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230351 03/26/14 a e,CLAM r. CITY OF CARMEL, INDIANA VENDOR: 368080 ® 31 ONE CIVIC SQUARE STEPHANIE BOYER CHECK AMOUNT: $********45.00* _., CARMEL, INDIANA 46032 10869 QUEENSBUTY COURT CHECK NUMBER: 230351 CARMEL IN 46033 CHECK DATE: 03/26/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 1220560 45.00 PARKS DEPARTMENT REFU GLOBAL REFUND RECEIPT Receipt# 1220560 . Carmele Clay Payment Date: 03/10/14 Household #: 14655 darks& ecrlon Monon Community Center Stephanie Boyer Hm Ph: (317)843-8367 Carmel IN 46032 10869 Queensbury Court Wk Ph: (317) - Carmel IN 46033 Cell Ph:(317)490-5278 Phone: (317)848-7275 sboyer@peineengineering.com Fed Tax ID#35-6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 45.00- 45.00 0.00 PREVIOUS NET CREDIT HOUSEHOLD BALANCE 45.00 Processed on 03/10/14 @ 10:59:24 by BJJ NEW REFUND AMOUNT(-) 45.00 TOTALnREFUNDABLE AMOUNT :,-� ""` ' s. . 45.00_' NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 45.00 Made By==>REFUND FINAN With Reference=_> 1081-99-4358400 y :) All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issu d. L-AITI-1-rized Signature Date Authorized Signature Date Escape Day Passes are non-refundable. 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. Boyer, Stephanie Terms 10869 Queensbury Court Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/10/14 1220560 Refund $ 45.00 Total $ 45.00 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. Boyer, Stephanie Allowed 20 10869 Queensbury Court Carmel, IN 46033 In Sum of$ $ 45.00 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 1220560 4358400 $ 45.00 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 20-Mar 2014 Signature $ 45.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund