HomeMy WebLinkAbout249908 09/23/15 �.C.IN
''F� CITY OF CARMEL, INDIANA VENDOR: 369884
.�; ® il• ONE CIVIC SQUARE KRISTIN STEPHENS
CHECK AMOUNT: $""'"'""130.00"
:. CARMEL, INDIANA 46032 3237 WHISPERING PINES LANE CHECK NUMBER: 249908
'.yiroN`o. CARMEL IN 46032 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 130.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1458037
Carmel ® Clay Payment Date: 09/15/15
Household #: 49800
ar�Cs F eereatlon g C�T.� D
SEP 15 2015
Monon Community Center Kristin Stephens Hm Ph: (740)507-6519
Carmel IN 46032 BY 3237 Wispering Pines Ln
Carmel IN 46032 Cell Ph:
ebsesa@live.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 130.00- 130.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 130.00
Processed on 09/15/15 @ 12:27:13 by JAB NEW REFUND AMOUNT(-) 130.00
TOTAL REFUNDABLE AMOUNT 130.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 130.00 Made By==>REF.UND"FINAN With Reference=_>parent request;81-10-4358400 refund
All efund are subject-to'State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
ssued.
Authorized Signature Date Authorized Signature Date
i
Escape Day 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.
Stephens, Kristin Terms
3237 Whispering Pines Ln Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/15 1458037 Refund $ 130.00
Total $ 130.00
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.
Stephens, Kristin Allowed 20
3237 Whispering Pines Ln
Carmel, IN 46032
In Sum of$
$ 130.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1081-10 1458037 4358400 $ 130.00 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
$ 130.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund