 371,212 371,212
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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 etc.
Payee
Purchase Order No.
Indiana Public Employer's Plan, Inc. Terms
PO Box 1247
Kokomo, IN 46903 -1247
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/21/07 13298 Worker's Comp 28,781.00
Total 28,781.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Indiana Public Employer's Plan, Inc. Allowed 20
PO Box 1247
Kokomo, IN 46903 -1247
In Sum of
28,781.00
ON ACCOUNT OF APPROPRIATION FOR
101 eral Fund
PO# or Board Members
Dept ept INVOICE NO. ACCT #/TITLE AMOUNT
1125 13298 4347000 28,781.00 1 hereby certify that the attached invoice(s), or
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
4 -Jan 2008
44
ign ture
28,781.00 Bu ness a ces Manager
Cost distribution ledger classification if e
claim paid motor vehicle highway fund
r
INDIANA PUBLIC EMPLOYERS' PLAN, INC.
302 SOUTH REED ROAD Carmel, City of
P.O. BOX 1247
KOKOMO, INDIANA 46903 -1247 3253
(765) 457 -9161 (800) 382 -8837 12/21/2007
j Richard Norris
Julie Rossi
1 of 1
Carmel, City of
One Civic Square 371,211.00
Carmel, IN 46032
PAYMENT FOR: Invoice #13298
0008 -0104
Thank You
PLEASE DETACH AND RETURN WITH PAYMENT
Customer: Carmel, City of
Policy #0008 -0104 01/01/2008- 01/01/2009
Indiana Public Employers' Plan
13298 01/01/2008 Policy change Renew policy 530,301.00
IPEP Credit Renew policy 159,090.00
U`�)"° t m
371,211.00
Thank You
Indiana Public Employers' Plan, Inc. (765)457 -9161
302 South Reed Road P.O. Box 1247
Kokomo, IN 46903 -1247 12/21/2007
Gross Net
2008 Office Municipal Police Rate Premium Factor Premium Dept Total
Department Classification Payroll
Administration Building Maintenance 104,940 2.84 2,980 0.532379 1,587
Office Employees 892,096 892,096 0.21 1,873 0.532379 997 2,584
Board of Works Office Employees 60,420 60,420 0.21 127 0.532379 68 68
Clerk- Treasurer Office Employees 393,260 393,260 0.21 826 0.532379 440 440
Communications Office Employees 1,344,080 1,344,080 0.21 2,823 0.532379 1,503 1,503
Community Services Municipal 571,182 571,182 2.13 12,166 0.532379 6,477
Office Employees 815,394 815,394 0.21 1,712 0.532379 912 7,389`
Council Office Employees 113,420 113,420 0.21 238 0.532379 127 't2
Court Office Employees 402,785 402,785 0.21 846 0.532379 450
Police Officers 47,700 47,700 1.43 682 0.532379 363 813
Engineer Municipal 545,154 545,154 2.13 11,612 0.532379 6,182
Office Employees 247,365 247,365 0.21 519 0.532379 277 6,458
Fire Firefighters 10,879,780 2.59 281,786 0.532379 150,017
Office Employees 386,744 386,744 0.21 812 0.532379 432
Law Law Office 263,479 0.14 369 0.532379 196 196
Mayor Office Employees 434,600 434,600 0.21 913 0.532379 486 486
Parks Parks 1,770,036 2.40 42,481 0.532379 22,616
Child Day Care 1,571,591 0.66 10,373 0.532379 5,522
Office Employees 574,886 574,886 0.21 1,207 0.532379 643 Q2,8,781
Police Police Officers 6,520,545 6,520,545 1.43 93,244 0.532379 49,641
Auto Service Repair 103,169 2.39 2,466 0.532379 1,313
Office Employees 813,898 813,898 0.21 1,709 0.532379 910 51,864
Street Street Road 2,099,334 5.66 118,822 0.532379 63,259
Office Employees 94,156 94,156 0.21 198 0.532379 105 63,364
Sewer Sewage Disposal 1,669,408 2.67 44,573 0.532379 23,730
Office Employees 497,392 497,392 0.21 1,045 0.532379 556 24,286
Water Waterworks 1,907,179 3.14 59,885 0.532379 31,882
Office Employees 467,708 467,708 0.21 982 0.532379 523 32
TOTAL 35,591,700 7,538,204 1,116,336 6,568,245 697,270 0.532379 371,212 371,212
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
I PEP Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/21/07 13298 Administration $2,584.00
Board of Works $68.00
Council $127.00
Court $813.00
Engineer
Mayor $486 0
Police $51,864.00
Street $63,364.00
Total
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
Clerk- Treasurer
VOUCHER rM.101g_WARRANT NO.
,Indiana Public Employers Plan Inc. ALLOWED 20
302 South Reed Road IN SUM OF
PC) Rix 1947
IN L
$126,400.00
7 ANT OF APPROPRIATION FOR
ENERAL FUND
NISTRATION 1250
i Board Members
PO# or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
r bill(s) is (are) true and correct and that the
205 470 $'26,400.00 materials or services itemized thereon for
which charge is made were ordered and
received except
20
ig tine
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INDIANA PUBLIC EMPLOYERS' PLAN, INC.
302 SOUTH REED ROAD Carmel, City of
P.O. BOX 1247
KOKOMO, INDIANA 46903 -1247 3253
(765) 457 -9161 (800) 382 -8837 n 12/21/2007
NIL Richard Norris
Julie Rossi
1 of 1
Carmel, City of
One Civic Square e 371,211.00
Carmel, IN 46032
PAYMENT FOR: Invoice #13298
0008 -0104
Thank You
PLEASE DETACH AND RETURN WITH PAYMENT
Customer: Carmel, City of
Policy #0008 -0104 01/01/2008- 01/01/2009
Indiana Public Employers' Plan
13298 01/01/2008 Policy change Renew policy 530,301.00
IPEP Credit Renew policy 159,090.00
o
371,211.00
Thank You
Indiana Public Employers' Plan, Inc. (765)457 -9161
302 South Reed Road P.O. Box 1247
Kokomo, IN 46903 -1247 12/21/2007
Gross Net
2008 Office Municipal Police Rate Premium Factor Premium Dept Total
Department Classification Payroll
Administration Building Maintenance 104,940 2.84 2,980 0.532379 1,587
Office Employees 892,096 892,096 0.21 1,873 0.532379 997 2,584
Board of Works Office Employees 60,420 60,420 0.21 127 0.532379 68 68
Clerk- Treasurer Office Employees 393,260 393,260 0.21 826 0.532379 440 440
Communications Office Employees 1,344,080 1,344,080 0.21 2,823 0.532379 1,503 1,503
Community Services Municipal 571,182 571,182 2.13 12,166 0.532379 6,477
Office Employees 815,394 815,394 0.21 1,712 0.532379 912 7,389
Council Office Employees 113,420 113,420 0.21 238 0.532379 127 127
Court Office Employees 402,785 402,785 0.21 846 0.532379 450
Police Officers 47,700 47,700 1.43 682 0.532379 363 813
Engineer Municipal 545,154 545,154 2.13 11,612 0.532379 6,182
Office Employees 247,365 247,365 0.21 519 0.532379 277 6,458
Fire Firefighters 10,879,780 2.59 281,786 0.532379 150,017
Office Employees 386,744 386,744 0.21 812 0.532379 432 150,449
Law Law Office 263,479 0.14 369 0.532379 196 196
Mayor Office Employees 434,600 434,600 0.21 913 0.532379 486 486
Parks Parks 1,770,036 2.40 42,481 0.532379 22,616
Child Day Care 1,571,591 0.66 10,373 0.532379 5,522
Office Employees 574,886 574,886 0.21 1,207 0.532379 643 28,781
Police Police Officers 6,520,545 6,520,545 1.43 93,244 0.532379 49,641
Auto Service Repair 103,169 2.39 2,466 0.532379 1,313
Office Employees 813,898 813,898 0.21 1,709 0.532379 910 51,864
Street Street Road 2,099,334 5.66 118,822 0.532379 63,259
Office Employees 94,156 94,156 0.21 198 0.532379 105 63,364
Sewer Sewage Disposal 1,669,408 2.67 44,573 0.532379 23,730
Office Employees 497,392 497,392 0.21 1,045 0.532379 556 24,286
Water Waterworks 1,907,179 3.14 59,885 0.532379 31,882
Office Employees 467,708 467,708 0.21 982 0.532379 523 32,405
TOTAL 35,591,700 7,538,204 1,116,336 6,568,245 697,270 0.532379 371,212 371,212
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))
D
r
`a
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
z 20
�Sigoature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund