246909 06/30/15 p�
. CITY OF CARMEL, INDIANA VENDOR: 369516
ONE CIVIC SQUARE HARVEY MOVER CHECK AMOUNT: $ ....'165.00'
=4 CARMEL, INDIANA 46032 10924 THUNDERBIRD DR CHECK NUMBER: 246909
CARMEL IN 46032 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 165.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1453049
Cannel .9 Cloy Payment Date: 06/16/15
Household #: 47121
Parks&Recreation
rte-. q
Monon Community Center Harvey Mover Hm Ph: (317)818-8456
Carmel IN 46032 AIN 17 2015 10924 Thunderbird Drive Wk Ph: (317)846-7777
Carmel IN 46032 Cell Ph:(317)513-8809
Harvey.M over@softwareone.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
PREVIOUS NET HOUSEHOLD BALANCE 165.00
Processed on 06/16/15 @ 08:57:48 by JAB NEW REFUND AMOUNT(-) 165.00
TOTAL REFUNDABLE AMOUNT 165.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 165.00 Made By==?REFUND FINAN With Reference==>parent request;82-6-4358400 refund
All ds are subje o State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
sue'-7-2
d.
l
Auth ized Sig ture D to Authorized Signature Date
Escape 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.
Mover, Harvey Terms
10924 Thunderbird Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
�I
6/16/15 1453049 Refund $ 165.00
Total $ 165.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Mover, Harvey Allowed 20
10924 Thunderbird Drive
Carmel, IN 46032
In Sum of$
$ 165.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-6 1453049 4358400 $ 165.00 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
June 25, 2015
IP v
Signature
$ 165.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund