250463 10/07/1 5i
rCITY OF CARMEL, INDIANA VENDOR: 369932
® 1 ONE CIVIC SQUARE MAUREEN WEST CHECK AMOUNT: $ "'"""`*42.00'
:.. ? CARMEL, INDIANA 46032 13024 ABERDEEN BEND CHECK NUMBER: 250463
CARMEL IN 46032 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 1458094 42.00 REFUNDS AWARDS & INDE
I
GLOBAL REFUND RECEIPT
Receipt# 1458094
Carmel @ lay Payment Date: 09/24/15
Household #: 22833
P'arks&Recreatidh
R ,CF-�NJED
Morton Community CenterMaureen West Hm Ph: (317)733-0217
2015
Carmel IN 46032 SEP 2 8 13024 Aberdeen Bend Wk Ph: (317)352-3643
Carmel IN 46032 Cell Ph:(317)446-6154
BY: west_maureen@sbcglobal.net
Phone: (317)848-7275 —
Fed Tax ID#35-6000972
Refund Details
Ono Bal Refund New Bal
Module: Pass Management 42.00- 42.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 42.00
Processed on 09/24/15 @ 09:44:27 by JAB NEW REFUND AMOUNT(-) 42.00
TOTAL REFUNDABLE AMOUNT 42,0071
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 42.00 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
Author'zed Signature D to Authorized Signature Date
Escape lga 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, b
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. y
Payee
West, Maureen Purchase Order No.
13024 Aberdeen Bend Terms
Carmel, IN 46032 Date Due
Invoice Invoice
Date Description
Number (or note attached invoice(s) or bill(s))
9/24/15 1458094 Refund Amount
$ 42.00
I hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accord nce I tal $ 42.00
with IC 5-11-10-1.6
20
Clerk-Treasurer
Voucher No. Warrant No.
West, Maureen Allowed 20
13024 Aberdeen Bend
Carmel, IN 46032
In Sum of$
$ 42.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or
Dept# INVOICE NO. ACCT#/TITL AMOUNT Board Members
1081-10 1458094 4358400 $ 42.00 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
pkollh�!J
Signature
$ 42.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund