HomeMy WebLinkAbout242712 03/03/15 (9-
CITY OF CARMEL, INDIANA VENDOR: 369152
ONE CIVIC SQUARE JENNY COPLAN CHECKAMOUNT: $********45.00*
CARMEL, INDIANA 46032 1477 STORMY RIDGE CT CHECK NUMBER: 242712
CARMEL IN 46032 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 1412765 45.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1412765
` � Payment Date: 02/24/15
Car'� �� _- ��r�I� Household#: 54982
I rks&Recreabon FEB 2 5 2015
Smoky Row Elementary - ---- Jenny Coplan Hm Ph: (317)688-7136
900 West 136th Street 1477 Stormy Ridge Ct
Carmel IN 46032 Carmel IN 46032 Cell Ph:(312)391-1262
Phone: (317)848-7275 jlcoplan@gmail.com
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 45.00- 45.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 45.00
Processed on 02/24/15 @ 09:06:08 by LKW NEW REFUND AMOUNT(-) 45.00
TOTAL REFUNDABLE AMOUNT 45.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 45.00 Made By==>REFUND FINAN With Reference=_> I `l 3 5 �- 4 V b
All refunds are subject to Stat Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
f
uthori d Signature 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.
Coplan, Jenny Terms
1477 Stormy Ridge Ct Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/24/15 1412765 Refund $. 45.00
Total $ 45.00
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
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Voucher No. Warrant No.
Coplan, Jenny Allowed 20
1477 Stormy Ridge Ct
Carmel, IN 46032
In Sum of$
$ 45.00
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ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
I
PO#
or Board Members
Deeptpt# INVOICE NO. ACCT#/TITL AMOUNT j
1081-99 1412765 4358400 $ 45.00 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
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I
i
February 26, 2015
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Signature
$ 45.00 _ Accounts Payable Coordinator
Cost distribution ledger classification if + Title
claim paid motor vehicle highway fund