248998 08/26/15 `�'� ��p; CITY OF CARMEL, INDIANA VENDOR: 368353
a,
s b it ONE CIVIC SQUARE RAMKUMAR RAMAKRISHNAN CHECK AMOUNT: $ .*...133.00*
CARMEL, INDIANA 46032 13455 CARMEL INSAILLES 46032 0R CHECK CHECK DATE: 08/8998
26/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 133.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1456836
Cartmel o Clay Payment Date: 08/12/15
Pa rks&Recreation
J Household #: 3221
Monon Community Center �� Ramkumar Ramakrishnan Hm Ph: (317)569-0637
Carmel IN 46032 AUG 1 `� 2015 13455 Versailles Dr
Carmel IN 46032 Cell Ph:
padmasree123@yahoo.com
Phone: (317)848-7275 i�i"1 . . _
Fed Tax ID#35-6000972 ----
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 133.00- 133.00 0.00
I' PREVIOUS NET HOUSEHOLD BALANCE 133.00
Processed on 08/12/15 @ 11:24:17 by JAB NEW REFUND AMOUNT(-) 133.00
TOTAL REFUNDABLE AMOUNT 133.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 133.00 Made By==>REFUND FINAN With Refere ce=_>parent request;82-5-4358400 refund
A refunds a subject to a card of Accounts procedures and may to o cash refunds will be
i ued.
Auth ized Signal ire Date Authorized Signature Date
Escape y 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.
Ramakrishnan, Ramkumar Terms
13455 Versailles Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/12/15 1456836 Refund $ 133.00
Total $ 133.00
I 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.
Ramakrishnan, Ramkumar Allowed 20
13455 Versailles Dr
Carmel, IN 46032
In Sum of$
$ 133.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-5 1456836 4358400 $ 133.00 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
August 20, 2015
Signature
$ 133.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund