HomeMy WebLinkAbout241224 1 /22/2015 ,5.. CITY OF CARMEL, INDIANA VENDOR: 369034
® ONE CIVIC SQUARE MELODY BIRMINGHAM-BYRD CHECK AMOUNT: $*" *"420.00•
CARMEL, INDIANA 46032 13940 BROAD MEADOW CHECK NUMBER: 241 224
CARMEL IN 46032 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 1390255 420.00 REFUNDS AWARDS & INDE
'GLOBAL REFUND RECEIPT
Carmel � Clay Receipt# 1390255
Payment Date: 01/14/15
Parks&Recreation Household #: 50014
Monon Community CenterI Melody Birmingham-Byrd Hm Ph: (317)669-2905
1 2015
Carmel IN 46032 JAN 13940 Broad Meadow Wk Ph: (317)838-2201
i Carmel IN 46032 Cell Ph:(843)307-0023
Phone: (317)848-7275
BY: _ msbham0l@gmail.com
_-�-� - -=
Fed Tax ID#35-6000972
Refund Details
Orio Bal Refund New Bal
Module: Pass Management 420.00- 420.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 420.00
Processed on 01/14/15 @ 07:46:57 by JAB NEW REFUND AMOUNT(-) 420.00
TOTAL REFUNDABLE AMOUNT 420.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 420.00 Made By==>REFUND FINAN With Reference=_>parent request:81-8-4358400 refund
la-refand are subject to State Bcar_d-ef-Accotants procedures and may take 4-6 weeks to process. No cash refunds will be
Issued. _
1 >
Autho zed Signa re Date Authorized Signature Date
Escape Day Passes are non-refundable.
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.
Birmingham-Byrd, Melody Terms
13940 Broad Meadow Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/14/15 1390255 Refund $ 420.00
Total $ 420.00
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.
Birmingham-Byrd, Melody Allowed 20
13940 Broad Meadow
Carmel, IN 46032
In Sum of$
$ 420.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1081-8 1390255 4358400 $ 420.00 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 15, 2015
Signature
$ 420.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund