HomeMy WebLinkAbout250315 10/07/15 Q
CITY OF CARMEL, INDIANA VENDOR: 369938
ONE CIVIC SQUARE STEPHANIE KLEINER CHECK AMOUNT: $"'""""18.00'
CARMEL, INDIANA 46032 12661 TRAM LANE CHECK NUMBER: 250315
CARMEL IN 46033 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 18.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1458093
Carmel * Cla Payment Date: 09/24/15
J Household #: 29048
Parks&Recreatidn
Monon Community Center SEP 2 S 2015 Stephanie Kleiner Hm Ph: (317)733-8943
Carmel IN 46032 12661 Tram Lane
BY.- Carmel IN 46033 Cell Ph:(847)975-2344
skleiner@ccs.k12.in.us
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Orio Bal Refund New Bal
Module: Pass Management 18.00- 18.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 18.00
Processed on 09/24/15 @ 09:43:47 by JAB NEW REFUND AMOUNT(-) 18.00
TOTAL REFUNDABLE AMOUNT 18.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 18.00 Made By==>REFUND FINAN With Reference=_>parent request;81-10-4358400 refund
All refunds are subject to State..Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
'—Autho7ized Signature Date f Authorized Signature Date
EscapeUy 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.
Kleiner, Stephanie Terms
12661 Tram Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/24/15 1458093 Refund $ 18.00
Total $ 18.00
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
i
Voucher No. Warrant No.
Kleiner, Stephanie Allowed 20
12661 Tram Lane
Carmel, IN 46033
In Sum of$
$ 18.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1081-10 1458093 4358400 $ 18.00 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
$ 18.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund