HomeMy WebLinkAbout230503 03/26/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 368082
ONE CIVIC SQUARE MITCH KING CHECK AMOUNT: $"..."625.00"CARMEL, INDIANA 46032 4405 STATESMAN WAY CHECK NUMBER: 230503
INDIANAPOLIS IN 46250 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 1227962 625.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1227962 Carmel c Clay
Payment Date: 03/21/2014
Household #: 10710 Parks&Recreation
Home Phone: (317)407-3660 Rv
.fr' T _D
MAR 2 4 2014
MITCH KING BY'-- Monon Community Center
4405 STATESMAN WAY Carmel IN 46032
INDIANAPOLIS IN 46250
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Orig Bal Refund New Bal
Module: Pass Management 625.00- 625.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 625.00
Processed on 03/21/14 @ 08:44:11 by MNS NEW REFUND AMOUNT(-) 625.00
TOTAL REFUNDABLE AMOUNT 625.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 625.00 Made By==>REFUND FINAN With Reference=_>Pass Transfer 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.
Authorized Signature Date Authorized Signature Date
Escape Day Passes are non-refundable. V� <
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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.
King, Mitch Terms
4405 Statesman Way Date Due
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/21/14 1227962 Refund $ 625.00
Total $ 625.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
King, Mitch Allowed 20
4405 Statesman Way
Indianapolis, IN 46250
In Sum of$
$ 625.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 1227962 4358400 $ 625.00 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
24-Mar 2014
Signature
$ 625.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund