HomeMy WebLinkAbout232488 05/13/14 1 o..C�Nb
CITY OF CARMEL, INDIANA VENDOR: 00353247
® „• ONE CIVIC SQUARE JENNIFER DAVIS CHECK AMOUNT: $********70.00*
:; ��; CARMEL, INDIANA 46032 5546 SALEM DR N CHECK NUMBER: 232488
M,�TON�. CARMEL IN 46033 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 1244545 70.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1244545
0. Payment D
le y nt ate: 05/02/14
Household#: 43305
Monon Community Center MAY 0 5 2014 JeJifer Davis
Hm Ph: (317)564-
8998
Carmel IN 46032: 554 Salem Dr. N
Car el IN 46033 Cell Ph:
--==-te�•
Phone: (317)848-7275 avis123@gmail.com
Fed Tax I D -
#35 6000972
Refund Details
Orio Bal Refund New Bal
Module: Pass Management 70.00- 70.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 70.00
Processed on 05/02/14 @ 09:27:20 by BJJ NEW REFUND AMOUNT(-) 70.00
TOTAL`'REFUNDABLE AMOUNT. .;.
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 70.00 Made By==>REFUND FINAN With Reference=_>1081-2-4358400 g'co
All refunds re subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
A o ignature Date Authorized Signature Date
Escape Day Passes are non-refundable.
yJ?Z�
l�,j 1.
Page# 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show' kind of service, 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.
Davis, Jennifer Terms
5546 Salem Dr. N Date Due
Carmel, IN 46033
Invoice
Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/14 1244545 Refund $ 70.00
Total $ 70.00
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. I
r
Davis, Jennifer Allowed 20
5546 Salem Dr. N
Carmel, IN 46033
1 Sum of$
+I
$ 70.00 I
i
ON ACCOUNT OF APPROPRIATION FOR _
i
108 -ESE
i
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-2 1244545 4358400 $ 70.00 I 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
I
8-May 2014
� I
Signature
$ 70.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund