HomeMy WebLinkAbout237590 09/23/14 +er.t�q�
%r CITY OF CARMEL, INDIANA VENDOR: 368693
® 3{ ONE CIVIC SQUARE GREG YOUNG CHECK AMOUNT: $*******378.00*
r., i� CARMEL, INDIANA 46032 13010 DEERSTYNE GREEN ST CHECK NUMBER: 237590
�M�TON G°` CARMEL IN 46032 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 378.00 REFUNDS AWARDS & INDE
• PASS REFUND RECEIPT
Receipt# 1344211
COrmei Clay Payment Date: 09/15/14
JJ Household #: 30039
ParksAecreation
West Clay Elementary =Y:
Greg Young Hm Ph: (317)569-0697
3495 W. 126th St. 13010 Deerstyne Green St
Carmel IN 46032 Carmel IN 46032 Cell Ph:(317)610-1573
priyayoung@hotmail.com
Phone: (317)844-9961
Fed Tax ID#35-6000972
Pass Details
CANCELLATION -Refund Of 189.00
Pass Holder: Nyla Young Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: 20-Visit(ESE20V), #222359 81.00 0.00 81.00 0.00 0.00
Valid Dates: 08/14/2013 to 05/29/2015 (Pass Cancellation)
Cancellation Effective: 09/15/2014
CANCELLATION -Refund Of 189.00
Pass Holder: Kareena Young Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: 20-Visit(ESE20V), #222358 81.00 0.00 81.00 0.00 0.00
Valid Dates: 08/14/2013 to 05/29/2015 (Pass Cancellation)
Cancellation Effective: 09/15/2014
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/15/14 @ 09:38:18 by JEB FEES CHANGED ON CANCELLED ITEMS(+) 378.00-
NET AMOUNT FROM CANCELLED ITEMS 37
TOTAL AMOUNT REFUNDED i 378.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 378.00 Made By==>REFUND FINAN With Reference==>
All refun are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued
uth ed Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
to
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.
Young, Greg Terms
13010 Deerstyne Green St Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/14 1344211 Refund $ 378.00
Total $ 378.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Young, Greg Allowed 20
13010 Deerstyne Green St
Carmel, IN 46032
In Sum of$
$ 378.00 —
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-10 1344211 4358400 $ 378.00 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
18-Sep 2014
Signature
$ 378.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund