HomeMy WebLinkAbout232582 05/13/14i
`�.�. " CITY OF CARMEL, INDIANA VENDOR: 368219
® ONE CIVIC SQUARE MICHAEL O'BRIEN CHECK AMOUNT: $********60.00*
a4 CARMEL, INDIANA 46032 13200 DUNWOODY LANE CHECK NUMBER: 232582
'4,iroN�o. CARMEL IN 46033 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 60.00 PARKS DEPARTMENT REFU
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GLOBAL REFUND RECEIPT
Receipt# 1244544
l o ClPayment Date: 05/02/14
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Irs&Recreation Household #: 4030
_ _ __
Monon Community Center MAY 0 5 2014Michael O'brien Hm Ph: (317)575-6453
Carmel IN 46032 13200 Dunwoody Lane Wk Ph: (317)258-5058
Carmel IN 46033 Cell Ph:
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Phone: (317)848-7275 michelle-n-mike@hotmail.com
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 60.00- 60.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 60.00
Processed on 05/02/14 @ 09:23:15 by BJJ NEW REFUND AMOUNT(-) 60.00
TOTAL REFUNDABLE AMOUNT 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 60.00 Made By==>REFUND FINAN With Reference==> 1081-7-4358400 /? ND
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
AuqfcrizQnature Date Authorized Signature Date
Escape Day Passes are non-refundable.
f"J
Page# 1 of 1
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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.
O'Brien, Michael Terms
13200 Dunwoody Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/14 1244544 Refund $ 60.00
Total $ 60.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
O'Brien, Michael Allowed 20
13200 Dunwoody Lane
Carmel, IN 46033
In Sum of$
$ 60.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#orBoard Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-7 1244544 4358400 $ 60.00 1 hereby certify that the attached invoice(s), or
bid(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
8-May 2014
Signature
$ 60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund