246976 06/30/15 Mr. CITY OF CARMEL, INDIANA VENDOR: 369525
d ONE CIVIC SQUARE JOHN SHERRILL CHECK AMOUNT: $ .....195.00"
i4 CARMEL, INDIANA 46032 4511 CAMELOT LANE CHECK NUMBER: 246976
CARMEL IN 46033 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 1453328 195.00 REFUNDS AWARDS & INDE
i
GLOBAL REFUND RECEIPT
Receipt# 1453328
Carrel Clay Payment Date: 06/18/15
Household #: 38485
Parks&Reueatioh 'D
JUN 2 2 2015
Monon Community Center John Sherrill Hm Ph: (317)614-5188
Carmel IN 46032 4511 Camelot Lane
Carmel IN 46033 Cell Ph:(314)518-7690
carrie_san@msn.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 195.00- 195.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 195.00
Processed on 06/18/15 @ 12:54:36 by BJJ NEW REFUND AMOUNT(-) 195.00
TOTAL REFUNDABLE AMOUNT 195.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 195.00 Made By==>REFUND FINAN With Reference=_>1082-14-4358400 b '
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issue
I
Authoriz ignature 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.
Sherrill, John Terms
4511 Camelot Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18/15 1453328 Refund $ 195.00
Total $ 195.00
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.
Sherrill, John Allowed 20
4511 Camelot Lane
Carmel, IN 46033
In Sum of$
$ 195.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-14 1453328 4358400 $ 195.00 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
Signature
$ 195.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund