249812 09/23/15 ,Coq
CITY OF CARMEL, INDIANA VENDOR: 369883
® ONE CIVIC SQUARE MARYBETH MORRIS CHECK AMOUNT: $******"'28.00"
CARMEL, INDIANA 46032 12932 TRADD CHECK NUMBER: 249812
CARMEL IN 46032 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 28.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1457596
Ca�' � y Payment Date: 09/09/15
J Household #: 17508
Parks&Recreation
F
Monon Community Center Marybeth Morris Hm Ph: (317)810-9120
Carmel IN 46032 SEP 1 ® 2015 12932 Tradd Wk Ph: (317)542-1481
Carmel IN 46032 Cell Ph:(317)260-6633
marbetmor@aol.com
Phone: (317)848-7275 _
Fed Tax ID #35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 28.00- 28.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 28.00
Processed on 09/09/15 @ 09:57:22 by JAB NEW REFUND AMOUNT(-) 28.00
TOTAL REFUNDABLE AMOUNT" 28.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 28.00 Made By==>REFUND FINAN With Reference=_>parent request;81-10-4358400 refund
All refunds are subject to State Bo Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
I �
Authorized S natule D to Authorized Signature Date
Escape Day asses 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.
Morris, Marybeth Terms
12932 Tradd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/9/15 1457596 Refund $ 28.00
Total $ 28.00
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.
Morris, Marybeth Allowed 20
12932 Tradd
Carmel, IN 46032
In Sum of$
$ 28.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-10 1457596 4358400 $ 28.00 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
September 17, 2015
Signature
$ 28.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund