HomeMy WebLinkAbout243286 3 /18/2015 Coq-
���s.`'''F CITY OF CARMEL, INDIANA VENDOR: 369201
j; ai ONE CIVIC SQUARE PATRICIA NDEBELE CHECK AMOUNT: $*******140.00*
s. _� CARMEL, INDIANA 46032 14469 TIMMIS CIRCLE CHECK NUMBER: 243286
9,;��T�N�� WESTFIELD IN 46074 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 1418595 140.00 REFUNDS AWARDS & INDE
` GLOBAL REFUND RECEIPT
Carmel I?y Receipt# 1418595
� Payment Date: 03/13/15
rksAecreation Household#: 55420
Monon Community Center I MAR 13 2015 Patricia Ndebele
Carmel IN 46032 i 14469 Timmis Circle
Westfield IN 46074 Cell Ph:
------ _-- -- trishnde7@yahoo.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 140.00- 140.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 140.00
Processed on 03/13/15 @ 10:13:19 by JAB NEW REFUND AMOUNT(-) 140:00
TOTAL REFUNDABLE AMOUNT 140.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 140.00 Made By=_>REFUND FINAN With Reference==>parent request;81-3-4358400 refund
All re re subject to State d e A-counts procedures and may take 4-6 weeks to process. No cash refunds will be
iss ed.
uthorized Si nature Date Authorized Signature Date
Escape Day Passes are non-refundable.
Page# 1of1
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.
Ndebele, Patricia Terms
14469 Timmis Circle Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/13/15 1418595 . Refund $ 140.00
Total $ 140.00
I 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
120
Clerk-Treasurer
1i
Voucher No. Warrant No.
I
Ndebele, Patricia Allowed 20
14469 Timmis Circle
Westfield, IN 46074
In Sum of$
$ 140.00 I
1
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
i
PO#or I Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-3 1418595 4358400 $ 140.00 1 h'reby 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
s
r
i
March 16, 2015
I
Signature
$ 140.00 Accounts Payable Coordinator
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund