HomeMy WebLinkAbout253201 01/11/16 `Y'...G,q,,*� CITY OF CARMEL, INDIANA VENDOR: 370173
�'= t\' ONE CIVIC SQUARE NANCY SCHULTE CHECK AMOUNT: $*******198.00*
i� ��� CARMEL, INDIANA 46032 3521 E CARMEL DRIVE CHECK NUMBER: 253201
9M,�*oN�` CARMEL IN 46033 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 1458768 198.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
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Payment Date. /201S..,.
Household#: 44 48" t�:� - ! 'k � �"�' , _ a'. _
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Home Phone: (317)660-6132 C��` A
Work Phone: (206)679-4877 pEC 20°5
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N,CLY�SGtI;ULT _ Monon Community Center
52�1�'�A"�ST'%,(RMEL®RIVE Carmel IN 46032
CARMEOR R ,4033
Phone: (317)848-7275
Fed Tax ID#35-6000972
Pass Details
CANCELLATION -Refund Of 198.00
Pass Holder: Paul Schulte Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MC HH Mthly(M MCHHM),#262347 0.00 0.00 0.00 0.00 0.00
Valid Dates: 11/04/2015 to 11/03/2016 (Pass Cancellation)
Cancellation Effective: 12/17/2015
Cancel Reason: Staff Error
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 12/17/15 @ 15:13:20 by DMLEONARD FEES CHANGED ON CANCELLED ITEMS(+) 198.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES(-) 0.00
SALES TAX CHARGED ON CANCELLED FEES(+) 0.00
NET:AMOUNT'FROWCANCEILLEDTEMS ,,..498:00-
•TOTAL'AMOUNT:REFUNDED, ": 1108!0011111
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109 2- K 3 S^9'q Q NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 198.00 Made By=_>REFUND FINAN With Reference=_>
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
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Authorized Sign'ah a Date Authorized Signature Date
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Escape Day Passes are non-refundable. 1
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.
Schulte, Nancy Terms
3521 East Carmel Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/17/15 1458768 Refund $ 198.00
Total $ 198.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
,20
Clerk-Treasurer
`
Voucher No. Warrant No.
Schulte, Nancy fU�vved 20____.
3521Emot<�mnne|Ork�' !
Cannel. |N 48033
ONACCOUNT OF APPROPRIATION FOR
,. 109-MCC
PmorINVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 1458768 4358400 $ 198.00 khereby certify that the attached invoioe(s). or
bUKn)is(eoa)true and correct and that the
materials orservices itemized thereon for
which charge ismade were ordered and
»eookmdexcept
�
December 28, 2015
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Signature
Accounts Payable Coordinator
Cost distribution ledger classification if / Title
claim paid motor vehicle highway fund �
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