HomeMy WebLinkAbout239963 12/09/14 ur,c,F.?r
4 CITY OF CARMEL, INDIANA VENDOR: 368913
® i1 ONE CIVIC SQUARE KATIE FLICKINGER CHECK AMOUNT: $ ... '"175.50*
_� CARMEL, INDIANA 46032 20321 STERLING BAY LANE UNIT F CHECK NUMBER: 239963
�, oN.�.` CORNELIUS MD 28031 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 175.50 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Carmel lay Receipt# 1373563
Payment Date: 12/03/14
Parks&Recr ation Household #: 60757
Monon Community Center Katie Flickinger Hm Ph: (423)967-5239
Carmel IN 46032 20321 Sterling Bay Ln.
Unit F Cell Ph:(317)385-3738
Cornelius NC 28031
Phone: (317)848-7275 katie_honeycutt@yahoo.com
Fed Tax ID#35-6000972
Refund Details
Orio Bal Refund New Bal
Module: Pass Management 175.50- 175.50 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 175.50
Processed on 12/03/14 @ 16:45:19 by BJJ NEW REFUND AMOUNT(-) 175.50
TOTAL REFUNDABLE AMOUNT 175.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 175.50 Made By==>REFUND FINAN With Reference=_> 1081-5-4358400 l �
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to proce s. No cash refunds will be
issue .
d-3�r,
Au ,zed Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
i
j DEC - 8 2014
I
abs`.
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.
Terms
Flickinger, Katie
Date Due
20321 Sterling Bay Ln, Unit F
Cornelius, MC 28031
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$ 175.50
12/3/14 1373563 Refund
Total $ 175.50
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.
Flickinger, Katie Allowed 20
20321 Sterling Bay Ln, Unit F
Cornelius, MC 28031
In Sum of$
$ 175.50
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1081-5 1373563 4358400 $ 175.50 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
8-Dec 2014
Signature
$ 175.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund