HomeMy WebLinkAbout233282 06/04/14 �,..ceA,, CITY OF CARMEL, INDIANA VENDOR: 368267
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;; .1 ONE CIVIC SQUARE ANTHONY LATHROP CHECK AMOUNT: $*******1 13.00*
x ?q. CARMEL, INDIANA 46032 11399 CENTRAL DRIVE EAST CHECK NUMBER: 233282
9M,�TaN�. CARMEL IN 46032 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1258026 113.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1258026
Clad Payment Date: 05/27/14
Household#: 55436
-Parks&Recreation
Monon Community Center Anthony Lathrop Hm Ph: (317)797-7026
Carmel IN 46032 11399 Central Drive East -
Carmel IN 46032 Cell Ph:(317)797-6946
anthony@lathrop.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 113.00- 113.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 113.00
Processed on 05/27/14 @ 12:03:55 by KTOURNEY NEW REFUND AMOUNT(-) 113.00
TOTAL REFUNDABLE AMOUNT 113.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 113.00 Made By==>REFUND FINAN With Reference==>
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 Signatur Date Authorized Signature Dat
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.
Lathrop, Anthony Terms
11399 Central Drive East Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/27/14 1258026 Refund $ 113.00
Total $ 113.00
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
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Voucher No. Warrant No.
Lathrop,Anthony AILwed 20
11399 Central Drive East
Carmel, IN 46032
In Sum of$
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$ 113.00
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ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
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Po#or { Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1096-10 1258026 4358400 $ 113.00 I hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
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'materials or services itemized thereon for
which charge is made were ordered and
received except
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30-May 2014
j
JSignature
$ 113.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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