248019 07/28/15 M1+ C�q��
�, �• CITY OF CARMEL, INDIANA VENDOR: 369657
h ® ONE CIVIC SQUARE JEFFREY RINGLE CHECK AMOUNT: S""`""'266.00•
:. CARMEL, INDIANA 46032 5910 RAMSEY DR CHECK NUMBER: 248019
, ir
.y��oN�, NOBLESVILLE IN 46062 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 28759 266.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 14547 ' ;
r, o Payment Date: 07/10/ 5
Household#: 19512 JUL 13 2015
Nr & ecr a id*n
Monon Community Center Jeffrey Ringle Hm Ph: (317)733-1817
Carmel IN 46032 C ql p _ W3 2f)tar ami Er b�,
J M _Y_ Cell Ph:(317)985-2468
Phone: (317)848-7275 tmring le@ kop kalaw.com
Fed Tax I D#35-6000972 1�)BLL u'�r /^J
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 266.00- 266.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 266.00
Processed on 07/10/15 @ 12:40:11 by BJJ NEW REFUND AMOUNT(-) 266.00
TOTAL REFUNDABLE AMOUNT_
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 266.00 Made By==>REFUND FINAN With Reference=_>1081-10-4358400 Ct9v- vb)
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
A tho' Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
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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.
Ringle, Jeffrey Terms
5910 Ramsey Dr Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/10/15 1454716 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 I C 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
Ringle, Jeffrey Allowed 20
5910 Ramsey Dr
Noblesville, IN 46062
In Sum of$
$ 266.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Deptept# INVOICE NO. ACCT#/TITLE AMOUNT
i
1081-10 1454716 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
i which charge is made were ordered and
received except
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July 23, 2015
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Signature
$ 266.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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