HomeMy WebLinkAbout245796 06/03/15 r Coq
�''' CITY OF CARMEL, INDIANA VENDOR: 00353247
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® 4; ONE CIVIC SQUARE JENNIFER DAVIS CHECK AMOUNT: $********45.00*
,• _�; CARMEL, INDIANA 46032 5546 SALEM DR N CHECK NUMBER: 245796
,,,��oN CARMEL IN 46033 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 45.00 REFUNDS AWARDS & INDE
f
GLOBAL REFUND RECEIPT
Receipt# 1448084
Carmel ClPayment Date: 05/19/15
Household#: 43305
Parks&Recreation
Monon Community Center Jennifer Davis Hm Ph: (317)564-8998
Carmel IN 46032 MAY 2 0 2015 5546 Salem Dr. N
Carmel IN 46033 Cell Ph:
jendavis123@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 45.00- 45.00 0.00
- _ PREVIOUS NET HOUSEHOLD BALANCE 45.00
Processed on 05/19/15 @ 16:03:51 by JAB 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=_>parent request;81-2-4358400 refund
All refunds are subject tate Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
iss ed.
d Sig ature 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, date_s service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Davis, Jennifer Terms
5546 Salem Dr N Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number ' (or note attached invoice(s) or bill(s)) Amount
5/19/15 1448084 Refund $ 45.00
Total $ 45.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
iI
20___-
Clerk-Treasurer
Voucher No. Warrant No.
Davis, Jennifer Allowed 20
5546 Salem Dr N
Carmel, IN 46033
In Sum of$
$ 45.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or It
Dept
INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
i�
1081-2 1448084 4358400 $ 45.00 I hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
I.
which charge is made were ordered and
received except
,
May 28,2015
1P
signature
$ 45.00 . ! Accounts Payable Coordinator
Cost distribution ledger classification if ;' Title
claim paid motor vehicle highway fund
1
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