HomeMy WebLinkAbout230421 03/26/14 CITY OF CARMEL, INDIANA VENDOR: 368081
(, ® ONE CIVIC SQUARE TINA FRANCE MAHORNEY CHECK AMOUNT: S'""'"`413.00*
CARMEL, INDIANA 46032 16959 TREE TOP COURT CHECK NUMBER: 230421
'MirpH ca.a NOBLESVILLE IN 46062 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 1227284 413.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1227284
a , Clay Payment Date: 03/18/14
Household #: 52449
r &Recreation
Monon Community Center Tina France Mahorney Hm Ph: (317) -
Carmel IN 46032 MAR 1 J 2014 16959 Tree Top Ct Wk Ph: (317)774-7355
Noblesville IN 46062 Cell Ph:(317)258-5752
francemahorney23@att.net
Phone: (317)848-7275 �Y;
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 413.00- 413.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 413.00
Processed on 03/18/14 @ 12:31:08 by BJJ NEW REFUND AMOUNT(-) 413.00
;TOTAL"REFUNDABLE"AMOUNT -413:00"
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 413.00 Made By=_>REFUND FINAN With Reference==>1082-12-4358400 (,�K_i11-D)
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
.z, 3_6_1
ut rl ed 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.
France Mahorney, Tina Terms
16959 Tree Top Ct Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/14 1227284 Refund $ 413.00
Total $ 413.00
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
Voucher No. Warrant No.
France Mahorney, Tina Allowed 20
16959 Tree Top Ct
Noblesville, IN 46062
In Sum of$
i
$ 413.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-12 1227284 4358400 $ 413.00 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
$ 413.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund