HomeMy WebLinkAbout233795 6 /18/2014 1,�'C�q'I�.
CITY OF CARMEL, INDIANA VENDOR: T358933
{ ® ONE CIVIC SQUARE KATHERINE LEISING CHECK AMOUNT: $**......15.00*
CARMEL, INDIANA 46032 10400 WHITE OAK DRIVE CHECK NUMBER: 233795
y�`TON^�.r CARMEL IN 46032 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1267195 15.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1267195
Cannel @ Clay Payment Date: 06/06/14
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Parks&Recreation Household #: 44737
Monon Community Center 7JUN
c'r`a ;,�, Kathy Leising Hm Ph: (317)844-5202
Carmel IN 46032 10400 White Oak Drive
--9 2014 Carmel IN 46032 Cell Ph:(317)691-9821
rleising@giesting.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 15.00- 15.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 15.00
Processed on 06/06/14 @ 15:26:09 by MYADON NEW REFUND AMOUNT(-) 15.00
TOTAL REFUNDABLE AMOUNT 15.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 15.00 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.
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Authorized Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
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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.
Leising, Kathy Terms
10400 White Oak Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/6/14 1267195 Refund $ 15.00
Total $ 15.00
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.
Leising, Kathy Allowed 20
l�nJS 10400 White Oak Drive
Carmel, IN 46032
In Sum of$
$ 15.00
ON ACCOUNT OF APPROPRIATION FOR _
109 -MCC _
PO#orBoard Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1096-70 1267195 4358400 $ 15.00 1 hereby certify that the attached invoice(s), or
NII(s)is(are)true and correct and that the
rnaterials or services itemized thereon for
which charge is made were ordered and
received except
13-Jun 2014
V&—haC mA
Signature
$ 15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund