HomeMy WebLinkAbout245643 05/20/15 oi,
CITY OF CARMEL, INDIANA VENDOR: 369404
ONE CIVIC SQUARE SHARRA VOSTRAL CHECK AMOUNT: $ ....*162.00"
CARMEL, INDIANA 46032 403 TULIP POPLAR CREST CHECK NUMBER: 245643
CARMEL IN 46033 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 162.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1444881
Carmel �� Payment Date: 05/13/15
�,Q'` �' r Household #: 55226
Darks&Recreation
MAY 14 2015
Monon Community Center �Y_ _ Sharra Vostral Hm Ph: (317)564-4657
Carmel IN 46032 -- _- 403 Tulip Poplar Crst Wk Ph: (317) -
Carmel IN 46033 Cell Ph:(217)721-6785
svostral@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 162.00- 162.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 162.00
Processed on 05/13/15 @ 15:28:53 by JAB NEW REFUND AMOUNT(-) 162.00
TOTAL REFUNDABLE AMOUNT 162.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 162.00 Made By==>REFUND FINAN With Reference=_>parent request;81-5-4358400 refund
All refu ds are ject a e Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
[ 3
Authoriz Signature D to 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.
Vostral, Sharra Terms
403 Tulip Poplar Crst Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/13/15 1444881 Refund $ 162.00
Total $ 162.00
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.
Vostral, Sharra Allowed 20
403 Tulip Poplar Crst
Carmel, IN 46033
In Sum of$
$ 162.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#orBoard Members
INVOICE NO. ACCT#/TITLE AMOUNT I
Dept#
1081-5 1444881 4358400 $ 162.00 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
May 15, 2015
Signature
$ 162.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund