The URL can be used to link to this page

Home My WebLink About246927 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 369520 ONE CIVIC SQUARE LARRY PAULEY CHECK AMOUNT: $**.....266.00* CARMEL, INDIANA 46032 5691 BLACKFOOT TRAIL CHECK NUMBER: 246927 CARMEL IN 46033 CHECK DATE: 06/30/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 266.00 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt# 1453341 Carmel 1* Clay Payment Date: 06/18/15 Perks&Recreation Household #: 16217 Monon Community Center i Larry Pauley Hm Ph: (317)818-1797 Carmel IN 46032 j 5691 Blackfoot Tr. Wk Ph: (317)848-1810 ,{ JUN 2 2 2015 Carmel IN 46033 Cell Ph:(317)250-8514 Phone: (317)848-7275 I spauley@indy.rr.com Fed Tax ID#35-6000972 Pass Details CANCELLATION - Refund Of 14.00 Pass Holder: Ryan Pauley Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 10-Visit (ESE10V), #241295 126.00 0.00 126.00 0.00 0.00 Valid Dates: 08/14/2013 to 05/29/2014 (Pass Cancellation) Cancellation Effective: 06/18/2015 CANCELLATION - Refund Of 126.00 Pass Holder: Ryan Pauley Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 10-Visit (ESE10V), #266894 14.00 0.00 14.00 0.00 0.00 Valid Dates: 08/13/2014 to 05/27/2015 (Pass Cancellation) Cancellation Effective: 06/18/2015 CANCELLATION - Refund Of 126.00 Pass Holder: Aidan Pauley Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 10-Visit (ESE10V), #266893 14.00 0.00 14.00 0.00 0.00 Valid Dates: 08/13/2014 to 05/27/2015 (Pass Cancellation) Cancellation Effective: 06/18/2015 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 06/18/15 @ 16:24:04 by BJJ FEES CHANGED ON CANCELLED ITEMS(+) 266.00- NET AMOUNT FROM CANCELLED.ITEMS 266.00- TOTAL AMOUNT REFUNDED 266.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 266.00 Made By==>REFUND FINAN With Reference=_> All refulfos are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. Aut ,zed Signature Date Authorized Signature Date Page# 1 of 2 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. Pauley, Larry Terms 5691 Blackfoot Tr Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/18/15 1453341 Refund $ 266.00 Total $ 266.00 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. Pauley, Larry Allowed 20 5691 Blackfoot Tr Carmel, IN 46033 In Sum of$ $ 266.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-7 1453341 4358400 $ 266.00 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 $ 266.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund