HomeMy WebLinkAbout231888 04/23/14 Coq
*f CITY OF CARMEL, INDIANA VENDOR: 368136
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ONE CIVIC SQUARE CHRIS STICE CHECK AMOUNT: $********50.00*
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,. =4 CARMEL, INDIANA 46032 2332 E 151ST ST CHECK NUMBER: 231888
CARMEL IN 46033 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 50.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt# 1240630
Carmel -a Clay Payment Date: 04/16/14
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1` rks&RECreatlon Household #: 21832
Monon Community CenterAPR 1 7 2014 Chris Stice Hm Ph: (317)815-8828
Carmel IN 46032 2332 East 151st Street Wk Ph: (317)896-5874
y, Carmel IN 46033 Cell Ph:
Phone: (317)848-7275 heatherstice@aquasolconsulting.com
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Fed Tax ID#35-6000972
Pass Details
CANCELLATION - Refund Of 50.00
Pass Holder: Heather Stice Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: KZ 50 Visit(M Z50),#155303 0.00 0.00 0.00 0.00 0.00
Valid Dates: 12/16/2011 to 08/01/2014 (Pass Cancellation)
Cancellation Effective: 04/16/2014
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/16/14 @ 15:34:11 by LVA FEES CHANGED ON CANCELLED ITEMS(+) 50.00-
NET AMOUNT FROM CANCELLED ITEMS 50.00-
TOTAL AMOUNT REFUNDED 50.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 50.00 Made By==>REFUND FINAN With Reference==>advanced request
All refunds are subject to State Board of Accounts procedures and may take 4-6 s to process. No cash refunds will be
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Authorized Signat r Date A ed Sig ture Date
Escape Day Passes are non-refundable.
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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.
Stice, Chris Terms
2332 East 151st Street Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/14 1240630 Refund $ 50.00
I
Total $ 50.00
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.
Stice, Chris Allowed 20
2332 East 151 st Street
Carmel, IN 46033
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-41 1240630 4358400 $ 50.00 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
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
(