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250445 10/07/15 0.11" CITY OF CARMEL, INDIANA VENDOR: 362909 ONE CIVIC SQUARE ANGELA TOROSIAN CHECK AMOUNT: $**"""""84.00" CARMEL, INDIANA 46032 2278 TROWBRIDGE HIGH ST CHECK NUMBER: 250445 CARMEL IN 46032 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 1458101 84.00 REFUNDS AWARDS & INDE 4 GLOBAL REFUND RECEIPT Receipt# 1458101 Carmel * Glee Payment Date: 09/24/15 Household #: 14845 Warks&Recreatioro - �.��� � SEP 28 2015 Monon Community Center Angela Torosian Hm Ph: (317)663-4364 Carmel IN 46032 BY: 278 Trowbridge High St Wk Ph: (317)663-4364 === Z rmel IN 46032 Cell Ph:(317)978-0497 angela@epsplastics.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Refund Details Oria Bal Refund New Bal Module: Pass Management 84.00- 84.00 0.00 PREVIOUS NET HOUSEHOLD BALANCE 84.00 Processed on 09/24/15 @ 10:19:22 by JAB NEW REFUND AMOUNT(-) 84.00 TOTAL.REFUNDABLE AMOUNT 84.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 84.00 Made By==>REFUND FINAN­With 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.��„ C Authoriz&E ignature Date t 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. Torosian, Angela Terms 2278 Trowbridge High St Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/24/15 1458101 Refund $ 84.00 Total $ 84.00 I 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. Torosian, Angela Allowed 20 2278 Trowbridge High St Carmel, IN 46032 In Sum of$ $ 84.00 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-10 1458101 4358400 $ 84.00 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 .P.hJ Signature $ 84.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund