HomeMy WebLinkAbout229787 03/11/14 �C�q
�' ''''F� CITY OF CARMEL, INDIANA VENDOR: 368030
��' �:�. CHECK AMOUNT: S"""""1,190.00'
•;, e ., ONE CIVIC SQUARE NATHAN ARIYUR
,`, „i4 CARMEL, INDIANA 46032 5657 AQUAMARWE DRIVE CHECK NUMBER: 229787
�e;,�roN'�' CARMEL IN asoss CHECK DATE: 03/1 1I14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 1,190.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1218910
"��.i"���l; � ����� Payment Date: 03/05/14
� � Household #: 18010
�F�ar�C��F��r���a��c�r�
Monon Community Center Nathan Ariyur Hm Ph: (317)706-0792
Carmel IN 46032 5651 Aquamarine Dr.
Carmel IN 46033 Cell Ph:(303)549-4849
rrama19@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Moduie: Activity Registration �,190.00- 1,190.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 1,190.00
Processed on 03/05/14 @ 12:01:47 by BJJ NEW REFUND AMOUNT(-) 1,190.00
TOTAL`REFUNDABLEAMOUNT , ' � ,_>1,190:00
3
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 1,190.00 Made By=_>REFUND FINAN With Reference=_> 1082-11-4358400 i i2�f�./,� \
�
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
� �-5-�`(
orized Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
�.�.����,7''�D
MAR 0 5 2014
BY:
Page# 1 of 1
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 unit, etc.
Payee
Purchase Order No.
Ariyur, Nathan Terms
5651 Aquamarine Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s}) Amount
3/5/14 1218910 Refund $ 1,190.00
, Total $ 1,190.00
I hereby certify fhat the attached invoice(s},or bill(s)is(are)true and correct and I have audited same in acco[dance
with IC 5-11-10-1.6
, 20_
Clerk-Treasurer
i
Voucher No. Warrant No. I
i
Ariyur, Nathan F�Ilowed 20
' S651 Aquamarine Dr ,
Carmel, IN 46033
In Sum of$
$ 1,190.00
O N_ACC011N_T_OF_AP_P_BO_P_RIAII ON_FOR
108 - ESE
PO#or �NVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-11 1218910 4358400 $ 1,190.00 I 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
7-Mar 2014
��
�,� D
Signature
$ 1,190.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund