HomeMy WebLinkAbout229788 03/11/14 ��,q
�u �';"' CITY OF CARMEL, INDIANA VENDOR: 368031
�;� . .
•j; e :'r ONE CIVIC SQUARE BETH BELL-SCHULZ CHECK AMOUNT: $"'"*""'"81.00*
�s. ,?� CARMEL, INDIANA 46032 4807 BRIARWOOD RTL CHECK NUMBER: 229788
°M�.oN.�, CARMEL IN a6033 CHECK DATE: 03/1 1/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 81.00 P�KS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1216369
;��r��� -� ���,� Payment Date: 02/27/14
Household #: 57838
F�r�s�f���cre��ior� �������-�y
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FEB 2 7 20i4 j
Monon Community Center � Beth Bell-Schulz Hm Ph: (317)582-1295
Carmel IN 46032 $Y: _I 4801 Briarwood Trl
-------- Carmel IN 46033 Cell Ph:(317)513-1259
bbellschulz@att.net
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Orip Bai Refund New Bal
Moduie: Activity Registration s�.00- a�.00 o.00
PREVIOUS NET HOUSEHOLD BALANCE 81.00
Processed on 02/27/14 @ 07:42:00 by JAB NEW REFUND AMOUNT(-) 81.00
TOTAL REFUNDABLE AMOUNT 81.00
� I - �I � � �-�� g�-c�
� ��� NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 81.00 Made By=_>REFUND FINAN With Reference=_>cehck refund
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued. -
i
'' Morized- ' ure D te � Authorized Signature Date
� �
� are non-refundable.
Escap ay Passes
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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.
Bell-Schulz, Beth Terms
4801 Briarv�iood Rtl Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/27/14 1216369 Refund $ 81.00
Total $ 81.00
I hereby certify that 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
Voucher No. Warrant No.
Bell-Schulz, Beth F�Ilowed 20
4801 Briarwood Rtl
Carmel, IN 46033 �
In Sum of$
$ 81.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT BOafd Me171befS
Dept#
1081-99 1216369 4358400 $ 81.00 I hereby certify that the attached invoice(s), or
t�ill(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
�������
Signature
$ 81.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
' claim paid motor vehicle highway fund