HomeMy WebLinkAbout250484 1 0/08/1 5 CITY OF CARMEL, INDIANA VENDOR: 354372
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® ONE CIVIC SQUARE BECCA SCHEIDLER CHECK AMOUNT: S"'"" 31.00'
CARMEL, INDIANA 46032 5113 ST CHARLES PLACE CHECK NUMBER: 250484
CARMEL IN 46033 CHECK DATE: 10/08/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 31.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt# 1458069 of m e l 9 Clay
Payment Date: 8243 2015 Darks&Recreation
Household #: 8243
Home Phone: (317)574-9206 FBY-
2 2015
BECCA SCHEIDLER �-------__l Monon Community Center
5113 ST CHARLES PLACE Carmel IN 46032
CARMEL IN 46033
Phone: (317)848-7275
Fed Tax ID#35-6000972
Pass Details
CANCELLATION - Refund Of 31.00
Pass Holder: Capi Scheidler Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MCorp Adlt Mty (M CPAM),#266748 152.00 31.00 121.00 0.00 0.00
Valid Dates: 12/12/2014 to 12/12/2015 (Pass Cancellation)
Cancellation Effective: 09/18/2015
Fee Details: Fee Description_ _ Amount _ Count Discount Sales Tax _ Total Fee_
nCorp Monthly Pass 152.00 1.00 31.00 0.00 121.00
Cancel Reason: guest request active
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/18/15 @ 14:43:51 by HPG FEES CHANGED ON CANCELLED ITEMS(+) 31.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES() 0.00
SALES TAX CHARGED ON CANCELLED FEES(+) 0.00
NET AMOUNT FROM CANCELLED ITEMS 31.00-1
�\ TOTAL AMOUNT REFUNDED 31.001
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9 -2 a 3< ( 1 NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 31.00 Made By=_>REFUND FINAN With Reference=_>check
All refunds are subject to State Board Accounts procedures and may take 4-6 weeks to process. No cash retunds will be
issued.
Authorized Sig atu DateAuth
orized Signature Dat
Escape Day Passes are non-refundable.
.. Page# 1 of
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.
Scheidler, Becca Terms
5113 ST Charles Place Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/15 1458069 Refund $ 31.00
Total $ 31.00
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.
Scheidler, Becca Allowed 20
5113 ST Charles Place
Carmel, IN 46033
In Sum of$
$ 31.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1092 1458069 4358400 $ 31.00 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
October 1, 2015
Signature
$ 31.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund