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Home My WebLink About238621 10/28/14 CITY OF CARMEL, INDIANA VENDOR: 368803 (9, ONE CIVIC SQUARE GIA HAMMONDCHECK AMOUNT: $********53.50* CARMEL, INDIANA 46032 PO BOX 532550 CHECK NUMBER: 238621 INDIANAPOLIS IN 46254 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4358400 135236 53.50 REFUNDS AWARDS & INDE FACILITY REFUND RECEIPT Receipt# 1352366 Payment Date: 10/08/14 Household#: 61684 r c qi� n` Monon Community Center 2 201 Gia Hammond Hm Ph: (317) - Carmel IN 46032 P.O. Box 532550 Indianapolis IN 46254 Cell Ph: FOCT _ giarenee@gmail.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Facility Reservation Details CANCELLATION -Refund Of 53.50 Facility: Monon Community Cntr, Party Room A Resew.Contact: Gia Hammond Reserv.Number: 29950 Status: Cancelled Date Qay Time Fees+Tax Discount Prev Paid Cur Paid -Amount Due 09/27/2014 Sat 6:OOP to 8:OOP 0.00 0.00 0.00 0.00 0.00 Cancel Reason: Customer Disatisfied RESERVATION CHANGE Facility: Monon Community Cntr, Party Room A Reserv.Contact: Gia Hammond Reserv.Number: 30621 Status: Firm Date Day Time Fees+Tax Discount Prev Paid Cur Paid Amount Due 09/27/2014 Sat 5:30P to 6:OOP 0.00 0.00 0.00 0.00 0.00 Special Questions: How did you hear about the Monon Community Center: Friend PREVIOUS NET HOUSEHOLD BALANCE 13.38 Processed on 10/08/14 @ 11:46:34 by KPAGE FEES CHANGED ON CANCELLED ITEMS(+) 50.00- SALES TAX CHARGED ON CANCELLED FEES(+) 3.50- NET AMOUNT FROM CANCELLED ITEMS „53:50x. FEES ADJUSTED ON CHANGED ITEMS(+) 12.50- SALES TAX CHARGED ON CHANGED FEES(+) 0.88- :NET AMOUNT FROM CHANGEp ITEMS 13.38 HH BALANCE APPLIED TO THIS RECEIPT(+) 13.38 TOTAL`AMOUNT REFUNDED 53.50! ONEW NET HOUSEHOLD BALANCE 0.00 S. ll Refund of=_> 53.50 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. The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are left at zero for reservation purposes, but will be updated after the reservation date. As soon as this data is available,you will be invoiced for the current amount due. Please remit to our office within 10 days of the invoice date. Page# 1 of 2 Carmel FACILITY REFUND RECEIPT y Receipt# 1352366 Par s& 6createon Payment Date: 10/08/2014 Household#: 61684 j(� D / thorized Signature Dae Authorized Signature Date Escape Day Passes are non-refundable. Page# 2 of 2 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. Hammond, Gia Terms P.O. Box 532550 Date Due Indianapolis, IN 46254 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/8/14 135236 Refund $ 53.50 Total $ 53.50 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. Hammond, Gia Allowed 20 P.O. Box 532550 Indianapolis, IN 46254 In Sum of$ $ 53.50 ON ACCOUNT OF APPROPRIATION FOR 109 -MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-3 135236 4358400 $ 53.50 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 which charge is made were ordered and received except i 23-Oct 2014 Signature $ 53.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund