HomeMy WebLinkAbout240110 12/09/2014 .c�A�F._ CITY OF CARMEL, INDIANA VENDOR: 368915
ONE CIVIC SQUARE MICHELLE SCHMIDT CHECK AMOUNT: $*******208.00*
r ,?�; CARMEL, INDIANA 46032 12476 AUTUMN GATE WAY CHECK NUMBER: 240110
°M,�*oN fib• CARMEL IN 46033 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 208.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1373470
af`m' el 9 Payment Date: 12/03/14
Clay' Household#: 37050
Parts&Recreation
Monon Community Center Michelle Schmid Hm'Ph: (317)810-9326
Carmel IN 46032 12476 Autumn Gate Way
Carmel IN 46033 Cell Ph:(317)379-4133
michelle-schmid@hotmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Pass Details
MEMBERSHIP CHANGE -Refund Of 70.00
Pass Holder: Kendall Schmid Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Flat May PM (ESEFYP),#265658 142.00 0.00 142.00 0.00 0.00
Valid Dates: 05/01/2014 to 05/28/2014 (Pass Change)
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 138.00
Processed on 12/03/14 @ 08:08:30 by JAB FEES ADJUSTED ON CHANGED ITEMS(+) 70.00-
NET AMOUNT FROM CHANGED ITEMS
HH BALANCE BALANCE APPLIED TO THIS RECEIPT(+) 138.00-
TOTAL AMOUNT REFUNDED 208:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 208.00 Made By==>REFUND FINAN With Reference rand
1-11-4358400 refund;transfer AD to
All refunds are subject to State Boar ounts proceduresmay - ee s to-process. No cash refunds will be
issued.
AVay
ignature Date Authorized Signature Date
Escapsses are non-refundable.
DEC -S 2014
BY:
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.
Schmid, Michelle Terms
12476 Autumn Gate Way -Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/3/14 1373470 Refund $ 208.00
Total $ 208.00
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
Voucher No. Warrant No.
Schmid, Michelle Allowed 20
12476 Autumn Gate Way
Carmel, IN 46033
Ih Sum of$
$ 208.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1081-11 1373470 4358400 $ 208.00 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
8-Dec 2014
Signature
$ 208.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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1
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