HomeMy WebLinkAbout246490 06/17/15 w��p'' CITY OF CARMEL, INDIANA VENDOR: 369491
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�I ONE CIVIC SQUARE STACIE PHILLIPS CHECK AMOUNT: $**"""""*54.00*
?�; CARMEL, INDIANA 46032 5607 PUNKINVINE ROAD CHECK NUMBER: 246490
MST_�, LEBANON IN 46052 CHECK DATE: 06/17/15
ON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 54.00 REFUNDS AWARDS & INDE
t GLOBAL REFUND RECEIPT
Receipt# 1451429
Car Me I clay Payment Date: 06/10/15
Household#: 61372
Monon Community Center Stacie Phillips Hm Ph: (765)543-8750
Carmel IN 46032 5607 Punkinvine Rd
Lebanon IN 46052 Cell Ph:
Phone: (317)848-7275 sphillip@ccs.k12.in.us
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 54.00- 54.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 54.00
Processed on 06/10/15 @ 11:08:14 by BJJ NEW REFUND AMOUNT(-) 54.00
TOTAL REFUNDABLE AMOUNT: 54:00`
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 54.00 Made By==>REFUND FINAN With Reference=_>1081-10-4358400 I(, f J KWF—sr
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued. �(
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Aut 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.
Phillips, Stacie Terms
5607 Punkinvine Rd Date Due
Lebanon, IN 46052
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/15 1451429 Refund $ 54.00
Total $ 54.00
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
i
Voucher No. Warrant No.
Phillips, Stacie
Allowed 20
5607 Punkinvine Rd
Lebanon, IN 46052
In Sum of$
$ 54.00
i
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
Po#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-10 1451429 4358400 $ 54.00 1 hereby certify that the attached invoice(s), or
y 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
II
i
June 12, 2015
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Signature
$ 54.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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