HomeMy WebLinkAbout231804 04/23/14 9CSN.
' " CITY OF CARMEL, INDIANA VENDOR: 368133
® ONE CIVIC SQUARE MANCHION NEELY CHECK AMOUNT: $**.....500.00*
?� CARMEL, INDIANA 46032 PO Box 683 CHECK NUMBER: 231804
,,,,_o�,�` KOKOMO IN 46903 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4358400 500.00 PARKS DEPARTMENT REFU
FACILITY REFUND RECEIPT
Receipt# 1231988
'Carmel , Payment Date: 04/02/14
,J ���"��^?ry.r Household#: 46609
-Parks&* reiibd
APR - 4 2014
Monon Community Center TB'V: Manchion Neely Hm Ph: (765)431-5746
Carmel IN 46032 - PO Box 683
Kokomo IN 46903 Cell Ph:
sheshe717171 @gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Facility Reservation Details
CANCELLATION - Refund Of 500.00
Facility: Monon Community Cntr, Multipurpose Rm-A113
Reserv.Contact: Manchion Neely, HM: (765)431-5746
Resery.Number: 27745 Status: Cancelled
Purpose: Neely Wedding
Anticipated Count: 150
Date Day Time Fees+Tax Discount Prev Paid Cur Paid Amount Due
07/20/2014 Sun 2:30P to 8:OOP 0.00 0.00 0.00 0.00 0.00
Cancel Reason: Guest changes their minds
PREVIOUS NET HOUSEHOLD BALANCE 117.93
Processed on 04/02/14 @ 15:01:03 by NMH FEES CHANGED ON CANCELLED ITEMS(+) 577.50-
SALES TAX CHARGED ON CANCELLED FEES(+) 40.43-
NET AMOUNT FROWCANCELLED ITEMS 617.93
HH BALANCE APPLIED TO THIS RECEIPT(+) 117.93
TOTAL AMOUNT REFUNDED 500.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 500.00 Made By==>REFUND FINAN With Reference==>Changed mind
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are
left at zero for reservation purposes, but will be updated after the reservation date. As soon as this data is available, you will
be invoiced for the current amount due. Please remit to our office within 10 days of the invoice date.
Authorized Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
4C-�J
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.
Neely, Manchion Terms
P.O. Box 683 Date Due
Kokomo, IN 46903
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/14 1231988 Refund F$ 500.00
Total $ 500.00
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.
Neely, Manchion Allowed 20
P.O. Box 683
Kokomo, IN 46903
In Sum of$
$ 500.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-3 1231988 4358400 $ 500.00 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
17-Apr 2014
Signature
$ 500.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund