HomeMy WebLinkAbout23/334 09/23/14 CITY OF CARMEL, INDIANA VENDOR: 368690
4' ONE CIVIC SQUARE KRISTINE BRANNOCK CHECK AMOUNT: $********84.00*
CARMEL, INDIANA 46032 83 11TH ST NW CHECK NUMBER: 237334
CARMEL IN 46032 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 84.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1343984
Carel * C py Payment Date: 09/15/14
. .J rks&Recreation Household#: 55717
x.Jew
Monon Community Center Kristine Brannock
Carmel IN 46032 SEP 16 2014 83 11 th Street NW
Carmel IN 46032 Cell Ph:(317)840-9575
BY: kristinelb@frontier.com
Phone: (317)848-7275
Fed Tax ID#35-6000972 `_—
Pass Details
CANCELLATION -Refund Of 84.00
Pass Holder: GUS BrannOck Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: 10-Visit(ESE10V),#231992 56.00 0.00 56.00 0.00 0.00
Valid Dates: 08/14/2013 to 05/29/2014 (Pass Cancellation)
Cancellation Effective: 09/15/2014
Cancel Reason no longer attend ESE-still have unused passes
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/15/14 @ 08:43:11 by JAB FEES CHANGED ON CANCELLED ITEMS(+) 84.00-
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED- _ 84.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 84.00 Made By=_>REFUND FINAN With Reference-_>81-1-4358400 refund
All refunds are subject to Staof Accounts rocedures and may take 4-6 weeks to process. No cash refunds will be
issue
uthbrized Signatur D to Authorized Signature Date
Escap asses 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.
Brannock, Kristine Terms
83 11the Street NW Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/14 1343984 Refund $ 84.00
Total $ 84.00
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
i'
i
Voucher No. Warrant No.
Brannock, Kristine Allowed 20
83 11th# Street NW
Carmel, IN 46032
In Sum of$
1
$ 84.00 1
ON ACCOUNT OF APPROPRIATION FOR
i
108 -ESE
PO#or Board Members
Dept# INVOICE NO. ACCT WTITL AMOUNT
1081-1 1343984 4358400 $ 84.00 I hereby certify that the attached invoice(s), or
bill(s)is (are)true and correct and that the
materials or services itemized thereon for
I�hich charge is made were ordered and
I eceived except
I
1
i
18-Sep 2014
I �
i
Signature
$ 84.00 Accounts Payable Coordinator
Cost distribution ledger classification if ', Title
claim paid motor vehicle highway fund