HomeMy WebLinkAbout169857 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 362339 Page 1 of 1
ONE CIVIC SQUARE CITIZENS MANAGEMENT INC
CARMEL, INDIANA 46032 PO BOX 620
CHECK AMOUNT: $296.00
HOWELL MI 48844 -0620 CHECK NUMBER: 169857
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB A DESCRIPTION
302 5023990 SW000000385 296.00 OTHER EXPENSES
a
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Citizens
Management Inca
o„n,,, 11h,II,,,„ e i ,r, c,,,,,, Citizens Management Inc., I PO Box 620, Howell, MI 48844 -0620 Loss Fund Invoice
TO:
MS. SHELLY M. LINGELBAUGH
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL, IN 46032
DATE: 02/27/2009
LOSS FUND INVOICE
REFERENCE AMOUNT DUE
SWC0000385
INITIAL DEPOSIT $25,000.00
02/27/2009 BALANCE $24,704.00
AMOUNT DUE $296.00
IF YOU HAVE ANY QUESTIONS REGARDING THIS BILL PLEASE CONTACT US AT: 517 540 -3186
PLEASE NOTE: WE ARE FORBIDDEN BY LAW TO ISSUE CHECKS SHOULD YOUR LOSS FUND BECOME ZERO BALANCE
From: 02/01/2009 City of Carmel
Thru: 02/28/2009 Check Register
Check Check
N u m ber C Date Clai Num DO] Claimant Name Locat Paye A Type Tran
1179667 02/18/2009 0385 -09 -00043 01/07/2009 Schimmel, Larry D. Wastewater City of Carmel McQuinn Family Dentistry $296.00 Med Check
0385 -09 -00104 01/12/2009 Minjares, Michelle Parks City of Carmel Community Hospitals Of IN $0.00 Med Paper
Number of Checks: 2 $296.00
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Run Date: 02/27/2009 07:37:36 Citizens Management Inc. Run By: AXC654
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Prescribed by State Board of Accounts City Farm 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
Citizen's Management, Inc Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
_Q 000385 L ess Fund 'I IVUIL;t:l $296.00
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 N0. fl _ARRANT NO.
ALLOWED 20
L Citizen's Management, In
IN SUM OF
P.O. BOX 620
$2 96.00
ON ACCOUNT OF APPROPRIATION FOR
302 FUND
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
SWC000038 o dnaterials or services itemized thereon for
which charge is made were ordered and
received except
20
�Sig
l Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund