HomeMy WebLinkAbout250461 10/07/15i
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';% CITY OF CARMEL, INDIANA VENDOR: T360826
® ONE CIVIC SQUARE DOUG WEISS CHECK AMOUNT: S""""117.00•
CARMEL, INDIANA 46032 14298 MATT ST CHECK NUMBER: 250461
4��"�rory LO'? CARMEL IN 46033 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 1458099 117.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1458099
Carmel * Cay Payment Date: 09/24/15
Nrks&Recreation Household #: 14197
Monon Community Center SEP 2 8 2015 Doug Weiss Hm Ph: (317)810-9634
Carmel IN 46032 14298 Matt Street
BY: Carmel IN 46033 Cell Ph:
Phone: (317)848-7275 smoothshelby@gmail.com
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 117.00- 117.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 117.00
Processed on 09/24/15 @ 09:50:49 by JAB NEW REFUND AMOUNT(-) 117.00
TOTAL REFUNDABLE AMOUNT 117.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 117.00 Made By==>REFUND FINAN With Reference=_>parent request;81-10-4358400 refund
Allpfta are subject to State-Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
Authore Dale Authorized Signature Date
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.
Weiss, Doug Terms
14298 Matt Street Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/24/15 1458099 Refund $ 117.00
i
Total $ 117.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Weiss, Doug Allowed 20
14298 Matt Street
Carmel, IN 46033
In Sum of$
$ 117.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-10 1458099 4358400 $ 117.00 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
$ 117.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund