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
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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