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HomeMy WebLinkAbout238602 10/28/14 CITY OF CARMEL, INDIANA VENDOR: 368802 v., t g® '.J• ONE CIVIC SQUARE STEFANIE FARLEY CHECK AMOUNT: $*******139.00* CARMEL, INDIANA 46032 15815 FALCON FIRE DRIVE CHECK NUMBER: 238602 WESTFIELD IN 46074 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 1358478 139.00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT Receipt# 1358478 r iar" , a ClayPayment Date: 10/17/14 Household#: 47929 Parks&Recreation I�EC �r � Monon Community Center 0CT 212 014 Stefanie Farley Hm Ph: (317)460-8301 Carmel IN 46032 15815 Falcon Fire Drive Westfield IN 46074 Cell Ph: RV. stefaniespurlin@yahoo.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 139.00- 139.00 0.00 PREVIOUS NET HOUSEHOLD BALANCE 139.00 Processed on 10/17/14 @ 13:48:50 by LVA NEW REFUND AMOUNT(-) 139.00 TOTAL REFUNDABLE AMOUNT 139.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 139.00 Made By==>REFUND FINAN With Reference==>advanced request All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issue . Authorized Signatu,KeeDae d Authorized Signature Date Escape Day Passes are non-refundable. I D /;p Ll 3 - -- - 0 - tell& kc A-CYV'x d ® I PreSPrO raS 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. Farley, Stefanie Terms 15815 Falcon Fire Drive Date Due Westfield, IN 46074 Invoice Invoice Description . Date Number (or note attached invoice(s) or bill(s)) Amount 10)17/14 1358478 Refund $ 139.00 i Total $ 139.00 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with I C 5-11-10-1.6 , 20 Clerk-Treasurer Voucher No. Warrant No. Farley, Stefanie Allowed 20 15815 Falcon Fire Drive Westfield, IN 46074 In Sum of$ i I $ 139.00 ON ACCOUNT OF APPROPRIATION FOR i 109 -MCC Po#or Board Members Dept# INVOICE NO. ACCT#/TITL AMOUNT 5 i 1096-32 1358478 4358400 $ 139.00 ( 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 which charge is made were ordered and received except I i 23-Oct 2014 i signature i $ � Accounts Payable able Coordinator Y Cost distribution ledger classification if Title claim paid motor vehicle highway fund