HomeMy WebLinkAbout249761 09/23/15 ,CAA
f. CITY OF CARMEL, INDIANA VENDOR: 369880
® it ONE CIVIC SQUARE CAROL KENNIE CHECK AMOUNT: S"""""""173.00"
:._ ?� CARMEL, INDIANA 46032 10119 BRIAR CREEK LANE CHECK NUMBER: 249761
'�;,�roN_�` CARMEL IN 46033 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 173.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
458066
Receipt# 1
Payment Date: 09911611/16/1
5
ClaY Household#: 34265
Parks&Recreation
Hm Ph: (317)580-0931
REC'P'TN TF]D Carol Kennie Wk Ph: (317)
10119 Briar Creek Lane Cell Ph:(317)
435-7270
Conon Community Center 2015 Carmel IN 46033
Carmel IN 46032 SEP 16 ckennie01@aol.com
Phone: (317)848-7275 BY:
Fed Tax ID#35-6000972
Refund Details orifi Bal Refund Newer0.00
173.00-
1
Module: Activity Registration
173.00
PREVIOUS NET HOUSEHOLD BALANCE
173.00
NEW REFUND AMOUNT(-)
11:23:26 by JAB 73.00
Processed on 09116/15 @ TOTAL REFUNDABLE AMOUNT 1
0.00
NEW NET HOUSEHOLD BALANCE
12-4358400 refund
173.00 Made By==>REFUND-FINA�eference==>parent request;82
Refund of==>
'� rocedures and may take 4-6 weeks to process. No cash refunds will e
All-(efun s are subjectto,S[ate Board of Accounts p
issued.
Date
`i Authorized Signature
Date
Authorized Signature
Escape Day Passes are non-refundable.
Page# 1 0
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.
Kennie, Carol Terms
10119 Briar Creek Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/16/15 1458066 Refund $ 173.00
Total $ 173.00
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
, 20
Clerk-Treasurer
Voucher No. Warrant No.
Kennie, Carol Allowed 20
10119 Briar Creek Lane
Carmel, IN 46033
In Sum of$
$ 173.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1082-12 1458066 4358400 $ 173.00 ! 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
September 17, 2015
Signature
$ 173.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund