Loading...
HomeMy WebLinkAbout187391 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364318 Page 1 of 1 ONE CIVIC SQUARE RINAD NAZZAL CHECK AMOUNT: $36.00 CARMEL, INDIANA 46032 985 STANSFIELD DR CARMEL IN 46032 CHECK NUMBER: 187391 CHECK DATE: 7/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 456207 36.00 REFUNDS AWARDS INDE PASS REFUND RECEIPT Receipt 456207 Payment pate: 06128110 Household 23274 Monon Community Center Rinad Nazzal Hm Ph: (317)848 -4026 Carmel IN 46032 985 Stansfield Dr. Carmel IN 46032 Cell Ph: rmnazzal @hotmail.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Pass Holder: Rinad Nazzal Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: UnGpFt MCAYSM[y (M UGFTMM), #106997 20.00 0.00 0.00 20.00 0.00 Valid Dates: 04/20/2010 to 04/20/2011 Pass Cancellation) Cancel Reason: classes full. cant drop into class. PREVIOUS NET CREDIT HOUSEHOLD BALANCE 36.00 Processed on 06/28/10 12:38:22 by TLP FEES CHANGED ON CANCELLED ITEMS 20.00 SURCHARGE APPLIED AGAINST CANCELLED FEES O 20.00- NET AMOUNT FROM CANCELLED ITEMS 0.00 HH BALANCE APPLIED TO THIS RECEIPT 36.D0- TOTAL AMOUNT REFUNDED 36.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 36.00 Made By REFUND FINAN With Reference All refunds are subj4cred'derefu Board of c is claim procedure and may take 4 6 weeks to process. A check will be issued, sh or s hord i Autizegn Date Authorized Signature Date V�� V Page 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. Nazzal, Rinad Terms 985 Stansfield Dr Date Due Carmel, IN 46032 Invoice Invoice Description Date Number attached invoice(s) or bill(s)) or note at Amount D 36.00 6128110 456207 Refund Total 36.00 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 20� Clerk- Treasurer Voucher No. Warrant No. Nazzal, Rinad Allowed 20 985 Stansfield Dr Carmel, IN 46032 In Sum of 36.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1096 -41 456207 4358400 36.00 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 2 -Jul 2010 Signature 36.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund