HomeMy WebLinkAbout243263 03/18/15 ii r.C�gglR .
CITY OF CARMEL, INDIANA VENDOR: 369200
® I ONE CIVIC SQUARE JULIE KILPATRICK CHECK AMOUNT: $*******145.00*
CARMEL, INDIANA 46032 14226 WOODCREEK RD CHECK NUMBER: 243263
POWAY CA 92064 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 1418593 145.00 REFUNDS AWARDS & INDE
A GLOBAL REFUND RECEIPT
ceipt# 1418593
Carmel aI MAR 1 s 2015 H use nt Dat
#e: 0298315
rks&Recreation
Monon Community Center J Julie at ' k Hm Ph: (317)663-3087
Carmel IN 46032 Z?j�y d ����/� 1814 Fal ount St Wk Ph: (317)663-3087
I� Carm N 32 Cell Ph:
Phone: (317)848-7275 c H keatingje@netsc e.net
Fed Tax ID#35-6000972 D
Refund Details
Orig Bal Refund New Bal
Module: Pass Management 145.00- 145.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 145.00
Processed on 03/13/15 @ 10:11:16 by JAB NEW REFUND AMOUNT(-) 145.00
TOTAL REFUNDABLE AMOUNT 145.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 145.00 Made By==>REFUND FINAN With Reference=_>parent request;81-3-4358400 refund
All efun re subject to State counts procedures and may take 4-6 weeks to process. No cash refunds will be
iss ed.
Auth rized Signat 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.
Kilpatrick, Julie Terms
14226 Woodcreek Rd Date Due
Poway, CA 92064
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/13/15 1418593 Refund $ 145.00
Total $ 145.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
Iwith IC 5-11-10-1.6
, 20
Clerk-Treasurer
Voucher No. Warrant No.
Kilpatrick, Julie Allowed 20
14226 Woodcreek Rd
Poway, CA 92064
In Sum of$
$ 145.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
i
1
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-3 1418593 4358400 $ 145.00 lihereby certify that the attached invoice(s), or
b1ill(s)is(are)true and correct and that the
(materials or services itemized thereon for
t,
Which charge is made were ordered and
received except
j.
Ir
;f.
I
1 March 16,2015
I
1. I
Signature
$ 145.00 { Accounts,Payable Coordinator
Cost distribution ledger classification if i Title
claim paid motor vehicle highway fund
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