HomeMy WebLinkAbout247172 07/15/15 ,y �,q,�f CITY OF CARMEL, INDIANA VENDOR: 369545
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ONE CIVIC SQUARE ABIGAIL BUHR CHECK AMOUNT: $""""*"*"90.00"
s. CARMEL, INDIANA 46032 14276 W PREVAIL DR CHECK NUMBER: 247172
9;,,,__�r. CARMEL IN 46033 CHECK DATE: 07/15/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 90.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1450152
Ipy
Payment Date: 06/02/15
Household#: 46031
Nrks&Re cr a a
Cherry Tree Elementa JUL 46. 2015 Abigail Buhr Hm Ph: (317)669-2037
13869 Hazel Dell Road 14276 w. Prevail Dr.
Carmel IN 46033 I Carmel IN 46033 Cell Ph:(812)604-7544
asbuhr@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Pass Details
CANCELLATION -Refund Of 15.00
Pass Holder: Hannah Buhr Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Drop-Irl Visit(ESEDROP),#256658 0.00 0.00 0.00 0.00 0.00
Valid Dates: 08/13/2014 to 05/27/2015 (Pass Cancellation)
Cancellation Effective: 06/02/2015
Cancel Reason: did not use pass
CANCELLATION - Refund Of 15.00
Pass Holder: Carter Buhr Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Drop-In Visit(ESEDROP),#256659 0.00 0.00 0.00 0.00 0.00
Valid Dates: 08/13/2014 to 05/27/2015 (Pass Cancellation)
Cancellation Effective: 06/02/2015
Cancel Reason: did not use pass
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 60.00
Processed on 06/02/15 @ 09:50:38 by MEH FEES CHANGED ON CANCELLED ITEMS(+) 30.00-
,NET'AMOUNT FROM CANCELLED,ITEMS;" 30.00=
HH BALANCE APPLIED TO THIS RECEIPT(+) 60.00-
TOTAL`AMOUNT REFUNDED 90:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 90.00 Made By=_>REFUND FINAN With Reference=_>
All ref u ds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issu
bori Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
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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.
Buhr, Abigail Terms
14276 W Prevail Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
612/15 1450152 Refund $ 90.00
Total $ 90.00
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
2Q_
Clerk-Treasurer
Voucher No. Warrant No.
Buhr,Abigail Allowed 20
14276 W Prevail Dr
Carmel, IN 46033
In Sum of$
$ 90.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
I
PO#or INVOICE NO. ACCT#/TITLE AMOUNT I Board Members
Dept#
1081-2 1450152 4358400 $ 90.00 1 hereby certify that the attached invoice(s), or
Ili 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
I
I
July 9, 2015
1
Signature
$ 90.00 j Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund