240682 01/07/2015 CITY OF CARMEL, INDIANA VENDOR: 369009
d =r ONE CIVIC SQUARE KRISTEN GARRETT CHECK AMOUNT: $*******304.00*
9
r` CARMEL, INDIANA 46032 16620 WANATAH TRAIL CHECK NUMBER: 240682 WESTFIELD IN 46074 CHECK DATE: 01/07/15
ETON CO
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 304.00 REFUNDS AWARDS & INDE
r -
GLOBAL REFUND RECEIPT
Receipt# 1382177
arMr el (D Payment Date: 12/22/14
F arksAecreatlon
Household #: 42241
Monon Community Center � ,� Kristen Garrett Hm Ph: (317)946-6273
�
Carmel IN 46032 7RD 16620 Wanatah Trail
Westfield IN 46074 Cell Ph:
Phone: (317)848-7275
DEC 2 9 2014 kwalland@purdue.edu
Fed Tax ID#35-6000972 $1'; J
Refund Details —
Orin Bal Refund New Bal
Module: Pass Management 304.00- 304.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 304.00
Processed on 12/22/14 @ 05:59:01 by JAB NEW REFUND AMOUNT(-) 304.00
TOTAL REFUNDABLE AMOUNT 304.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 304.00 Made By==>REFUND FINAN With Refere crf e�=_>prent request;81-3-4358400 refund
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
i �Jaa�eAtri ignature Date Authorized Signature Date
Es ape y Passes are non-refundable.
I
Page# 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemizedos rate must
s ow-,houkind
of serf ice,units, ere performper ed,
dates service rendered, by
whom, rates per day, number of h P
c.
Payee Purchase Order No.
Terms
Garrett, Kristen
Date Due
16620 Wanatah Trail
Westfield, IN 46074
Invoice Invoice
Description Amount
Date Number (or note attached invoice(s) or bill(s))
$ 304.00
12122114 1382177 Refund
Total $ 304.00
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.
Garrett, Kristen Allowed 20
16620 Wanatah Trail
Westfield, IN 46074
In Sum of$
$ 304.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-3 1382177 4358400 $ 304.00 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
January 2, 2015
�—PhAwwMat
Signature
$ 304.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund