HomeMy WebLinkAbout234282 07/01/14 CITY OF CARMEL, INDIANA VENDOR: 368354
ONE CIVIC SQUARE POINSETTIA GEISLER CHECK AMOUNT: $********23.00*
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s., CARMEL, INDIANA 46032 847 MOUNTAIN ASH CT CHECK NUMBER: 234282
CARMEL IN 46032 CHECK DATE: 07/01/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 1287517 23.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1287517
Cannel ala1! Payment Date: 06/25/14
,J Household #: 2198
Farksecra ion
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Community Center Poinsettia Geisler Hm Ph: (317)815-0812
Carmel IN 46032 847 Mountain Ash Ct. Wk Ph: (317)860-2480
Carmel IN 46032 Cell Ph:(317)402-9643
geislerpd@yahoo.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 23.00- 23.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 23.00
Processed on 06/25/14 @ 14:52:44 by JAB NEW REFUND AMOUNT(-) 23.00
TOTAL REFUNDABLE AMOUNT 23.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 23.00 Made By==>REFUND FINAN With Referen =_>overpayment for ESE;81-2-4358400 refund
II refunds are subject to State Board etxnt�procedures and may taTce 4_ weeks o process. No cash refunds will be
is ed. q A I
ll' vV/ 1
Autho ized Signature Date Authorized Signature Date
Esca ay Passes are non-refundable.
Page# 1 of 1
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.
Geisler, Poinsettia Terms
847 Mountain Ash Ct Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/14 1287517 Refund $ 23.00
Total $ 23.00
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.
Geisler, Poinsettia Allowed 20
847 Mountain Ash Ct
Carmel, IN 46032
In Sum of$
$ 23.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1081-2 1287517 4358400 $ 23.00 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
26-Jun 2014
Signature
$ 23.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund