HomeMy WebLinkAbout235874 08/13/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 368522
ONE CIVIC SQUARE DONALD N HOLDERCHECK AMOUNT: $********26.00*
CARMEL, INDIANA 46032 4945 NORTH RALSTON CHECK NUMBER: 235874
INDIANAPOLIS IN 46220 CHECK DATE: 08/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 1321498 26.00 REFUNDS AWARDS & INDE
C ��
AUG - 5 2014
BY:
Rcpt# 1321498 Total Due: 26.00-
Tot Refund: 26.00.
Monon Community Center Refund Type: Refund from Finance
Clerk: SKUZNETSOV REFUND FINAN Refund of: 26.00
Date: 08/02/2014 Time: 16:13:18 Ref: ,SKUZNETSOV
Daily Sale ���-�p --55b-7
This refund will be mailed to:
Description Ext Price Donald N Holder
---------------------------- ---------- 4945 North Ralston
11
Time In/Amt: 4:10P 10.00- Indianapolis IN 46220
Visit Type: MCC AditDay A Pl4lVisit Date =_> 08/028/02/2014
Visit Count: 1.00- - --------- ------ ------------
Time In/Amt: 4:11P 10.00- Authorized Signature Date
Visit Type: MCC Adlt Day
Visit Date—>__>
08/02/2014
Visit Count: 1.00- C�Y � --- &U[
t -k__9_
--�
Time In/Amt: 4:11P 6.00- Authorized Signature Date
Visit Type: MCC Yth Day
Visit Date =_> 08/02/2014 All refunds are subject to State Board
Visit Count: 1.00- of Accounts procedures and may take 4-6
weeks to process. No cash refunds
Pass Comments: will be issued.
Children must be age 11 or older to
utilize the pools and/or gymnasium Escape DaY Passes are non-refundable.
unaccompanied by an adult.
Children ages 11-13 may use Fitness Fed Tax ID #35-6000972
Center, but must be under adu 11 t
supervision.
Children must be age 14+ to utilize the
Fitness Center without adult
supervision.
RcOVI -321498
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.
Holder, Donald N Terms
4945 North Ralston Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/2/14 1321498 Refund $ 26.00
I - -
Total $ 26.00
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.
Holder, Donald N ;, Allowed 20
4945 North Ralston
Indianapolis, IN 46220
InSum of$
$ 26.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
I
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 1321498 4358400 $ 26.00 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
11-Aug 2014
i
Signature
$ 26.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund